What is a periodontist? Do I need to see one?
A periodontist specializes in the diagnosis, treatment and prevention of periodontal disease, as well as dental implant placement. All periodontists are general dentists, but they receive additional training of up to three years after dental school to obtain the necessary education to perform procedures in periodontics. Your general dentist may refer you to a periodontist if you exhibit the symptoms of gum disease; however, you may schedule an appointment on your own if you have concerns about your oral health.
What is periodontal disease, and am I at risk of developing it?
The term “periodontal” simply means “around the tooth.” Periodontal disease affects the gums and bones supporting the teeth. Also known as gum disease, periodontal disease is mainly attributed to the bacteria in dental plaque, which causes the gums to become inflamed and infected. Other factors, such as smoking or tobacco use, poor nutrition, stress or pregnancy, may put you at risk of developing gum disease.
What are the symptoms of periodontal disease?
Often times, there are no symptoms for periodontal disease, especially in the earliest stages. However, symptoms may include:
- Red, swollen and tender gums
- Sensitivity to cold and hot
- Bad breath
- Spaces between the teeth
- Loose teeth
- Receding gums around the teeth
What are the potential consequences of untreated periodontal disease?
As periodontal disease deteriorates the gums bacteria can be released into the bloodstream, where it can travel to the rest of the body contributing to numerous medical complications, including:
- Heart disease
- Heart attack
- Stroke
- Diabetes
- Respiratory disease
- Pre-term childbirth
This progressive, painless infection can also lead to further bone loss increasing the cost of your dental treatment.
Early treatment is the key to managing your periodontal treatment before it progressively becomes worse and leads to other more serious health problems.
Is periodontal disease contagious?
Although it is not an airborne disease, research has indicated that the bacteria that cause gum disease can be passed through saliva. Therefore, families and couples who may be in close contact with a person with gum disease are also at risk. We recommend being screened for periodontal disease regularly if you are potentially at risk.
My gums bleed when I brush my teeth. Is this normal?
Healthy gums should not bleed when you brush your teeth. This is one of the early signs of gum disease. You should schedule an appointment with your periodontist for a complete periodontal screening.
Are there any ways to prevent periodontal disease?
A good oral hygiene regimen is imperative in preventing periodontal disease. Proper brushing and flossing, in conjunction with regular dental visits for professional cleanings twice a year, will help keep your smile healthy for life.
Are dental implants the best restoration option?
Your periodontist can determine if dental implants are your best restoration option for your individual case. Dental implants have a natural look and feel and can help prevent shifting of surrounding teeth. Implants are often preferred to bridges and dentures because they are more secure and can help prevent bone loss. Also, adjacent teeth are not affected by the placement of implants.
If I have periodontal disease, do I need surgery? What are my options?
Whether you need surgery or not will depend on how advanced your periodontal disease is. There are non-surgical treatments, such as root scaling and planing available, for those with mild gum disease. If you are in the advanced stages of gum disease, you may benefit from having surgery. With the latest technology and advanced techniques available today, many surgical procedures can be performed in an office setting with little discomfort.
What is maintenance therapy?
Maintenance therapy is used to help prevent further infection from occurring in patients who have already received periodontal treatment. Your periodontist will tailor a program to fit your needs, which will include periodontal checkups, plaque and tartar removal and sometimes polishing your teeth or checking your bite. The frequency of visits varies from case to case, from every few weeks to four times per year.
Will treatment hurt?
We are committed to providing you with efficient treatment in a comfortable setting. Patients can use Motrin and Tylenol following treatment to alleviate any discomfort. Your doctor can prescribe a stronger medication if needed.
I have a “gummy” smile. What can be done to correct this?
A procedure called crown lengthening can correct “gummy” smiles. “Gummy” smiles make teeth appear too short. With crown lengthening, the gums and supporting tissues are reshaped to expose more of the tooth.
My gums are receding and my teeth appear “long.” Can this be fixed?
If left untreated, gum recession can lead to tooth loss. Soft tissue grafts can fix this condition and also prevent further recession or bone loss. In the procedure, gum tissue is taken from your palate or another donor source. This tissue is then placed over the exposed roots, which helps to even out the gum line and reduce sensitivity to hot and cold temperatures.
What can I expect at my first visit?
We will perform a comprehensive periodontal evaluation during your first visit. Afterwards, we will discuss our diagnosis and treatment recommendations with you so you can make an informed decision about your treatment. We will also be glad to answer any questions you may have.
Please assist us by providing the following at your first visit:
- Referral slip from General Dentist and any X-rays
- A list of current medications you are taking
- Dental/Medical Insurance card(s)
**All patients under 18 should be accompanied by his/her parent or guardian.
Prior to your appointment, please inform us if you have any medical condition or concern (e.g. artificial valves, heart murmurs, severe diabetes, etc.).
Do you use the latest technology and techniques?
We take pride in offering our patients with the latest treatments and technologies available in the field of Periodontology to ensure you receive optimal care and results! We also use the most advanced sterilization techniques to ensure your utmost safety.
How much will treatment cost?
While treatment varies depending on the severity of your case, we believe that finances shouldn’t be an obstacle for achieving a beautiful, healthy smile. We offer flexible payment options to help make your treatment more affordable. We accept most insurance, and our financial team will be glad to file claims for you and answer any questions you may have. Patients are responsible for any portion of treatment not covered by insurance. Payments are due at the time of service. Visit our Financial & Insurance page for more information about our payment options.