Scaling and root planing, a deep cleaning below the gumline, is often the first step in treating periodontal disease. Plaque and tarter (build up of disease causing bacteria), are removed from areas that bruising and flossing cannot reach, including the roots of the teeth. In cases of mild periodontal disease (also know as gingivitis), undergoing scaling and root planing may be enough to clear any developing infection and prevent any further disease advancement. Oral hygiene instruction will be reviewed and the importance of home care will be discussed in order to achieve optimal results.


Irrigation aims to cleanse plaque between the teeth and under the gumline in order to prevent the establishment of harmful oral bacteria. This is often used in conduction with a periodontal cleaning or scaling and root planing. An antimicrobial agent will be applied to reduce bacteria under the gumline, which is an area of the mouth that is not accessible with normal rinsing.


After undergoing any kind of periodontal treatment, you will be advised on ways to sustain the health of your gums. We are true believers that ongoing maintenance care is vital to long term periodontal health. We focus on a thorough exam, cleaning above and below the gumline, checking the overall health of your teeth and gums, performing an oral cancer exam and taking X-rays when necessary. Not only are we focused on the beauty of your smile, we are also concerned about your general health. A review of your medical history and current medications can help us stay informed of your condition and any periodontal implications. We will also discuss follow-up visits and your daily routine of brushing and flossing.

Surgical Treatment


Gums should fit snugly around the teeth. Advanced periodontal disease can destroy the tissue and bone surrounding the teeth, forming pockets in the space between the gums and teeth. Bacteria can accumulate in these pockets and cause further damage. During this procedure, the pockets will be cleared of infection and the gum tissue retightened to eliminate or reduce pockets.


If periodontal disease has destroyed the bone supporting your teeth, a regenerative procedure can reverse some of the damage. After removing the disease-causing bacteria, bone grafts, membranes or tissue-stimulating proteins may be used to encourage your body's natural ability to regenerate healthy bone tissue.


Root coverage procedures are often used to treat gums that have receded to the point that the roots of a tooth are exposed. Gum tissue will be taken from the roof of the mouth to cover roots, in order to regenerate gum tissue where it is needed.


When tooth structure is covered by gum and bone tissue, the tissue may need to be removed or repositioned either for cosmetic reasons or to aid in securing a new dental crown. Crown lengthening adjusts the gum and bone level to expose more of the tooth so it can be restored.