Taking care of your gums is just as important as caring for your teeth. In fact, gum disease is one of the leading causes of tooth loss because the chronic infection attacks the tissue that holds teeth in place. Periodontology, which focuses on care for the soft tissue and bone surrounding teeth, is one of the eight dental specialties recognized by the American Dental Association.
Dr. Gordon is an expert in the prevention, diagnosis, and treatment of diseases affecting the gums and supporting structures of the teeth. At Progressive Periodontics & Implant Dentistry, our priority is to save your natural teeth by using both surgical and non-surgical intervention to help you protect the health of your gums.
Periodontal disease results from a bacterial infection that affects the attachment fibers and supporting bone that surround the teeth. During a periodontal screening, we assess the health of your gums by using a small measuring probe to determine if gaps known as pockets have formed between the gum and the tooth. With early detection, periodontal disease can be treated so you can keep your teeth for a lifetime.
The specialized training periodontists receive makes them an excellent choice when it comes to dental implants. Dr. Gordon offers a variety of dental implant solutions, each of which involves surgically implanting a small titanium post into the jawbone in order to replace the root of the tooth.
If a tooth has sustained damage above the gumline, either from injury or decay, it is often necessary to expose this tooth structure to allow it to be restored properly, preventing gum infection, and preventing support loss from the restoration. Crown lengthening can also be used as a cosmetic periodontal procedure to correct a “gummy” smile or uneven gumlines.
Gum Recession Treatment
Gum grafting is a treatment for gum recession that has exposed the roots of the teeth. Tissue used for the graft typically comes from the roof of the patient’s own mouth or from a tissue bank.
Dr. Gordon uses the Chao Pinhole Surgical Technique as another treatment for receded gums. With this minimally invasive therapy, large areas of gum recession extending over many teeth can be covered with only a small amount of gum tissue.
Using advanced techniques including PRF, amniotic tissue, and other stem-cell like materials, Dr. Gordon can regenerate lost bone around a tooth or dental implant, or to maintain bone after a tooth has been lost or extracted.
With ridge preservation, a bone-fill material is placed into empty tooth sockets to help rebuild the bone. This process relies upon the body’s own capacity to regenerate bone to restore the integrity of the jaw structure, preparing it for the placement of dental implants and preventing soft tissue deformity.
Soft tissue lasers allow Dr. Gordon to avoid using scalpels and sutures in the treatment of minor gum issues.
Our goal is to save your natural teeth whenever possible, but there are times when extraction cannot be avoided. If a tooth cannot be saved with restorative treatments, Dr. Gordon can remove it and, when needed, use a socket bone graft to preserve the bone structure in preparation for a dental implant.
Oral Pathology Evaluation
If you have a persistent lesion in the mouth, it may require a biopsy. Depending on the findings of our visual exam, we may either take a small scraping of the tissue for computer analysis or remove the lesion for further assessment and treatment.
Scaling and Root Planing
Scaling and root planing is our first line of treatment for gum disease. This non-surgical procedure utilizes special instruments to remove plaque and calculus from below the gumline. Once the roots of the teeth have been cleaned, they are smoothed to allow your gums to heal and reattach, eliminating the pockets where harmful bacteria builds up. The healing result is usually reassessed 4 to 6 weeks after to define the improvement and determine if additional care is required.
Periodontal Maintenance Program
Our periodontal maintenance program helps you preserve your teeth by establishing a regular in-office cleaning program to prevent calculus/plaque accumulation which can cause renewed gum issues.
Frequently Asked Questions About Periodontists
Why was I referred to a Periodontist?
Periodontists are the expert authority on diagnosing and treating periodontal disease. If you have advanced gum disease or have been struggling to keep your gum disease under control, you should see a Periodontist. They are also experts in implant tooth replacement.
Why can’t my dentist help me?
The periodontist typically sees more difficult cases that require a specialist rather than having the patient see a general dentist. The Periodontist has years of advanced formal training to provide the best, most appropriate successful care.
Do I need a referral to see a Periodontal Specialist?
It is not necessary to have a referral. If you feel that you are having a gum infection or poor gum esthetics or need implant tooth replacement, you can contact the Periodontal expert to understand treatment options and expedite care.
How do I know I need a Periodontist?
Unfortunately, gum disease is usually a very subtle disease with minimal symptoms. Redness or swelling around a tooth or many teeth are indicative of periodontal infections.
If I don’t have pain, why should I see a Periodontist?
By the time pain is present, problems can be very advanced potentially leading to tooth loss. The earlier it is evaluated by a Periodontal specialist, the better.
How much does a treatment cost?
An exam with x-rays and consultation ranges from $135 to 250.00. Implant therapy: fees can vary greatly dependent on the current status/needs: $2100-3000.00 not including the tooth replacement from your dentist around $1800-2000. Periodontal Surgery: fees can vary greatly dependent on the current status/needs: $850.00-2800/ quadrant. Soft Tissue Surgery: 500-1000.00/tooth.
What is the difference between a general dentist and a Periodontist?
A general dentist addresses a wide range of dental problems. A Periodontal Specialist has many years of additional training, He has experience specifically to address diseases of the gums as well as implant-related tooth replacement performed on a daily basis.
Will I still see my dentist?
Dr. Gordon works closely with your dentist to coordinate care to maximize your long-term health. If you do not have a dentist, Dr. Gordon can refer you to the best dentist for your needs.
What will happen at my first visit to a Periodontist?
The first visit will include a complete medical and dental history review, ask you what your concerns are, a detailed measurement of the support of the teeth and health of the gums will be obtained. Dental x-ray including 3 dimensional imaging would be obtained as needed. Typically, a general review of your current status will be given. Generally, a separate visit would be arranged for a detailed Consultation appointment to review specific finding and options to address any issues. Treatment option costs would be reviewed as well as financial options.
Does Periodontal Treatment hurt?
Most patients have only minor discomfort following non-surgical or surgical therapy with minimal or no swelling. Rarely are narcotics required.
Will I be able to resume normal activity following Periodontal Treatment?
Most periodontal therapy will require no or only minor lifestyle changes during a very short period right after treatment. Some treatment does require longer term protection of the treated area until the area matures.
Will my insurance cover my treatment?
We work with your insurance company to maximize your insurance benefits.
Can I be sedated during treatment?
Most patients only require local anesthesia (“Novocain”). However, we also offer Nitrous Oxide (”Laughing Gas”) and Enteral Sedation. Lastly, there is an option of deep sedation.
Will I miss work when Periodontal treatment is performed?
Most therapy either does not require missing work or possibly only the day with a more involved procedure.
Will dental implant therapy force me to walk around without teeth for a period?
Virtually always do we have transitional tooth replacement options for social and function during the treatment phase when needed.