Teeth checkup at dentists office-Sep-21-2020-05-37-57-66-PM


Keep your gums, bone, and teeth roots strong and healthy

    What Is Periodontics?

    Periodontics is a dental speciality that focuses on oral health and the foundation supporting teeth. This includes gums, bone, and roots of teeth. The field of periodontics helps patients maintain gum and bone health as well as treat periodontal disease.

    A periodontist is a dental specialist that completes three additional years of resident training after receiving their dental degree. Their focus is on preventing, diagnosing, and treating periodontal disease.  In addition, periodontists are trained as dental implant specialists to provide tooth replacement options for patients that are missing teeth due to periodontal disease, tooth fracture, tooth decay, and other factors that lead to tooth loss.

    Procedures that periodontists perform are non-surgical therapy such as scaling and root planing, surgical therapy such as extractions, gum recontouring, periodontal surgery to modify or regenerate bone, soft tissue grafting to correct gum recession, place dental implants with or without bone and/or soft tissue grafting, as well as bone and sinus augmentation for future dental implant placement. Your periodontist will work with your dental team in order to maintain oral health and strategize treatment options that works for you.

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    Periodontal disease is commonly associated with bacteria and inflammation affecting the health of the gums and bone. When bacteria accumulate in the form of plaque and calculus, they cause inflammatory damage to the underlying foundation of the tooth. This can lead to bleeding gums, tooth mobility, gum recession, tooth sensitivity, and if severe, tooth loss.

    Periodontal disease typically is not symptomatic and typically does not cause pain. Patients will not know if they have this disease until they visit a dental provider such as a hygienist, general dentist, or dental specialist. In addition, medical concerns such as smoking, and diabetes are known risk factors for developing periodontal disease. In such cases, your periodontist can work with your medical doctor to make suggestions to maintain systemic and oral health. When periodontal disease is diagnosed, it is important to treat it early to prevent further periodontal destruction that could lead to tooth loss.

    Woman visiting the dentist for cleaning and checkup


    • Bleeding, swollen gums
    • Bleeding while brushing your teeth
    • Gum recession
    • Bad breath (Halitosis)
    • Mobile or drifting teeth
    • Changes in the way you bite or chew

    If you have any of these symptoms, ask your doctor if you should consider meeting with a periodontist. 

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    Gingivitis is the mildest form of periodontal disease. This type of periodontal disease is caused by plaque, the sticky, colorless film of bacteria that is constantly forming and building up on your teeth throughout the day. It can be removed through regular brushing and flossing. However, if plaque is not removed, it will harden and/or calcify. This substance is known as tartar, and it will have to be removed by a dental professional.

    Gingivitis is often caused by inadequate oral hygiene. It primarily affects the gums and causes them to become red, swollen, and prone to bleeding, though there is usually little to no discomfort at this stage. Gingivitis is reversible with professional treatment and good oral home care.

    Factors that may contribute to gingivitis (besides inadequate oral hygiene) include diabetes, smoking, aging, genetic predisposition, systemic diseases and conditions, stress, inadequate nutrition, puberty, hormonal fluctuations, pregnancy, substance abuse, HIV infection, and certain medication use.



    Periodontitis is a serious gum infection that damages the gums and can destroy the jawbone. The disease is common, yet fairly preventable. The cause of periodontitis is usually poor oral hygiene and ignoring the early signs and symptoms of gingivitis.

    With time, the plaque found in gingivitis can spread and grow below the gum line. The toxins produced by the bacteria in plaque start to irritate the gums and stimulate a chronic inflammatory response, which basically causes the body to turn on itself. Later on, the tissues and bone that support the teeth are broken down and destroyed. Eventually, the gums are separated from the teeth and spaces from between the teeth and gums. These are known as periodontal pockets. As the disease progresses, the pockets deepen and more gum tissue and bone are destroyed, advancing into periodontitis.

    Symptoms include swollen and tender gums, bad breath, toothache, bright red gums, loose teeth, receding gums, and tooth loss. It can be prevented with regular brushing, flossing, and mouth wash use, and regular professional dental cleanings.

    Treatment includes professionally cleaning the pockets around teeth to prevent damage to the surrounding bone. Advanced cases may require surgery, gingivectomy (gum tissue removal), and/or gingivoplasty (reshaping healthy gum tissue).

    Understanding Periodontal Disease



    No to minimal plaque or inflammation on the tooth or gums.



    The early stage of periodontal disease. Plaque inflames the gums and they bleed easily.



    Periodontal pocket formation, bleeding gums, possible tooth mobility, and bone loss.



    Moderate to severe bone loss with deep pockets, bleeding gums, tooth mobility, and risk of tooth loss.


    Benefits of Gum Grafting

    Gum recession is treated by gum grafting to cover exposed roots. 

    If you have one or more teeth that appear longer than usual you may have gum recession and exposed roots. Exposed roots are prone to cold sensitivity, plaque/ tartar build-up, bone loss, and increased cavity formation. Gum grafting can help alleviate these problems and help restore the health of your mouth and smile.

    Prevent tooth loss

    Gum grafting helps provide a strong foundation for your teeth and prevents further progression of tooth loss. Covering the roots is essential to prevent bacteria build-up, cavity formation, and root exposure.   


    Sensitive teeth can be a problem when an individual eats, drinks, or even brushes their teeth. Exposed roots are more prone to cold sensitivity. Covering your roots with natural gum tissue is the best way to minimize sensitive teeth and keep your roots and mouth healthy.


    Gum recession in esthetic areas leads to longer than usual teeth and exposed roots, and can lower self-confidence in a person’s smile. Treating gum recession in esthetic sites can help improve the size of your teeth, cover roots, and bring the confidence back to your smile!

    What to expect at your visit

    Whether you've just started having gum issues, or you have advanced periodontitis, North Shore Smile Surgery can help you with your periodontal needs. 

    You'll find our office warm and inviting, our staff informative and accommodating, and our doctor highly knowledgeable and thorough. We pride ourselves on giving our patients a five star experience. 

    Find out how we can help you today!

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    The Latest in Dental Technology

    Our advanced technology allows us to preserve teeth and develop predictable long-term results for our periodontics patients. Our 3D x-rays enable us to see the quantity of bone you have in your jaw, leading to better decisions about bone grafting and preservation of teeth. 

    Learn More About Our Advanced Dental Technology


    The benefits of periodontal visits

    Like most dental problems, periodontal disease varies in its aggressiveness depending on the stage of the disease. There are three stages:

    1. Acute periodontal disease: This stage is treatable and reversible

    2. Aggressive periodontal disease: This is a highly destructive form of periodontal disease that occurs in patients who are otherwise healthy. Common features include rapid loss of tissue and bone and may occur in some areas of the mouth, or in the entire mouth.

    3. Chronic periodontal disease: Chronic periodontitis affects 47.2% of adults over the age of 30 in the United States. It can lead to the loss of tissue and bone that support the teeth, and it may become more severe over time. If it does, your teeth will feel loose and start moving around in your mouth. This is the most common form of periodontitis in adults, but it can occur at any age. It usually gets worse slowly, but there can be periods of rapid progression. This is the stage where the disease cannot be completely cured but can be controlled with routine examination and assessment.

    The disease can be treated, reversed, and eventually cured if it is detected before it progresses to a more harmful stage where the bone is impacted. The disease can even be preventable given proper oral care routine, including regular dental and periodontal visits. As mentioned previously, some periodontal disease symptoms can be mild and, therefore, often overlooked. Regular professional teeth cleanings and a periodontal visit can help maintain your oral health, as well as prevent chronic and aggressive gum diseases.


    Ready to revitalize your oral health?

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