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Periodontal Treatment

Gum disease is the leading cause of tooth loss in adults, and it often progresses quietly until it has already done significant harm. The Centers for Disease Control and Prevention estimate that about one in every two adults over 30 in the U.S. shows signs of periodontal disease. The condition is largely preventable, and the office of Artistic Family Dental provides a full spectrum of care designed to protect and restore the tissues that keep your teeth stable and your smile healthy.

Understanding how gum disease begins and spreads

Periodontal disease is a collective term for inflammatory conditions that affect the periodontium — the gums, ligaments, and bone that anchor your teeth. It begins with the buildup of bacterial plaque, a sticky biofilm that adheres to tooth surfaces. Over time, if plaque hardens into calculus (tartar) and remains undisturbed, the bacteria provoke inflammation and break down the tissues that support the tooth.

Because early stages of gum disease can be painless, many people don’t recognize a problem until more advanced damage has occurred. Regular dental evaluations and consistent home care are the most effective ways to detect and interrupt this process before it compromises tooth stability or overall health.

Knowing the common signs of gum disease helps you act quickly. If you notice any changes in your gums or bite, it’s important to have a professional assessment so an appropriate plan can be put in place.

Common signs that warrant a periodontal check include:

  • Red, swollen, or tender gums

  • Bleeding during brushing or flossing

  • Receding gums or exposed root surfaces

  • Increased sensitivity to hot or cold

  • Persistent bad breath or a foul taste

  • Teeth that feel loose or shifting positions

  • New gaps between teeth or changes in how your teeth fit together

  • Partial dentures that no longer fit properly

  • Pus or discharge near the gum line

  • Discomfort when biting or chewing

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Why healthy gums matter for your whole body

Healthy periodontal tissue is more than an aesthetic concern: it is an integral part of your overall wellness. Research has linked periodontal inflammation with a range of systemic conditions — including cardiovascular disease, diabetes, and respiratory challenges — so maintaining gum health can play a role in broader health management.

Addressing periodontal disease early reduces the risk of progressive tissue loss and the complications that can follow. In clinical practice, prevention, early detection, and targeted treatment work together to protect both oral and systemic well-being.

Our team emphasizes education and practical strategies that fit into daily life: effective brushing and flossing techniques, tailored professional cleanings, and a maintenance schedule designed to keep inflammation under control over the long term.

Early-stage gum disease: recognizing and reversing gingivitis

Gingivitis is the first, reversible stage of gum disease. It appears when plaque irritates the gum margin and the tissues respond with redness, swelling, or bleeding. While gingivitis does not yet involve the supporting bone, it is a critical window of opportunity — with appropriate care, the condition can be fully reversed.

Treatment for gingivitis typically focuses on thorough professional cleaning to remove plaque and calculus combined with an improved home care routine. Simple changes, such as more attentive brushing, daily interdental cleaning, and routine dental visits, often restore gum health without the need for invasive procedures.

Recognizing gingivitis and acting promptly reduces the chance that the condition will advance to a stage that requires more complex treatment. Regular monitoring is important because the absence of pain does not guarantee the absence of disease.

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When gingivitis progresses: what periodontitis means

If inflammation continues unchecked, gingivitis can evolve into periodontitis, a destructive stage that affects the bone and connective tissue holding the teeth. As pockets form between the tooth surfaces and gums, bacteria penetrate deeper and begin to undermine the underlying structures that provide support.

Periodontitis is typically classified by severity — mild, moderate, or severe — and each stage requires a more intensive and targeted approach to arrest the disease and attempt to restore lost support where possible. The main therapeutic goals are to control infection, reduce pocket depths, and preserve remaining bone and tissue.

Modern periodontal care combines careful diagnosis, mechanical cleaning below the gumline, and, when needed, advanced surgical or regenerative techniques to rebuild tissue and improve long-term function and aesthetics.

Personalized periodontal care and advanced treatment options

We design periodontal plans around each patient’s specific condition, medical history, and treatment goals. A comprehensive evaluation typically includes measurements of pocket depth, assessment of tissue attachment, and radiographic imaging to determine the extent of bone involvement. This diagnostic information guides a clear, stepwise treatment plan.

Contemporary periodontal therapy can restore function and improve appearance through a range of procedures, from meticulous non-surgical cleanings to regenerative bone and tissue grafting. When tooth replacement is part of the long-term plan, periodontal procedures may also prepare the site for dental implants by rebuilding lost support.

Patient participation is essential: successful outcomes depend on professional care plus consistent, effective oral hygiene at home. We work with each person to establish a maintenance schedule and practical techniques that support lasting periodontal health.

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Our step-by-step approach to treating gum disease

Effective periodontal treatment begins with a precise diagnosis. That assessment often includes periodontal charting, digital X-rays, and a review of medical factors that might influence healing. From there, care commonly follows a progressive model: conservative measures first, then more advanced interventions if needed.

Non-surgical therapy — such as scaling and root planing — removes bacterial deposits from below the gumline and smooths root surfaces to encourage reattachment of healthy tissue. Adjunctive measures can include local antimicrobials or systemic medications when bacterial control requires additional support.

When pockets remain deep or bone loss is significant, surgical options may be recommended to access and clean root surfaces more thoroughly, reduce pocket depth, and restore anatomy to facilitate long-term hygiene. Flap procedures, pocket reduction, and regenerative grafting are examples of surgical techniques aimed at stabilizing teeth and rebuilding lost structures.

Common categories of periodontal care

  • Conservative, non-surgical therapies

    For many patients, early intervention and skilled non-surgical treatment are sufficient to control disease and restore healthy gum conditions. Scaling and root planing is the foundational non-surgical approach: clinicians remove plaque and calculus that accumulate below the gumline and then smooth root surfaces to limit bacterial adherence.

    When appropriate, clinicians may use localized antimicrobial agents placed under the gumline or prescribe short courses of systemic medication to help reduce bacterial burden. These measures are always combined with individualized oral hygiene coaching to stabilize results.

    Follow-up care is essential: periodontal maintenance visits help monitor pockets, remove recurrent deposits, and reinforce daily care so the disease remains controlled.

  • Surgical solutions for advanced disease

    In cases where disease has progressed beyond the reach of non-surgical techniques, surgery provides improved access to root surfaces and damaged bone for thorough cleaning and reshaping. Flap surgery and pocket reduction are common procedures that aim to reduce deep spaces where bacteria thrive.

    When structural support has been lost, regenerative procedures such as bone grafting and soft tissue grafts can rebuild volume and improve function. In selected cases, modern laser technology may be used as an adjunct to standard surgical approaches to remove diseased tissue or treat peri-implant conditions.

    Post-surgical care and a diligent maintenance program are crucial to protecting the results of periodontal surgery and preserving oral health over time.

Periodontal disease is manageable when detected early and treated with a thoughtful, evidence-based plan. If you have concerns about your gums, please contact us to learn more about how we can help protect and restore your periodontal health.

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Frequently Asked Questions

How common is gum disease?

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Most people don’t realize that periodontal disease is the leading cause of tooth loss among adults. According to statistics from the Centers for Disease Control and Prevention, one out of every two adults over the age of 30 in the United States has periodontal disease.

What causes gum disease?

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You may be surprised to learn that the human mouth is home to a wide variety of microbes. The fact is that over 700 different strains of bacteria have been detected in the oral cavity. Although some of these bacteria are beneficial, others are harmful to oral health. Without proper oral hygiene and routine dental care, these harmful bacteria can cause tooth decay and gum disease, compromising both your oral health and overall wellbeing.

Are there other risk factors for periodontal disease?

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In addition to inadequate oral hygiene and infrequent professional care, other factors, including smoking, genetic tendencies, and unchecked diabetes, can contribute to the escalation of periodontal disease.

Why are healthy gums so important?

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Your gums and teeth have an interdependent relationship, which means healthy teeth depend on the support of healthy gums. Also, taking care of your smile does more than keep your teeth and gums in optimal condition; good oral health also supports systemic health. In addition to being the leading cause of tooth loss in adults, researchers are finding more and more links between periodontal disease and a number of medical problems, including heart disease, stroke, diabetes, respiratory problems, and adverse pregnancy outcomes such as pre-term and low birth-weight babies.

What are the symptoms of gingivitis?

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If you notice that your gums are bleeding with the slightest pressure while brushing or flossing, it’s a sign of gingivitis. Although gingivitis is the earliest stage of gum disease, it can easily be reversed with deeper cleanings as well as an improved regimen of oral hygiene at home.

What happens as gum disease progresses?

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In the absence of professional treatment and better home care, gingivitis progresses to the next stage, which is known as periodontitis. In this stage, the connective tissue and bone that hold the teeth in place begin to break down with an increase in pocketing between the teeth and bone, gum recession, and bone loss. Without proper treatment by your dentist, periodontitis will progress from a mild to moderate loss of supporting tissue to the destruction of the bone around the teeth.

What are the best ways to manage and treat more advanced gum disease or periodontitis?

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Although gingivitis can often be reversed with improved oral hygiene and professional cleanings, as periodontal disease advances, more extensive procedures are required to halt its progression. Based on a complete assessment of your periodontal health and a review of possible contributing factors, our office will recommend the best options in care. Treatment for periodontitis may include a series of deeper cleanings known as root planing and scaling, surgical procedures to reduce pocket depth, bone or tissue grafts, laser procedures, or antimicrobial medications.

How much does periodontal treatment cost?

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The cost of care depends on the type of procedures required to restore your periodontal health. If you have dental insurance, plans often cover treatment to prevent gum disease as well as many procedures to treat the various stages of gum disease. Our goal is to help patients restore and maintain good oral health. We do all we can to help you begin care without additional stress or delay. Our business office works with you to maximize your benefits and provide easier, more convenient payment options.

What is the best way to prevent gum disease?

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By seeing our office regularly for care and doing your best to eat a healthy diet and practice good oral hygiene, you can keep your smile in tip-top shape as well as protect your overall wellbeing.

Why choose the office of Artistic Family Dental for care?

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At the office of Artistic Family Dental, we provide a comprehensive range of services to address all your oral healthcare needs. You can rest assured that your smile is in the best of hands at our office. Our skilled and experienced team maintains a position at the forefront of advances in care and remains dedicated to providing the highest quality of skilled and compassionate treatment.

What is periodontal disease and why is it important?

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Periodontal disease is a collective term for inflammatory conditions that affect the gums, the connective tissues and the jawbone that support your teeth. It ranges from reversible gingivitis to destructive periodontitis that can lead to tooth mobility and loss if left untreated. About half of adults over 30 show signs of periodontal disease, which makes early detection and management a routine part of dental care.

Addressing periodontal disease protects oral function and can support overall health by reducing chronic inflammation in the mouth. The office of Artistic Family Dental provides comprehensive periodontal evaluation and personalized treatment plans designed to preserve teeth and surrounding tissues. Prompt attention to symptoms and consistent maintenance greatly improves long-term outcomes for patients.

What are common signs and symptoms of gum disease?

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Early gum disease often produces subtle signs such as red, swollen or tender gums and bleeding during brushing or flossing. Patients may also notice persistent bad breath, exposed root surfaces, increased sensitivity to temperature changes or gums that appear to be pulling away from teeth. More advanced disease can cause pus near the gum line, shifting teeth, new gaps between teeth or discomfort when biting.

Because early stages can be painless, many people do not recognize a problem until damage is more significant. Regular dental exams, periodontal probing and radiographic assessment help detect disease in its beginning stages so treatment can begin promptly. If you notice any of these signs it is important to schedule a professional periodontal check.

What causes periodontal disease and who is at higher risk?

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Periodontal disease starts when bacterial plaque accumulates on teeth and hardens into calculus, provoking an inflammatory response in the gums and supporting tissues. How quickly disease progresses depends on a person’s oral hygiene, immune response, presence of restorative work and other local factors. Systemic influences such as smoking, diabetes, certain medications and genetic predisposition also increase risk and can complicate healing.

Certain life stages and medical conditions can make the periodontium more vulnerable, and smoking is one of the strongest modifiable risk factors. Patients with chronic illnesses should inform their dental team so treatment plans can be tailored and coordinated with medical care. Addressing controllable risks and improving daily hygiene significantly reduces the chance of progression.

How is gum disease diagnosed in the dental office?

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Diagnosis begins with a comprehensive clinical exam that includes periodontal charting to measure pocket depths and attachment levels around each tooth. Digital radiographs reveal patterns of bone loss and help determine the extent of underlying damage. A review of medical history, medications and habits completes the evaluation because systemic factors can influence both disease presentation and healing potential.

The diagnostic information guides a clear, stepwise treatment plan and a monitoring schedule tailored to each patient. In select situations clinicians may use additional tests, such as microbial assessments or genetic screening, when routine measures do not fully explain disease behavior. Baseline documentation ensures reliable follow-up and objective assessment of treatment response.

What non-surgical treatments are commonly used for periodontal disease?

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Non-surgical therapy is often the first-line approach for treating periodontitis and for reversing gingivitis. Scaling and root planing removes plaque and calculus from below the gumline and smooths root surfaces to promote reattachment of healthy tissue. When bacterial control requires extra support, localized antimicrobial agents or short courses of systemic medication may be used as adjuncts to mechanical therapy.

Patient participation through improved home care is essential to stabilize results after non-surgical treatment. Oral hygiene instruction, daily interdental cleaning and a customized maintenance schedule help prevent recurrence. Regular periodontal maintenance visits allow clinicians to monitor healing and intervene quickly if pockets persist or deepen.

When is periodontal surgery necessary and what should patients expect?

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Surgery is considered when non-surgical measures do not sufficiently reduce pocket depths or when significant bone loss has occurred. Surgical procedures provide improved access for thorough cleaning, reduce pocket depth and reposition tissues to facilitate long-term hygiene. Common surgical options include flap procedures, pocket reduction and regenerative grafting to rebuild lost bone and soft tissue when indicated.

Recovery includes a period of healing with specific oral hygiene instructions and follow-up visits to protect outcomes. Success depends on both precise surgical technique and the patient’s commitment to maintenance care. Before surgery clinicians discuss realistic goals for function and appearance so patients understand the expected benefits and post-operative requirements.

Are lasers and other advanced technologies effective in periodontal treatment?

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Lasers and other advanced technologies can be useful adjuncts in periodontal therapy but are not a universal replacement for careful mechanical debridement. In selected cases lasers may assist with removal of diseased tissue, reduce bacterial load or address peri-implant inflammation, depending on the clinical situation. Decisions about technology use are based on current evidence, the specific condition being treated and individual patient factors.

When advanced tools are recommended they are integrated into a comprehensive treatment plan that includes scaling, potential surgical care and a tailored maintenance program. Your dental team will explain the risks and benefits of any adjunctive technology and ensure that devices are used by clinicians with appropriate training. Careful case selection and established protocols help optimize clinical results.

How is periodontal disease linked to overall health?

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Research has identified associations between periodontal inflammation and systemic conditions such as cardiovascular disease, diabetes and certain respiratory challenges. These links suggest that oral inflammation can contribute to the body’s overall inflammatory burden, so controlling periodontal infection is often an important part of comprehensive health care. Clinicians take a patient’s medical history into account when planning periodontal therapy to support both oral and systemic well-being.

Managing periodontal disease can benefit patients beyond the mouth by improving comfort, function and the ability to control chronic conditions. Patients with systemic illnesses should inform their dental team so treatment timing and strategies can be coordinated safely with medical providers. Collaborative care helps align periodontal treatment with broader health goals.

What does periodontal maintenance involve and how often should I be seen?

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Periodontal maintenance is a lifelong program of professional care and home hygiene intended to prevent disease recurrence after active therapy. Maintenance visits typically include careful removal of deposits, pocket assessment and reinforcement of home care practices. The ideal interval varies by disease severity and individual risk factors; many patients are seen every three months while others require shorter or longer intervals based on clinical findings.

Consistent participation in a maintenance program significantly improves the chances of stabilizing periodontal conditions and retaining natural teeth. Your dental team will tailor the maintenance plan and adjust timing as needed based on response to therapy and ongoing risk assessment. Clear communication and regular follow-up are key to preserving long-term periodontal health.

When should I be referred to a periodontist and how does the dental team coordinate care?

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Referral to a periodontist is appropriate for advanced disease, complex regenerative needs, implant-related concerns or when specialized surgical expertise will improve outcomes. General dentists also refer patients when initial therapy does not achieve stability or when multidisciplinary collaboration is required for restorative or implant planning. Early coordination between generalists and specialists helps streamline treatment and set realistic expectations for function and aesthetics.

At Artistic Family Dental we prioritize coordinated, evidence-based care and will discuss referral options openly with patients when specialist input is beneficial. The dental team shares diagnostic records, treatment goals and follow-up plans to ensure smooth transitions between providers. Patients receive clear guidance at each step so they can make informed decisions about their periodontal care.

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