Periodontal Treatments

Treatment Options

If you've been diagnosed with gum disease, there are a variety of treatment options depending on the details of your situation and the severity of the problem. We always start with the least invasive options, which are non-surgical. However, in more serious cases, surgery may be necessary.

Non-Surgical Treatment

The first line of defense against gum disease is a unique type of cleaning called “scaling and root planing.” In this procedure, an ultrasonic cleaning device is used to remove plaque and tartar from your teeth where regular cleaning devices can't reach: under the gum line, on the tooth, and around the root. Then, the rough surface of the tooth and the root are smoothed out (planed). This provides a healthy, clean surface that makes it easier for the gum tissue to reattach to the tooth.

If you address your gum disease before it becomes severe, scaling and root planing may be the only treatment you need. However, as with any dental procedure, after-care is vital. In order to keep your teeth in good shape and resist future occurrences of gum disease, you must brush and floss daily, eat a healthy diet, avoid tobacco use, and have regular dental checkups. Even after a successful scaling and root planing, if you don't attend to your teeth properly, it's quite likely that you'll develop gum disease again.

Surgical Treatment Options

If the tissue or bone surrounding your teeth is too damaged to be repaired with non-surgical treatment, several surgical procedures are available to prevent severe damage and to restore a healthy smile. We will recommend the procedure that is best suited to the condition of your teeth and gums. Following is a list of common types of periodontal surgery:

  • Pocket Depth Reduction
    In a healthy mouth, the teeth are firmly surrounded by gum tissue and securely supported by the bones of the jaw. Periodontal disease damages these tissues and bones, leaving open spaces around the teeth that we call pockets. The larger these pockets are, the easier it is for bacteria to collect inside them, leading to more and more damage over time. Eventually the supportive structure degrades to the point that the tooth either falls out or needs to be removed.

    During pocket reduction procedures (also known as “flap surgery”), we fold back the gum tissue and remove the bacteria hiding underneath, as well as the hardened plaque and tartar that have collected. We may also remove any tissue that is too damaged to survive. We then sew the healthy tissue back into place. Now that the tooth and root are free of bacteria, plaque, and tartar, and the pockets have been reduced, the gums can reattach to the teeth.

  • Regeneration
    When the bone and tissue supporting the teeth have been lost due to severe gum disease, we can restore these areas with a regeneration procedure. During this process, we begin by folding back the gum tissue and removing the bacteria, plaque, and tartar. Depending on your situation, we may then perform a bone graft to stimulate new bone growth, or we may apply a special kind of protein that stimulates tissue growth to repair the areas that have been destroyed by the disease.

  • Soft-Tissue Graft
    A frequent symptom of gum disease is gum recession (also called gingival recession). As the gums recede, more of the roots are revealed. This can make teeth appear longer and can also create sensitivity to hot or cold liquids or food. It also exposes the tooth to increased damage from gum disease, as bacteria, plaque, and tartar attack the surface of the tooth and the root.

    During a soft-tissue graft, tissue from the top of your mouth or another source is sewed to the gum area, covering the roots and restoring the gum line to its original, healthy location. This procedure can also be performed for cosmetic reasons.

What Our Patients Say

After four years of searching I finally found a dentist who is so much like the one I left in Lake Placid, Fl. Dr. Rios is kind, personable, efficient and his staff reflects that attitude. Yes I'd recommend him to family. friends and someone who is looking for a really good dentist.
-Gordon H.

Dr. Rios is by far the best Dentist I have ever had!!! He did a perfect job on my front 4 teeth 11 years ago and they still look great today. I now drive from Charlotte, NC to see family and make sure I come to see Dr. Rios rather than someone where I live. I just have 100% trust in him.
-Gregory B.

I used to be terrified of dentist, however Doctor Rios and his staff make you feel right at home! If I even flinch, he's giving me more numbing stuff, no questions asked. So glad to have found him and his wonderful staff!
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Love it here! Amazing staff! Had fillings done and my last experience was so bad but here it was great and staff was reassuring. Great doctor, great staff.
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Amazing! I've had an amazing experience with this office. Dr. Rios and staff have become like an extended family. His touch is very light when working on your teeth. He explains everything and I mean everything. All visits were not only painless in the office but painless at home as well.
-Sherndina M.

I've been going here for a year now and am completely satisfied. Very little wait, pleasant staff, a great doctor, and best of all my teeth look better than they ever have. Sometimes you get lucky with doctors and this is a great example of this.
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