Periodontal Treatments
If you've been diagnosed with gum disease, there are a variety of treatment options depending on the severity of the problem. We always start with the least invasive options — non-surgical treatments — and escalate only when necessary.
Non-Surgical Treatment: Scaling and Root Planing
The first line of defense against gum disease is a type of deep cleaning called "scaling and root planing." An ultrasonic cleaning device removes 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 root are smoothed out (planed), providing a clean surface that makes it easier for gum tissue to reattach.
If you address gum disease early, scaling and root planing may be the only treatment you need.
Surgical Treatment Options
If gum disease has caused more extensive damage to the tissue or bone supporting your teeth, non-surgical care may not be enough. In those cases, periodontal surgery can help stop further damage, rebuild support where possible, and protect your smile. If surgery is recommended, we will explain why and refer you to a trusted specialist for treatment.
Pocket Depth Reduction
Also known as flap surgery
Healthy gum tissue fits closely around each tooth, but periodontal disease can damage the surrounding tissue and bone, creating deeper spaces called pockets. These pockets can collect bacteria below the gum line and become difficult to clean. As they deepen, the risk of continued bone loss and eventual tooth loss increases.
During pocket depth reduction, the specialist gently folds back the gum tissue to remove bacteria, plaque, tartar, and any damaged tissue that cannot heal. The healthy tissue is then secured back into place, reducing the depth of the pockets and giving the gums a better opportunity to reattach to the teeth.
Regeneration
Advanced gum disease can cause the bone and tissue that hold your teeth in place to break down. As with pocket reduction surgery, the gum tissue is carefully folded back so bacteria, plaque, and tartar can be thoroughly removed from below the gum line.
Depending on the amount and location of the damage, the specialist may place a bone graft to encourage new bone growth or use a regenerative protein to help stimulate the body’s natural ability to rebuild supporting tissue.
Soft-Tissue Graft
When gums recede, the roots of the teeth may become exposed. This can make teeth look longer, cause sensitivity to hot or cold, and leave the roots more vulnerable to damage from bacteria, plaque, and tartar.
A soft-tissue graft uses a small amount of tissue—often taken from the roof of the mouth or another appropriate source—and attaches it to the affected area. The graft covers exposed roots, helps restore a healthier gum line, and may also improve the appearance of the smile.
Even after successful treatment, continued home care — brushing, flossing, and regular dental checkups — is essential to prevent recurrence.
Concerned about your gum health?
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