Periodontal Services Information

Periodontal Surgical and Non-surgical Services

Periodontal Surgical RestorationThe ravages of gum disease are best prevented by early detection and proper dental hygiene. Gum disease is particularly dangerous because the progression of the disease is often painless and undetected until it creates serious problems. Brushing your teeth twice a day helps to remove the thin layer of bacteria that release the dangerous toxins into your mouth. Flossing or other interdental cleansing is also important to keep your mouth free from residual food and bacteria.

Maintaining a balanced diet and taking regular trips to the dentist helps stem the advance of gum disease and keeps you healthy and smiling.

Periodontal disease is a gradual infection of the gums and, eventually, the underlying bone of the teeth. It is caused by the buildup of plaque on and around the teeth that eventually calcifies into tartar. This tartar harbors bacteria, which contains toxins and a sulfur compound that slowly damage the teeth and gums, and often causes bad breath.

In the first stage of gum disease (known as gingivitis), the bacteria begin to weaken the fibers that hold the gums to the teeth. Gingivitis is characterized by a swelling, inflammation, and bleeding of the gums, which is noticeable on brushing. In the advanced stage of gum disease (referred to as periodontitis), the gum tissues are damaged significantly and have pulled away from the teeth. The bone around the teeth has usually become infected and begun to dissolve. Teeth may become loose and pus may exude from the gums at this stage.

Using sophisticated computer software, called the Florida Probe, a complete automated charting of your teeth and gums can be obtained by Dr. Brother. With this information, Dr. Brother can talk with the patient about what treatment might be needed to correct the problem diagnosed.

Gum disease not only affects the gums and the inside of your mouth, it also affects your entire body!

If you have gum disease you are also running the risk of many other problems, such as:

The only way to prevent problems like these from occurring is to care for your gums.

What are the stages of periodontal disease?


Gingivitis is an early stage of gum disease. Gums become tender, swollen and likely to bleed. This generally can be stopped with proper oral hygiene and treatment from your dentist.

Moderate Periodontitis

At this moderate stage of gum disease, the gums deteriorate and begin detaching themselves from the teeth forming gum pockets, which allows plaque to collect below the gumline. This causes tooth roots to become susceptible to decay.

Advanced Periodontitis

This is an advanced stage of gum tissue and bone loss. Teeth become loose and may even need to be extracted. This causes difficulties in normal everyday chewing and biting habits. If advanced periodontal disease is left untreated, patients run the risk of other serious health problems.

What are the treatments for gum disease?

Tooth scaling

Scaling is necessary when plaque and tartar are detected at or below the gumline. Plaque and tartar are then scraped off the tooth’s crown and root by a dental professional.

Root planing

In many cases after scaling, the tooth’s surface is smoothed by root planing.


Antibiotics or irrigation with anti-microbials (chemical agents or mouth rinses) may also be required to help control the growth of bacteria that can lead to a build-up of toxins and cause periodontitis.

Pinhole Surgical Method

A minimally invasive technique - fast, effective gumline restoration. Learn more about the Pinhole Surgical Gum Restoration Method.

Tissue graft

Often gum tissues around the necks of the teeth recede due to periodontal disease, genetically thin tissue, or aggressive oral hygiene. As a result of recession, tooth roots often become sensitive to cold. We can perform a variety of periodontal tissue augmentation procedures which can cover sensitive or unaesthetic root exposures. In addition to improving aesthetics, tissue grafting procedures provide a thicker band of tissue around the necks of treated teeth which improves a long-term prognosis.

My gums are healthy but my teeth are too short. What can be done?

Crown Lengthening

Your teeth may actually be the proper lengths, but they are covered with too much gum tissue. Crown lengthening is a procedure to correct this condition.
During this procedure, excess gum and bone tissue is re-shaped to expose more of the natural tooth. This can be done to one tooth, to even your gumline, or to several teeth to expose a natural, broad smile.

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