Type of Periodontal Therapy

Periodontal therapy is a form of restorative dentistry because it is performed with the intention of preserving the natural teeth by preventing the progression of gum disease.

​​​​​​​We have a team of restorative dentists at our Palm Beach Gardens offices who have extensive training and experience in periodontal therapy and will be able to assist you in treating your gum disease before it can have a negative effect on your life.

Why is periodontal therapy important?

Gum disease is an issue that affects countless patients. While some seek professional intervention, the earliest symptoms of gum disease are so subtle that they are easy to overlook or ignore.

However, if you allow it to progress, gum disease can begin to have a range of unpleasant and debilitating effects. Eventually, it becomes known as periodontitis or periodontal disease and at this point, it can have irreversible consequences for your dental and general health. The effects of periodontal disease include:

In the early stages

  • Gums that may look red and swollen

  • Gums that bleed when you brush your teeth

As the condition progresses

  • Bad breath

  • Abscesses next to the affected teeth

  • Infections in the tooth root

  • Receding Gums

  • Teeth that become loose

  • Tooth loss (due to lack of support from the gum tissue and deteriorating bone

Studies have also found that patients who suffer from advanced gum disease are more likely to also be diagnosed with some chronic health conditions, including diabetes, high blood pressure, heart disease, stroke, Alzheimer’s disease, and some types of cancer.

What types of periodontal therapy are available?

Periodontal therapy tends to fall into several categories. These are non-surgical periodontal therapy, laser periodontal therapy, and periodontal surgery.

Non-surgical Periodontal Therapies

Most restorative dentists will recommend non-surgical periodontal therapies first, as these are non-invasive and, in many cases, may give you enough healing of your gum disease from progressing without the need for more intensive treatments. Non-surgical therapy involves removing all tartar debris and bacteria from the teeth and surrounding tissues.

Popular non-surgical periodontal therapies include:


  • Periodontal scaling: Also sometimes known as “deep cleaning”, or cleaning out periodontal pockets, is a process that removes the tartar and bacteria from below the gum line, debriding unhealthy pockets that form between the gum tissue and teeth. These periodontal pockets are impossible to clean using a toothbrush and require professional scaler instruments to remove all traces of tartar, food debris, and bacteria from inside them.

  • Root Planing: This involves debriding tartar and bacteria from root surfaces below the gum line. This also involves smoothening the root surfaces with special hand instruments to minimize the chance of tartar adhering to the roots of teeth. Scaling and root planning are commonly performed simultaneously.

  • Antibiotics administered below the gum line: Arestin* is a commonly used form of low dose minocycline that is placed in periodontal pockets after scaling. Arestin* antibiotic therapy kills harmful bacteria in periodontal pockets allowing the gum tissues to heal properly.

  • Regular professional dental cleanings. These visits are extremely important in patients who experience periodontal disease since they can prevent excessive accumulation of plaque and tartar on the teeth that eventually lead to the development of gum disease.

COSMETIC PORCELAIN VENEERS: PORCELAIN VENEERS, SMILE MAKEOVER WITH LASER GUM CONTOURING

Rhonda had a very narrow upper jaw with dark yellow teeth. She wanted the whitest most brilliant smile possible and a fuller smile to complement her face and reflect her youth. Dr. Ajmo performed laser gum contouring to reshape Ronda's gumline and designed a Complete Smile Lift with Porcelain Veneers. Even though Rhondas' veneers are extremely white, they still have translucencies and contours that look as natural as possible.

Laser Periodontal Therapy

When periodontal pockets are chronic or pockets are too deep to completely heal with scaling and root planning alone, laser periodontal therapy is a non-invasive procedure that supports the healing of gum tissues. Laser periodontal therapy is commonly performed after scaling and root planning, killing all bacteria below the tissues, allowing the pockets to shrink over time. Diligent home care and regular visits to your dental hygienist is critical to long term success.

COSMETIC PORCELAIN VENEERS: PORCELAIN VENEERS, SMILE MAKEOVER WITH LASER GUM CONTOURING

Rhonda had a very narrow upper jaw with dark yellow teeth. She wanted the whitest most brilliant smile possible and a fuller smile to complement her face and reflect her youth. Dr. Ajmo performed laser gum contouring to reshape Ronda's gumline and designed a Complete Smile Lift with Porcelain Veneers. Even though Rhondas' veneers are extremely white, they still have translucencies and contours that look as natural as possible.

Surgical Periodontal Therapies

If non-surgical periodontal therapies are not providing sufficient long term resolution from periodontal disease, or your gum disease has progressed into moderate or advanced stages, you may be advised to have periodontal surgery. In many cases, advanced periodontal disease involves tooth extraction.

Some of the most common surgical periodontal therapies include:

  • Pocket reduction surgery. This focuses on reducing the size of the periodontal pockets that have developed between the teeth and gum tissue. By doing this, less tartar and fewer bacteria become trapped under the gumline, minimizing the progression of periodontal disease.

  • Soft tissue grafts. If the gum tissue is receding away from the teeth, it is important to restore the gum line. This will prevent decay and infection from penetrating the tooth root, potentially putting you at risk of further dental problems while also restoring the appearance of your smile. Soft tissue grafts involve using sterile donor tissue and grafting it onto the gum to encourage regeneration.

  • Bone grafting surgery. If you have lost a tooth due to periodontal disease, you may be considering a dental implant to replace it. However, if the bone in the jaw has deteriorated as a result of your periodontal disease, you may first need a procedure known as bone grafting. This encourages fresh bone growth which strengthens the jaw and facial structure and improves success rates for dental implants

Schedule a Complimentary Consultation for Periodontal Therapy in Palm Beach Gardens FL

If you have been recommended for periodontal therapy in Palm Beach Gardens FL, schedule a free consultation with PGA Dentistry​​​​​​​ to learn more about your options. Call (561) 220-0700 today.