Periodontists are dental specialists who are experts in the prevention, diagnosis, and treatment of diseases affecting the gums and supporting structures of the teeth.  They are trained in the planning, placement and maintenance of dental implants.  After Periodontists complete four years of dental school, they continue their education for 3 more years to obtain a postdoctoral certificate in Periodontics and limit their practices to this specialty.

Conditions Treated by a Periodontist

The Periodontist is mainly concerned with preventing the onset of gum disease (periodontal disease), diagnosing conditions affecting the gums and jawbone, and treating gingivitis, periodontitis and bone loss.  Periodontal disease is a progressive condition and the leading cause of tooth loss among adults in the developed world.  Dental implants is a large share of a Periodontal practice as Periodontists are the natural choice of all specialists to perform surgery of the gums and bone.

The Periodontist is able to treat mild, moderate and advanced gum disease by first addressing the bacterial infection at the root of the problem, providing periodontal treatment, then providing information and education on good oral hygiene and the effective cleaning of the teeth.

The most common conditions treated by the Periodontist are:

• Gingivitis – This is the mild inflammation of the gums which may or may not be signified by pain and bleeding.
  
  
• Mild/moderate periodontitis – When the pockets between the teeth and the soft tissues are measured between 4-6mm it is classified as moderate periodontitis (gum disease).
  
  
• Advanced periodontitis – When the pockets between the teeth and the soft tissues in general exceed 6mm in depth, significant bone loss may occur; causing shifting or loss of teeth.
  
  
• Missing teeth – When teeth are missing as a result of bone loss, the Periodontist can implant prosthetic teeth.  These teeth are anchored to the jawbone and restore functionality to the mouth.

Treatments Performed by a Periodontist

The Periodontist is able to perform a wide range of treatments to halt the progression of gum disease, replace missing teeth and make the appearance of the smile more esthetically pleasing.

Here are some of the treatments commonly performed by the Periodontist:

• Implant placement – When a tooth or several teeth are missing, the Periodontist is able to create a natural-looking replacement by anchoring a prosthetic tooth to the jawbone.
  
  
• Osteoplasty (hard tissue recontouring) – Once periodontitis has been treated, the Periodontist can recontour the hard tissue to make the smile both natural-looking and aesthetically pleasing.
  
  
• Gingivoplasty (soft tissue recontouring) – As gums recede due to periodontitis, the teeth may appear longer; causing a “toothy" smile.  The Periodontist can remove tissues or straighten the gum line to make the teeth look more even.
  
  
• Bone grafting – Dental implants can only be positioned if there is sufficient bone to attach the prosthetic tooth to.  If bone loss has occurred, bone grafting is an excellent way to add or “grow” bone so that an implant may be properly secured.
  
  
• Deep pocket cleanings – As gingivitis and periodontitis progress, it becomes more difficult to cleanse the pockets between the soft tissues and the teeth.  The Periodontist can scale and root plane the teeth (sometimes under local anesthetic) to remove debris and infection-causing bacteria.
  
  
• Crown lengthening – In order to expose more of the natural tooth, the Periodontist can remove some of the surrounding gingival  and often bone tissue for a long-lasting result.

The Periodontist is a highly skilled dental health professional who is able to diagnose and treat many commonly occurring soft tissue and bone problems in the oral cavity.

Be sure to ask your Periodontist if you have any questions or concerns.