Swollen, bleeding, tender, or receding gums are common signs of gum disease, as are persistent bad breath and loose, sensitive, or painful teeth. Gum disease is a generic term for gingivitis (gum inflammation) and periodontitis (peridontium inflammation). Gingivitis is reversible because bone loss has not yet occurred. Periodontitis (or periodontal disease) requires immediate attention because inflamed peridontium (the soft tissue and bone that anchors teeth) indicates active ongoing damage to the tooth or bone structure beneath the gum line.

Unfortunately, many people wait until they experience pain, gum recession, putrid odor, or other severe symptoms before seeking treatment from the closest periodontist. At that point, surgical intervention beyond preventative care is likely necessary.

A periodontist specializes in the treatment of gum disease, the placement of dental implants, and other surgical procedures that a general dentist rarely performs. To practice as a periodontist, a dentist must complete a 3-year graduate program after they have completed their 4-year dentistry degree. Despite additional qualifications, experience, and specialized equipment, periodontists typically charge fees comparable to general dentists.

A periodontist’s office provides regular deep cleanings (scaling and root planing) to remove tartar, plaque, and bacterial toxins from beneath the gum line. This prevents gum recession, gum disease, bad breath, cavity formation, and bone loss. During the procedure, a periodontist cleans and smooths the root surfaces, which helps the gums reattach to the teeth and reduces inflammation. You may need deep cleanings if you have swollen or bleeding gums, deep pockets, or gum recession. If you see a general dentist to address your aesthetic concerns you may find yourself paying to redo the work if the underlying problems are not resolved first.

No, referrals are not needed to see a periodontist. While some general dentists refer to the closest periodontal clinic, many of our patients come to us without referrals.

In the US, more than 40% of adults over 30 have periodontal disease and would benefit from seeing a periodontist for preventive care; and, almost 10% of adults suffer from advanced periodontitis, where infection and bone loss may flood harmful bacteria into the bloodstream and throughout your body. Advanced periodontal disease requires surgical intervention (osseuous surgery) to address ongoing damage to tooth and bone structure. Reaching this stage is avoidable, but if you ignore your teeth and gums long enough, they’ll go away.

At your first visit, Dr. Kelner will provide a comprehensive evaluation of your dental health to tailor a treatment plan specific to your needs. This usually begins with a review of your dental and medical history and records followed by a clinical examination of your gums and teeth. Periodontal probing assesses the depth of gum pockets and any bone loss. X-Rays or 3D scans may be taken at our office if needed and not recently performed.

Dr. Kelner will give you as much attention and time as you need to answer your questions so you can make an informed decision about your care. If you have been referred for a specific issue, Dr. Kelner will explain your treatment options and recommend a course of action in coordination with the referring dentist. We are always available to help you navigate insurance and answer follow-up questions.