Periodontal Care

Periodontal care focuses on the gums, bone and other tissues that support the teeth. Gum disease can range from gingivitis, which is inflammation limited to the gums, to periodontitis, which involves loss of the supporting attachment and bone around teeth.

What are the signs of gum disease?

Bleeding with brushing or flossing, persistent bad breath, gum recession, swelling, tenderness, loose teeth and changes in the way the teeth fit together can all be signs of periodontal disease. Some patients have very few symptoms, which is why periodontal evaluation is part of a comprehensive dental examination.

How is periodontal disease diagnosed?

Diagnosis is based on more than one number. We look at gum inflammation and bleeding, measure periodontal pocket depths, evaluate gum recession and tooth mobility and review appropriate dental radiographs for bone levels. These findings help determine whether the condition is gingivitis or periodontitis and how advanced it is.

Gingivitis versus periodontitis

Gingivitis can often be reversed when plaque and inflammation are brought under control. Periodontitis is different because supporting attachment and bone have already been lost. Treatment can control the infection and reduce the risk of further progression, but lost support does not simply return on its own.

What is scaling and root planing?

Scaling and root planing is a nonsurgical treatment used for some patients with periodontitis. Plaque and calculus are removed from below the gumline and the root surfaces are carefully cleaned. Local anesthetic may be used for comfort and treatment may be completed over more than one visit.

What happens after deep cleaning?

Follow up is important. We reassess bleeding, inflammation and pocket depths after healing. Some patients respond well to nonsurgical treatment alone. Others may need additional periodontal therapy or referral to a periodontist.

How often is periodontal maintenance needed?

The interval is individualized. Patients with a history of periodontitis often benefit from maintenance visits more frequently than patients receiving routine preventive cleanings. The schedule depends on disease severity, response to treatment, home care, smoking status, medical factors and risk of recurrence.

Periodontal care in Palo Alto

At Palo Alto Oral Health, Dr. Sharma and our hygiene team evaluate gum health as part of ongoing preventive care. If gum disease is present, we will explain the findings, discuss appropriate treatment and coordinate specialist care when needed.

Learn more about professional dental cleanings or request an appointment.