Periodontal Treatment

Non-Surgical Periodontal Treatment

Non-surgical periodontal treatment is the least invasive and most cost-effective manner to achieve periodontal health.

Non-surgical periodontal treatment does have its limitations. When it does not achieve periodontal health, surgery may be indicated to restore periodontal health.

Scaling and Root Planing

Scaling and root planing is a careful cleaning of the root surfaces to remove plaque and calculus tartar from deep periodontal pockets and to smooth the tooth root to remove bacterial toxins. Scaling and root planing is often followed by adjunctive therapy such as local delivery antimicrobials and host modulation, as needed on a case-by-case basis.

After scaling and root planing, many patients do not require any further active treatment. However, the majority of patients will require ongoing maintenance therapy to sustain health.

Laser Gum Treatment

The newest technology available for periodontal patient care is now available at Dr Gumm’s office. After much research into the world of laser periodontal treatment, Dr. Gumm has acquired and has been extensively trained on the latest generation of Nd:YAG laser.

Introduction to Laser Periodontal Treatment

The Milennium PerioLase was developed specifically to treat periodontal disease using LANAP (Laser Assisted New Attachment Procedure). Like LASIK surgery for the eyes, this patented and FDA-approved laser therapy allows us to treat periodontal patients with a minimally invasive, breakthrough procedure, which in many cases eliminates the need for conventional cut and suture surgery.

How Do Patients Benefit From LANAP Laser Therapy?

Laser surgery provides another option for patients to treat periodontal disease. In the past, traditional cut and sew therapy would be indicated to treat periodontal disease. The Milennium PerioLase provides patients a realistic alternative with comparable results. The benefits of LANAP include less pain, less gum recession, decreased bleeding, swelling and root sensitivity, and maybe the most important benefit, less downtime after treatment. An added benefit of laser surgery is the antibacterial effect that helps disinfect the periodontal pockets.

Laser treatment is also beneficial for patients who have medical conditions requiring blood thinning medications such as aspirin, Plavix, Coumadin, and Pradaxa. Since LANAP causes much less bleeding than traditional surgeries, patients do not have to discontinue using these life-saving medications prior to surgery. Patients with advanced periodontal disease who take bisphosphonate medications such as Fosamax can avoid having extractions because even teeth with a poor prognosis can often be saved with this life-changing procedure. This is especially important because studies have shown that Fosamax and other bisphosphonates can cause painful bone degeneration of the jaw following tooth extraction.

Laser Peridontal Therapy: A Life Changing Treatment

For patients who are concerned about traditional cut and suture surgery to treat periodontal disease, the new laser treatment can be a life-changing event! Teeth can be saved, natural smiles can be preserved and some potentially life-threatening systemic effects of bacteria from gum disease left untreated can be avoided. Laser treatment gives patients a new option.

If you would like to find out more about using laser therapy to treat periodontal disease and to save your teeth and smile, call Dr. Blayne Gumm at 727-584-5693 for an appointment.

Regenerative Procedures

Procedures that regenerate lost bone and tissue supporting your teeth can reverse some of the damage caused by periodontal disease.
 
A regenerative procedure may be recommended when the bone supporting your teeth has been destroyed due to periodontal disease. These procedures can reverse some of the damage by regenerating lost bone and tissue.

During this procedure, Dr. Gumm folds back the gum tissue and removes the disease-causing bacteria. Membranes (filters), bone grafts or tissue-stimulating proteins can be used to encourage your body’s natural ability to regenerate bone and tissue.

Eliminating existing bacteria and regenerating bone and tissue helps to reduce pocket depth and repair damage caused by the progression of periodontal disease. With a combination of daily oral hygiene and professional maintenance care, you’ll increase the chances of keeping your natural teeth – and decrease the chances of other health problems associated with periodontal disease.

Gum Graft Surgery

Exposed tooth roots are the result of gum recession. Gum graft surgery will repair the defect and help to prevent additional recession and bone loss

Gum grafts can be used to cover roots or develop gum tissue where absent due to excessive gingival recession. During gum graft surgery, the doctor takes gum tissue from your palate or another donor source to cover the exposed root. This can be done for one tooth or several teeth to even your gum line and reduce sensitivity.

What are the benefits of gum graft surgery?

A gum graft can reduce further recession and bone loss. In some cases, it can cover exposed roots to protect them from decay. This may reduce tooth sensitivity and improve esthetics of your smile. Whether you have a gum graft to improve function or esthetics, patients often receive the benefits of both: a beautiful new smile and improved periodontal health – your keys to smiling, eating, and speaking with comfort and confidence

Plastic Surgery Procedures

Have you ever noticed a smile that didn’t appear quite right despite bright white teeth? There are many elements to a smile and teeth are just one of them. Healthy and symmetrical gum tissue surrounding the teeth may be the critical factor in a beautiful natural smile. If you are looking to improve your smile, Dr. Gumm may be able to help.

Gummy Smile or Uneven Gum Line

Do you feel your teeth look too short and your smile is too gummy or your gums cover too much of some teeth while leaving the others the right length? If so, dental crown lengthening might be the solution for you. During this procedure, excess gum tissue is removed to expose more of the crown of the tooth. Then your gumline is sculpted to give your new smile just the right look.

Long Teeth/Exposed Roots

Sometimes gum recession causes the tooth root to become exposed, which makes your teeth look long and can make you look older than you are. This recession can happen as a result of a variety of causes, including periodontal diseases.
Gum graft surgery and other root coverage procedures are designed to cover exposed roots, to reduce further gum recession and to protect vulnerable roots from decay.

Indentations in the Gums and Jawbone

Tooth loss can cause an indentation in the gums and jawbone where the tooth used to be. This happens because the jawbone recedes when it no longer is holding a tooth in place. Not only is this indention unnatural looking, it also causes the replacement tooth to look too long compared to the adjacent teeth.

Ridge augmentation can fill in this defect recapturing the natural contour of the gums and jaw. A new tooth can then be created that is natural looking, easy to clean and beautiful.

Periodontal Pocket Reduction Procedures

Your bone and gum tissue should fit snugly around your teeth like a turtleneck around your neck. When you have periodontal disease, this supporting tissue and bone is destroyed, forming “pockets” around the teeth.

Over time, these pockets become deeper, providing a larger space for bacteria to live. As bacteria develop around the teeth, they can accumulate and advance under the gum tissue. These deep pockets collect even more bacteria, resulting in further bone and tissue loss. Eventually, if too much bone is lost, the teeth will need to be extracted.

tartar

Mild Periodontitis

Advanced Periodontitis

A periodontal pocket reduction procedure may be recommended because you have pockets that are too deep to clean with daily at-home oral hygiene and a professional care routine.

During this procedure, Dr. Gumm folds back the gum tissue and removes the disease-causing bacteria before securing the tissue into place. In some cases, irregular surfaces of the damaged bone are smoothed to limit areas where disease-causing bacteria can hide. This allows the gum tissue to better reattach to healthy bone.

Reducing pocket depth and eliminating existing bacteria are important to prevent damage caused by the progression of periodontal disease and to help you maintain a healthy smile. Eliminating bacteria alone may not be sufficient to prevent disease recurrence. Deeper pockets are more difficult for you and your dental care professional to clean, so it’s important for you to reduce them. Reduced pockets and a combination of daily oral hygiene and professional maintenance care increase your chances of keeping your natural teeth – and decrease the chance of serious health problems associated with periodontal disease.

Contact Us

  • Blayne J. Gumm, DDS,
    ABGD, MAGD, MICOI
  • 490 N Indian Rocks Road
  • Belleair Bluffs, FL 33770

  • Phone: (727) 584-5693
  • Fax: (727) 586-3331