Periodontics is the care of the structures that hold your teeth in place: the gums, the bone, the cementum and the periodontal ligament. Gum disease starts when plaque builds up and the body’s inflammatory response begins to damage these tissues. Warning signs include bleeding gums, bad breath, loose teeth and sensitivity to cold.
Treatment options
- Scaling and root planing: removes plaque and tartar from below the gum line, then smooths the root surfaces so the gums can reattach. It is used for pockets deeper than about 3 mm.
- Open debridement: when deeper cleaning needs direct access, the gums are opened to clean the roots.
- Flap surgery: lifts the gums to clean deep pockets and reshape the bone.
- Bone grafting and guided tissue regeneration: rebuilds lost bone and supporting tissue, where the disease has caused damage.
- Crown lengthening: reshapes the gums and bone to expose more tooth, needed before a crown or for a gummy smile.
Protect your gums
If you have diabetes or a heart condition, regular periodontal check-ups matter even more. Early treatment protects the teeth you already have.