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Periodontal Treatments

Treatment Options

If you've been diagnosed with gum disease, there are a variety of treatment options depending on the details of your situation and the severity of the problem. We always start with the least invasive options, which are non-surgical. However, in more serious cases, surgery may be necessary.

Non-Surgical Treatment

The first line of defense against gum disease is a unique type of cleaning called “scaling and root planing.” In this procedure, an ultrasonic cleaning device is used to remove plaque and tartar from your teeth where regular cleaning devices can't reach: under the gum line, on the tooth, and around the root. Then, the rough surface of the tooth and the root are smoothed out (planed). This provides a healthy, clean surface that makes it easier for the gum tissue to reattach to the tooth.

If you address your gum disease before it becomes severe, scaling and root planing may be the only treatment you need. However, as with any dental procedure, after-care is vital. In order to keep your teeth in good shape and resist future occurrences of gum disease, you must brush and floss daily, eat a healthy diet, avoid tobacco use, and have regular dental checkups. Even after a successful scaling and root planing, if you don't attend to your teeth properly, it's quite likely that you'll develop gum disease again.

Surgical Treatment Options

If the tissue or bone surrounding your teeth is too damaged to be repaired with non-surgical treatment, several surgical procedures are available to prevent severe damage and to restore a healthy smile. We will recommend the procedure that is best suited to the condition of your teeth and gums. Following is a list of common types of periodontal surgery:

  • Pocket Depth Reduction
    In a healthy mouth, the teeth are firmly surrounded by gum tissue and securely supported by the bones of the jaw. Periodontal disease damages these tissues and bones, leaving open spaces around the teeth that we call pockets. The larger these pockets are, the easier it is for bacteria to collect inside them, leading to more and more damage over time. Eventually the supportive structure degrades to the point that the tooth either falls out or needs to be removed.

    During pocket reduction procedures (also known as “flap surgery”), we fold back the gum tissue and remove the bacteria hiding underneath, as well as the hardened plaque and tartar that have collected. We may also remove any tissue that is too damaged to survive. We then sew the healthy tissue back into place. Now that the tooth and root are free of bacteria, plaque, and tartar, and the pockets have been reduced, the gums can reattach to the teeth.

  • Regeneration
    When the bone and tissue supporting the teeth have been lost due to severe gum disease, we can restore these areas with a regeneration procedure. During this process, we begin by folding back the gum tissue and removing the bacteria, plaque and tartar. Depending on your situation, we may then perform a bone graft to stimulate new bone growth, or we may apply a special kind of protein that stimulates tissue growth to repair the areas that have been destroyed by the disease.

  • Soft-Tissue Graft
    A frequent symptom of gum disease is gum recession (also called gingival recession). As the gums recede, more of the roots are revealed. This can make teeth appear longer and can also create sensitivity to hot or cold liquids or food. It also exposes the tooth to increased damage from gum disease, as bacteria, plaque, and tartar attack the surface of the tooth and the root.

    During a soft-tissue graft, tissue from the top of your mouth or another source is sewed to the gum area, covering the roots and restoring the gum line to its original, healthy location. This procedure can also be performed for cosmetic reasons.

patient testimonials

"I had multiple bad experiences as a child with the dentist. As a result, I have feared going to the dentist office for years. Dr. Kevin and Sandy are so gentle and caring that I still bring my children to them and we live almost two hours away!" ~ Tasha W.

patient testimonials

"Since age 7, I have been extremely fearful of going to the dentist. It was this age that I was told by a previous dentist that I would eventually have to have a root canal and my front tooth capped due to a bicycling accident. This gave me a scary image and sounded painful. When Dr. Sandy told me a root canal was needed, although it was 18 years later, it still sounded scary and painful. Then I was told about sedation. The entire day of the appointment I don’t recall much. When I woke up, the "scary" part was already over and I felt refreshed with zero pain or discomfort. I was completely satisfied with my smile and the results! As for the staff, each person I was in contact with was excellent in accommodating each need that I had and made me feel like I was a part of their family. I would 100% recommend Hayes Family Dentistry and sedation to anyone. The entire experience was, in one word, amazing!" ~ Kellie A.

patient testimonials

"No pain was felt. New found respect for dentistry. Recovery was a lot easier. Would not see any other dentist. Would recommend Hayes Family Dentistry to anyone and everyone. Very, very pleased with my experience and even brought my wife here. All I can say is WOW!" ~ Jason R.

patient testimonials

"I have been extremely afraid to go to the dentist. I had a bad experience about three years ago where my jaw got locked open during a procedure. For about an hour they had to do warm moist compresses and massage my temporal joint to get my jaw unlocked. I was extremely sore for about three and a half weeks. This created a fear of going back to the dentist. My experience with sedation: when I came in that morning I was not anxious about the appointment because I took a pill that morning that helped calm me. I was greeted, they got me comfortable, and I watched a pleasant video about ocean life. I don’t remember anything about that appointment. My next memory was of waking up refreshed and ready to go the next day. I didn’t have any soreness and didn’t have to worry about what I ate because of my joints being sore. It was the most pleasant experience I have ever had at a dental office. I will definitely have sedation again for any kind of future treatment." ~ Sara H.

patient testimonials

"Are you afraid to smile because you’re ashamed of your smile? Hayes Family Dentistry can help. Are you saying, “But I’m more afraid of going to a dentist than people seeing my smile?” Hayes Family Dentistry can really help; they helped me. Being afraid of the dentist is nothing to be ashamed of—it’s called dental phobia and you’re not alone. A lot of people suffer from it. But now thanks to sedation dentistry, you don’t have to suffer anymore." ~ Tony "Gator" Harrison
(Formerly with Country Giant)

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We love to give back to the community in which we live and work. We provide educational presentations to local preschools, organizational groups like the boy scouts and church programs. Especially rewarding is our involvement with “Teen Challenge” and “Smiles from the Heart.” We are passionate about helping people who may be less fortunate or find themselves in difficult situations.

Hayes Family Dentistry, PC