Expert Periodontics

A periodontist is a dental specialist who has completed three additional years of training beyond dental school, focusing specifically on the prevention, diagnosis, and treatment of gum disease and the placement of dental implants. While general dentists can treat early-stage gum disease, periodontists specialize in advanced cases and surgical procedures. Your general dentist may refer you to a periodontist if you have severe gum disease or need specialized periodontal treatment.

Most periodontal treatments are performed under local anesthesia, so you should feel little to no pain during the procedure. Non-surgical treatments like scaling and root planing may cause some discomfort and sensitivity afterward, which can be managed with over-the-counter pain relievers. Surgical procedures may involve more post-operative discomfort, but your periodontist will provide detailed aftercare instructions and pain management options. Modern techniques and anesthesia make periodontal treatment much more comfortable than in the past.

Early-stage gum disease (gingivitis) can often be reversed with professional cleaning and improved oral hygiene. However, once gum disease progresses to periodontitis (involving bone loss), the damage cannot be completely reversed, but it can be stopped and managed. Periodontal treatment aims to halt the progression of the disease, prevent further damage, and maintain gum health. With proper treatment and maintenance, you can keep your teeth and gums healthy long-term, even with a history of periodontal disease.

After initial periodontal treatment, most patients need maintenance visits every 3-4 months, rather than the standard 6-month cleanings. This more frequent schedule is necessary because people with a history of gum disease are at higher risk for recurrence. Your periodontist will determine the appropriate maintenance schedule based on your specific condition, response to treatment, and risk factors. Some patients may need visits every 2-3 months, while others may be able to extend to 4-6 months as their condition stabilizes.

Most dental insurance plans provide coverage for periodontal treatment, typically covering 50% to 80% of the cost. Basic treatments like scaling and root planing are usually covered, while surgical procedures may have different coverage levels. Some plans may require a referral from your general dentist. Coverage varies by plan, and some plans may have annual maximums or waiting periods. Many periodontal offices offer payment plans and financing options. Check with your insurance provider and periodontist for specific coverage details.