WILL THE PERIODONTAL EXAM HURT?

We will be as gentle as possible. The periodontal exam can be completed with little or no discomfort.

DO I NEED X-RAYS?

We will need current periodontal x-rays in order to see disease not otherwise visible. If your referring dentist has taken x-rays, you may request that they be forwarded to us.

WHAT WILL PERIODONTAL TREATMENT COST?

Since all patients are different, your periodontist must complete your examination before establishing your treatment planning and the fee for care. The fee for periodontal treatment can vary considerably depending on the type of problems and the complexity and length of treatment.

An approximate fee can usually be determined at the initial visit; but on occasion, some initial treatment or further diagnostics must be completed before the final treatment planning can be established. Our philosophy of practice is to treat as conservatively as possible to attain treatment goals.

WILL MY INSURANCE COVER THE COST?

Dental insurance policies often cover periodontal treatment. Please bring all medical and dental benefit information and cards to your examination appointment. Upon request, we will submit a claim to predetermine your insurance benefits; however, this is not required by most plans.

WILL I NEED PERIODONTAL SURGERY?

Not everyone needs periodontal surgery. If treated early, gum disease can be controlled without surgery. We will make recommendations based on your individual situation. Our philosophy of practice is to treat as conservatively as possible to attain treatment goals.

CAN MY TEETH BE SAVED?

The recent advances in periodontal treatment allow us to successfully treat most teeth.

WHEN WILL I GO BACK TO MY GENERAL DENTIST?

Our office and your dentist will work closely together. If crowns and fillings are needed your dentist will provide them. Regular visits to your dentist are an important part of periodontal maintenance.

WHAT IF I DON’T HAVE GUM TREATMENT?

Periodontal disease is a progressive, painless infection. Delay can cause you further bone loss and more expense. If your teeth are lost, dentures are never as effective as your own natural teeth.

How is gum disease linked to cardiovascular disease?

Research has shown that periodontal disease may increase the risk for developing cardiovascular disease. Both periodontal disease and cardiovascular disease are chronic inflammatory diseases, so researchers believe that inflammation may account for the association between the two. Untreated periodontal disease can increase inflammation in the body, which may increase the risk for development of more severe health complications, including cardiovascular diseases such as coronary thrombosis and Heart attack. Further researches might be needed to determine this relationship between the two conditions.

Are periodontal treatments generally covered under Medicare or Medicaid?

Unfortunately, Medicare does not cover any dental treatments at this time; only medical treatments are covered. Medicaid programs are run by each individual state, so coverage is going to vary depending on which state you live in. Check with your dental care provider to determine if the periodontal treatment you need is covered by your plan.

Is a topical antibiotic treatment necessary in conjunction to scaling and root planing?

According to the American Academy of Periodontology, topical antibiotic treatment may be used as an adjunct to scaling and root planing. Every person has different needs based on their particular situation, so be sure to talk to your dental professional about using these antibiotics as part of your course of treatment; he or she will determine if they are a good fit for you.

What is the difference between plaque and calculus?

Plaque is the sticky, colorless film that constantly forms on your teeth. Bacteria live in plaque and secrete acids that cause tooth decay and irritate gum tissue. This irritation causes an inflammatory reaction by your body that can eventually lead to gingivitis and periodontal disease. If plaque is not removed regularly by tooth brushing and flossing, it hardens to create calculus (also known as tartar). Calculus cannot be removed with a toothbrush; only a dental professional can remove it during an oral cleaning. To keep plaque and calculus under control, it is essential to brush your teeth twice every day, floss at least once every day, and see your dental professional for regular cleanings

Can children be at risk for developing periodontal disease?

Periodontal disease is rarely found in children, and only sometimes found in adolescents. However, children should still learn the importance of keeping their teeth and gums healthy to prevent periodontal disease in the future. Children should brush their teeth twice a day and learn how to floss properly- if children learn how to floss at an early age, they will be more likely to make it a lifetime habit. These two simple acts will help protect their teeth and gums from periodontal disease.

As a parent, you should also be aware of the warning signs of periodontal disease, which include red, swollen, bleeding gums or bad breath that won’t go away. If your child develops any of these symptoms, tell your dental professional right away. It’s also a good idea to ensure your dental professional knows your complete family history, as genetics can play an important role in the early development of periodontal disease.

Other than diagnose and treat gum disease, what else have periodontists been trained to do?

Most periodontists spend the majority of their time diagnosing and treating gum disease, but there are a variety other procedures that they are able to perform. Periodontists place dental implants when natural teeth cannot be saved. They also monitor the implants to make sure that they’re properly doing their job. Periodontists may also correct gum recession and cover up exposed root surfaces which can be unsightly as well as sensitive to hot and cold. These procedures are often used to lay the foundation for additional cosmetic procedures to help create a beautiful smile. Finally, periodontists can be integral in the comprehensive planning of your oral care, along with your general dentist or other dental professional.

What are common signs and symptoms of periodontal disease?

Periodontal disease is often silent, meaning symptoms – particularly pain – may not appear until an advanced stage of the disease. However, you should still be on the lookout for the signs and symptoms, which include:

    • Red, swollen or tender gums or other pain in your mouth

    • Bleeding while brushing, flossing, or when eating certain foods

    • Gums that are receding or pulling away from the teeth, causing the teeth to look longer than before

    • Loose or separating teeth

    • Pus between your gums and teeth

    • Sores in your mouth

    • Persistent bad breath

    • A change in the way your teeth fit together when you bite

    • A change in the fit of partial dentures

If you notice any of these symptoms, be sure to contact your dentist or periodontist right away!

My periodontist informed me that I need implants, but I can't afford them at this time. Is there any financial assistance for periodontal treatments?

There are a few resources you can research for financial assistance. The first is your periodontist. Many periodontists are willing to set up financing options, such as a payment plan. They also may know of insurance plans that can help cover the cost of your implants.

Another resource is your state dental society. They may be able to give a listing of organizations or individuals that may help subsidize the cost of your implants. Find the contact information for your state society.

Finally, contact a local college or university. Many universities have dental schools that offer clinics that provide care at a reduced cost. Select from a list of schools that have periodontal programs.

What can I do at home to prevent periodontal disease?

The best way to prevent periodontal disease is to take good care of your teeth and gums at home. This includes brushing your teeth after every meal and before bedtime, flossing at least once each day, and seeing your dentist or periodontist for regular exams twice a year. Spending a few minutes a day on preventative measures may save you the time and money of treating periodontal disease!

Both of my parents have periodontal disease, and I'm worried that it may be genetic. Is there a way to determine my risk for developing gum disease?

First of all, congratulations on being proactive about your health! Recent research has shown that genetics may be involved in a person’s risk for gum disease, but there are a variety of other factors that also play a role.

Is there a link between periodontal disease and diabetes?

Research has suggested that there is a link between diabetes and gum disease. People with diabetes are more likely to have periodontal problems, possibly because people with diabetes are more susceptible to contracting infections. In fact, periodontal disease is often considered one of the major complications of diabetes. Interestingly, the relationship between the two conditions goes both ways; just as diabetes can increase a person’s chance of developing periodontal disease, research suggests that efficient and effective periodontal hygiene may positively affect blood sugar levels.

I have heard there is a connection between gum disease and heart disease. Is this true? Where can I find more information?

The connection between gum disease and heart disease is a very hot topic in the field of periodontics right now! Several research studies have indicated that heart disease and gum disease may be linked, and researchers suspect that inflammation may be the basis behind this relationship. If you are at risk for heart disease, it is a good idea to mention this to your periodontist, since gum disease may increase this risk. Get additional information on the connection between heart disease and gum disease, as well as the connection between gum disease and other systemic conditions.

My dentist told me that I have signs of periodontal disease and that I should see a periodontist for a consultation. How can I find a periodontist in my area?

When you are diagnosed with symptoms of periodontal disease, seeing a periodontist for a consultation is a great first step. There are a few ways to find a periodontist in your area. First, you can ask your dentist for a referral. Your dentist most likely has a periodontist that he or she has worked with in the past, and may even be familiar with the types of services that a particular periodontist specializes in.

You can also find a periodontist on this website. To use the form, enter basic information about where you live and how far you’re willing to travel to see a periodontist. The website will then provide a listing of periodontists in your area.

Finally, you may want to ask friends or family members about their experiences with their periodontists. They will be able to provide feedback and offer advice as well!

I lost a tooth, and I'm interested in replacing it with an implant. How much does the average implant cost?

Due to trade laws the American Academy of Periodontology is unable to track the costs associated with placing implants. In addition, the costs of implants can often vary from urban to rural areas and will depend on how many implants you receive as well as the type of implant. You should discuss the financial and time commitments associated with dental implants with your periodontist. Additionally, you may want to call several periodontal offices in your area to find out the average cost associated with the procedure you are looking to have done.

My periodontist says that he is "board certified." What does that mean?

All periodontists must complete an additional two to three years of specialized training in periodontics following dental school. However, some periodontists opt to take the board-certification examination, which is offered by the American Board of Periodontology once per year. Board certification in periodontology denotes someone who has made significant achievements beyond the mandatory educational requirements of the specialty, including demonstrating a comprehensive mastery of all phases of periodontal disease and treatment and in the placement of dental implants. Recertification is required every six years.

Who should treat my periodontal disease: my general dentist or a periodontist?

Instead of leaving your treatment to one dental professional, you should consider having both your general dentist and a periodontist be actively involved in the diagnosis and treatment of your periodontal disease. This team approach will help your general dentist (who is familiar with your dental and medical history) and your periodontist (who has extensive experience treating periodontal disease) collaborate to tailor a treatment plan that works best for your individual case.

I was recently diagnosed with periodontal disease. How often should I see my periodontist for an examination?

Regular examinations are very important to keep track of the present status of your disease and any disease progression over time. Your periodontist will work with you to create a maintenance schedule depending on how advanced your periodontal disease is at that time. Based on many variable factors such as your overall health, the severity of bone loss, and risk factors such as smoking and genetics, your periodontist will constantly tailor your care so your periodontal disease does not progress further. He or she may recommend exams every six months for mild periodontal disease, or every few months for more advanced stages.

Is periodontal disease contagious?

Research has shown that periodontal disease is caused by the inflammatory reaction to bacteria under the gums, so periodontal disease technically may not be contagious. However, the bacteria that cause the inflammatory reaction can be spread through saliva. This means that if one of your family members has periodontal disease, it’s a good idea to avoid contact with their saliva by not sharing eating utensils or oral health equipment. If you notice that your spouse or a family member has the warning signs of a possible periodontal problem (bleeding, red and swollen gums, or bad breath) you may want to suggest that they see the periodontist for an exam. It may help to protect the oral health of everyone in the family.

What are the consequences of missing teeth?

There are actually several negative consequences of missing some or all of your teeth. First, missing teeth will affect the esthetics of your face. Not only will your smile be affected by the gaps from missing teeth, but if you’re missing too many teeth, the skin around your mouth won’t be supported properly and will start to sag, making your appear older than you are. Additionally, missing teeth will make it more difficult to chew your food properly and may even affect the way you speak. Finally, missing even one tooth may have emotional consequences; many people feel less confident about their smile when they are missing teeth. If you are currently missing any of your teeth, consider replacing them with dental implants, which can look and feel just like natural teeth. For more information about implants, browse perio.org or talk to your periodontist.

I have big gums and short teeth, so when I smile you can almost only see my gums. I don't smile very often anymore because I am so self conscious of my gums. Is there a way to improve my smile?

Yes, there may be a way to enhance your smile. It’s a good idea to discuss your options with a periodontist first. He or she can explain the best way to create the smile you want, as well as answer any questions that you may have. For example, one procedure that can remove excess gum tissue is called crown lengthening. After the excess gum tissue is removed, the gum line is then reshaped in order to create the right proportion between gum tissue and tooth surface. Your general dentist and periodontist may also work together to coordinate additional treatments such as veneers or crowns. However, your periodontist and general dentist will recommend the best procedure to improve your smile.