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Montgomery County Office
903 Russell Ave. Suite #300
Gaithersburg, MD 20879
Washington, DC Office
1350 Connecticut Ave. NW Suite #305
Washington, DC 20036

Periodontal Procedures in Montgomery County, MD, and Washington, DC


What is a Periodontist?

A periodontist is a dentist who has undergone additional specialty training beyond dental school pertaining to the prevention, diagnosis and treatment of gum diseases. While general dentists often treat the mildest cases of periodontal disease, most patients with moderate to advanced gum disease in are referred to periodontists. A periodontist can carry out complex periodontal treatments and surgeries to prevent the progression of periodontal disease and also preserve tooth structure. Additionally, a periodontist may specialize in the placement of dental implants and cosmetic gum restoration.
Dental Check Up - Periodontics in Gaithersburg and Washington DC

Did you know...

That American periodontists study for an additional two to four years after graduating from dental school? Furthermore, a periodontist must not only complete a dental residency, but also a periodontal residency before becoming eligible for national or state licensure and Board certification. All periodontists must pass the National Board of Dental Examinations, as well as a written and oral exam administered by the American Board of Periodontology.

Frequently Asked Questions

Do I need to visit a periodontist?

What should I expect during a periodontal visit?

Will I need to follow undergo treatment after my initial visit?


Types of Periodontal Disease

Periodontal disease is one of the most common diseases in America, affecting nearly 65 million adults over age 30. There are two types of periodontal disease – gingivitis and periodontitis. Each refers to an accumulation of bacteria along the gum line, though one is more severe than the other.

Gingivitis – the least invasive form of periodontal disease; features minimal symptoms, such as reddening, swelling and easy bleeding along the gum line.

Periodontitis – the most serious form of periodontal disease; causes the gums to recede and pull away from the teeth.
Teeth Brushing - Periodontics in Gaithersburg and Washington DC

Did you know...

that in addition to being one of the most prevalent diseases in America, periodontal disease is also one of the most preventable? Proper brushing and flossing techniques can help prevent the accumulation of tartar, which harbor harmful bacteria along the gum line. According to the American Academy of Periodontology, certain lifestyle habits and systemic conditions like smoking and diabetes can also contribute to the development of periodontal disease. Talk to your Gaithersburg and Washington, DC periodontist or dentist about the changes you can make to reduce your chances of developing gingivitis or periodontitis.

Frequently Asked Questions

Should I seek treatment for periodontal disease in Gaithersburg and Washington, DC?

What should I expect during Gaithersburg and Washington, DC periodontal disease treatment?

Will I need to follow any special instructions following periodontal disease treatment?


Signs & Symptoms of Periodontal Disease

Periodontal disease – also known as gingivitis and periodontitis – is most easily identified by the visible symptoms it causes as it progresses. In its beginning stages, periodontal disease often causes no symptoms at all, making it difficult for the average person to notice. With time, bacteria begin causing inflammation in the gums, which may result in reddening or gums that are tender, swollen and easily bleed. As bacteria continue to proliferate, the teeth may begin to appear longer due to a receding gum line. Eventually, pockets may begin to form between the gums and teeth, which can lead to loosened teeth or total tooth loss. Other symptoms of periodontal disease may include chronic bad breath and mouth sores.

Did you know?

Periodontal disease is a serious oral health problem that affects nearly half of American adults. It is easily treated in its earliest stages, although many people do not know they have it until symptoms appear – often not until it has progressed to moderate or severe stages that require more complex treatments. The most effective way of finding and preventing periodontal disease is by adopting good oral hygiene and attending periodic dental cleanings and exams.

Frequently Asked Questions

How do I know if I have periodontal disease?

What will happen if I am diagnosed with periodontal disease?

How can I prevent periodontal disease from returning in the future?


Gum Surgery

Periodontists treat their patients with the most conservative measures possible, but sometimes surgery is necessary to facilitate oral health and aesthetics. Some of the reasons your periodontist may recommend gum surgery include:

To restore gum tissues lost to periodontal disease. Also known as guided tissue regeneration, this procedure is often combined with bone grafting to help support the teeth.

To cosmetically improve your gum line. Known as muco-gingival surgery, this procedure grafts soft oral tissues into the gum line to fill in areas that have become recessed. The gum grafts conceal exposed tooth roots to allow for a more aesthetically pleasing appearance.

To prepare your teeth for dental restorations. The purpose of this type of gum surgery is to reveal more of the tooth's root, effectively lengthening the crown of the tooth. Crown lengthening is reserved for patients who have decay below the gum line or have inadequate tooth structure to support a dental restoration.

Did you know…

that your jaw bone and gums should naturally hug the roots of each tooth, encircling the base of the crown to hold it in place? But when gum disease is allowed to progress, the gums can recede and begin to create ‘pockets' around the teeth that will only become deeper with time. As bacteria proliferate in these pockets, patients experience further bone and tissue loss. Gaithersburg and Washington, DC gum surgery is often the most conservative solution for patients with advanced gum disease – otherwise leaving the option of eventually having the teeth extracted.

Frequently Asked Questions

Am I a candidate for gum surgery in Gaithersburg and Washington, DC?

What should I expect during a Gaithersburg and Washington, DC gum surgery?

Will I need to follow any special instructions following my gum surgery?


Crown Lengthening

Crown lengthening is a very common procedure used for functional and cosmetic purposes. In restorative dentistry, crown lengthening is used to prepare the teeth for dental restorations, such as caps and crowns, which require a sufficient amount of tooth structure above the gum line in order to support new restorations. Other patients may elect to undergo Gaithersburg and Washington, DC crown lengthening in an attempt to cosmetically treat a ‘gummy' smile. Careful contouring can remove excess gum tissues surrounding the teeth, revealing a more aesthetically appealing smile.

Did you know…

that crown lengthening is not only functionally and aesthetically efficient, but also beneficial to patient health? Gums that extend too far over a natural tooth can be more difficult to clean and keep free of pockets that harbor harmful bacteria. A lengthened crown is more hygienic and easier to clean, reducing the chances of gum disease later on. Untreated gum disease can advance, causing inflammation, bleeding, and even tooth loss.

Frequently Asked Questions

Am I a candidate for crown lengthening treatment in Gaithersburg and Washington, DC?

What should I expect during a Gaithersburg and Washington, DC periodontal crown lengthening procedure?

Will I need to follow any special instructions following a crown lengthening treatment?


Periodontal Scaling & Root Planing

Periodontal scaling and root planing is a procedure used to treat periodontal disease in Gaithersburg and Washington, DC. Thought of by many as a ‘deep cleaning', this in-office procedure involves the careful removal of hardened plaque near the gum line, where harmful bacteria can grow and cause damage to both the hard and soft tissues of the mouth. The treatment starts with scaling, during which special instruments are used to scrape tartar away from the teeth and gums. Root planing follows, which is a process of smoothing the surface of the tooth's root in order to prevent bacteria from accumulating there in the future. Finally, an antibiotic is administered to ensure that no bacteria remain at the treatment site.

Did you know…

That you cannot brush or rinse away hardened plaque that causes periodontal disease? The only thing you can do is prevent is from accumulating by using good brushing and flossing habits. Once tartar has formed, the only way to remove it is via a professional dental or periodontal cleaning.

Frequently Asked Questions

I need a periodontal scaling and root planing in Gaithersburg and Washington, DC?

What should I expect during a Gaithersburg and Washington, DC scaling and root planing?

Will I need to follow any special post-treatment care instructions?