Periodontal Therapy

Promoting Health

Why is Periodontal Disease a problem?

Adults over 35 lose more teeth to gum disease (periodontal disease) than from cavities. Three out of four adults are affected at some time in their life. The best way to prevent cavities and periodontal disease is by good tooth brushing and flossing techniques, performed daily.

Educational Presentation on Periodontal Therapy

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Periodontal Disease.

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But recently, periodontal disease has been proven to be a threat to more than your teeth. Research has linked the bacteria associated with gum disease with an increase risk in:

  • Heart Disease
  • Stroke
  • Certain cancers, including pancreatic cancer
  • Rheumatoid Arthritis
  • Complications controlling blood sugar levels in diabetes
  • Low birth weight babies
  • Premature birth

What is Periodontal Disease?

Both periodontal disease and decay are both caused by bacterial plaque – a sticky colorless film, which sticks to your teeth at and below the gum line. Plaque constantly forms on your teeth beginning within minutes after cleaning. If not carefully removed by daily brushing and flossing, plaque hardens into a rough, porous substance known as calculus. This cannot be removed without professional cleaning.

Periodontal disease is an inflammatory process beginning in the gums. The bacteria found in plaque produces toxins that irritate the gums, which may cause them to turn red, swell and bleed easily. However, don’t be fooled. With periodontal disease, bleeding, redness and swelling do not have to be present.

Pain is usually not associated with periodontal disease. If this irritation is prolonged, the gums separate from the teeth, causing pockets (spaces) to form. Untreated, the disease progresses down the root surface into the underlying bone. The end result is the supporting gum tissue and bone that holds teeth in place deteriorate resulting in bone loss which destroys the support of your natural teeth leading to tooth loss.

What are factors that impact Periodontal Health?

The best way to prevent cavities and periodontal diseases is by daily tooth brushing and flossing techniques and regular professional examinations and cleanings.

Unfortunately, even with the most diligent home dental care, people still can develop some form of periodontal disease. Once this disease starts, professional intervention is necessary to prevent its progress.

Factors that Increase Chances of Periodontal Disease

  • Tobacco use
  • Puberty (increased hormones increase gum sensitivity)
  • Diabetes
  • Stress
  • Clenching and grinding teeth
  • Various medications
  • Poor nutrition

Steps to prevent periodontal disease include:

  • Daily brushing and flossing to remove plaque from your teeth and gums
  • Regular dental visits for professional cleaning
  • Regular periodontal evaluations

Periodontal Therapy

Educational Presentation on Periodontal Therapy

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Periodontal Disease:
Systemic Effects & Treatment.

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Periodontal treatment is necessary when various conditions affect the health of your gums and the regions of your jawbone that hold your teeth in place. Retaining your teeth is directly dependent on proper periodontal care and maintenance. Healthy gums enhance the appearance of your teeth, like a frame around a beautiful painting. When your gums become unhealthy, they can either recede or become swollen and red. In later stages, the supporting bone is destroyed and your teeth will shift, loosen or fall out. These changes not only affect your ability to chew and speak, they also affect your smile.

Non-Surgical Treatment

Dr. Hochberg and Dr. Diora are very conservative in their approach to treating periodontal disease. They believe in non-surgical treatment whenever appropriate. However, if periodontal disease is advanced, they will refer the patient to a periodontist.

Periodontal Debridement

Debridement is the removal of heavy plaque and calculus from your teeth; it is usually the first step in treating periodontal disease. The plaque and calculus are removed with an ultrasonic scaler. Gentle and effective, this tool removes the build-up with water and high-frequency waves.

Scaling & Root Planing

Educational Presentation on Periodontal Therapy

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Scaling & Root Planing.

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For plaque and calculus below the gum line, we use scaling and root planning, a conservative, non-invasive and efficient treatment method.

The initial stage of treatment is a thorough cleaning that may include scaling to remove plaque and calculus deposits beneath the gum line.

The tooth roots may also be planed. This procedure smooths the root surface, allowing the gum tissue to heal and reattach to the tooth.

In some cases, the occlusion (bite) may require adjustment.

Antibiotics or irrigation with anti-microbials (chemical agents or mouth rinses) may be recommended to help control the growth of bacteria that create toxins and cause periodontitis. In some cases, we may place antibiotic fibers in the periodontal pockets after scaling and planing. These antibiotics control infection and encourage normal healing.

A few weeks after this procedure is completed, the pockets around the teeth are measured to determine if treatment has been effective and they have reduced in size.

When deep pocket areas do not resolve the patient may be referred to a periodontist.

Gum Disease Laser Therapy

The latest conservative gum therapy uses a laser. The laser gently disinfects and evaporates diseased tissues from around the tooth and inside the gum pocket. This treatment interrupts the bacterial destruction of the tissues and bones, giving the gum pockets a chance to heal

Repeated visits, generally 2-8, allow the gum pocket to be disease-free and sometimes allow tissues to reattach to the pocket back to a normal or near-normal depth.

Laser therapy is gentle and has a relatively quick recovery. While surgery may still be indicated for severely advanced periodontal cases, laser therapy is a much more conservative, effective and comfortable option for beginning to moderate periodontal cases.


Patient Reviews for Gum Disease Treatment, Scaling and Root Planing

> Read all of our Reviews

Colony Square Dental Associates

5 out of 5 stars based on 77 reviews.

Patient Review

Amazing staff . Would highly recommend this dental practice

- Hollie G

5 out of 5 stars on

Patient Review

I have been coming to this dental office for years. I always get the best care. I wouldn't go anywhere else. Everyone rocks!

- Calvin H

5 out of 5 stars on

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I am so afraid of the dentist and the ladies here have made my fears go away. They are so helpful and thoughtful and I am so happy coming here and I will never use another dentist. Dr. Diora is so sweet and helps ease my fears and she is so patient. K2 makes me laugh and helps ease my fears when I am in the chair. I am so grateful for the amazing team here and would highly recommend this dentist to everyone!!

- Christina H

5 out of 5 stars on

Patient Review

I am sure everyone would agree with me that no one looks forward to going to the dentist. Although, going to the dentist is not on the top of my list of things to do; I realized that I have been going to Colony Square Dental for over 24 years. This includes the 3 years when I was living in Birmingham, Al. due to a job transfer. During that time, I scheduled all my cleanings and procedures on my office day, which was every Friday. You may ask why anyone would make the over 3-hour round trip? It’s simple, you will never find a more professional team of dentist that utilize the latest dental techniques. Their front staff, hygienist and dental technicians are top notch and really care about their patients. I am always greeted with a smile, hug and kind word. They are the best!! Michael S.

- Michael S

5 out of 5 stars on

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Everyone was very kind and super friendly. It made my experience such a wonderful one!

- Josephine W P

5 out of 5 stars on

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Everyone here has always been very friendly and comforting. They thoroughly answer any questions and make sure I'm comfortable.

- Alison S

5 out of 5 stars on

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I've been coming for over 25 years and I continue to be completely satisfied.

- Norman L

5 out of 5 stars on

Patient Review

Always a pleasure to come here. Everyone calls me by my name, remembers personal stories, is welcoming. Treatment is very professional. I've always felt listened to and involved in treatment decisions. Thanks.

- Kit Y

5 out of 5 stars on

Patient Review

Everyone at Colony Square Dental is so friendly! I actually look forward to getting my teeth cleaned and always enjoy seeing everyone.

- Carrie F

5 out of 5 stars on

Patient Review

Ezel is so sweet, everyone at colony square is icredible. The absolute best dentistry care you could receive, Dr Hochberg is the man!

- Catherine H

5 out of 5 stars on

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Been having my dental work done here for over 30 years! Great office and staff. Dr Hocknerg is the best!

- Terri P

5 out of 5 stars on

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Was a great experience. Doctor D was very professional and personable . Staff was equally professional and friendly . Love them both. Highly recommend them.

- Marcia C

5 out of 5 stars on

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Always a pleasure!

- Edmund B

5 out of 5 stars on

Patient Review

Super great staff, helpful in moving schedule up. Online video on how to find office was also really nice.

- Charles E

5 out of 5 stars on

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Friendly, efficient, accommodating

- Wendy L

5 out of 5 stars on

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Great experience!

- Susan. L

5 out of 5 stars on

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Always very friendly, very comfortable, explain everything that happens.

- Mark L

5 out of 5 stars on

Patient Review

Great staff, great doctor, comfortable environment - no one could ask for more. Colony Square Dental Associates actually make it fun to go to the dentist. Keep up the phenomenal work!

- Larry B

5 out of 5 stars on

Patient Review

I have been a patient of Dr. Hochberg and his office for over 30 years. The service is always excellent and the staff very professional. I have had the same hygienist the entire time and our children now see her as well. Our family is always well taken care of and everyone at the front desk always has a smile. I could not ask more more. Thank you for taking care of us all this time!

- Lloyd H

5 out of 5 stars on

Patient Review

Everything was perfect! Cheryl did a great job with my cleaning and everything was very quick.

- Milly E

5 out of 5 stars on