Periodontal Treatment: When You Need It & What to Expect

Discovering that you might have gum disease can feel overwhelming, but you’re definitely not alone. Nearly half of adults over 30 are dealing with an advanced form of gum disease known as periodontitis. This isn’t just a matter of oral health — gum disease has connections to some serious conditions like heart disease, diabetes, and even complications during pregnancy. Understanding the oral-systemic link is vital for maintaining overall gum health. 

If you’ve been experiencing symptoms like swollen gums, bleeding while brushing, or persistent bad breath, you may be asking yourself what comes next. Read on to learn when seeing a periodontist in Redwood City is recommended and what to expect during the process so you can confidently take those next steps to protect your smile and overall health.

What Is Periodontal Disease?

Periodontal disease, or gum disease, is a common bacterial infection that affects the tissues supporting teeth. It begins when bacteria in plaque build up along and under the gum line, irritating and inflaming the gums. If left untreated, this condition can progress from mild gum inflammation, known as gingivitis, to a more serious form called periodontitis. In periodontitis, the gums pull away from the teeth, creating pockets that can become infected. This can eventually lead to bone loss and tooth loosening or loss. 

Common symptoms of gum disease include:

• Bleeding gums
• Bad breath
• Tender or swollen gums
• Receding gum lines
• Loose teeth, in severe cases 

Gum disease is largely preventable through good oral hygiene, regular dental checkups, and professional teeth cleanings, but if it advances, it may require more extensive treatment.

When Is Periodontal Treatment Necessary?

Periodontal treatment is necessary when you notice the first signs of gum disease. A gum disease screening can help identify symptoms at their earliest stage, which varies depending on the severity of the condition. 

• The earliest stage, gingivitis, is marked by red, swollen gums that bleed easily during brushing and can often be reversed with improved oral hygiene. 
• If left untreated, gingivitis advances to early periodontitis, where gums begin to pull away from teeth, forming pockets that trap bacteria and food debris. At this stage, professional intervention is essential. 
• The disease can then progress to moderate periodontitis, characterized by deeper pockets, loose teeth, and noticeable bone loss visible on dental X-rays.
• The final stage, advanced periodontitis, involves significant bone deterioration and potential tooth loss. This stage requires immediate and extensive treatment.

Other warning signs that indicate the need for gum disease treatment include persistent bad breath, tender or painful gums, changes in your bite, and visible pus between teeth and gums. Early intervention is important, as treatment becomes more complex and costly as the disease progresses.

What to Expect During Periodontal Treatment in Redwood City

During periodontal treatment, patients can expect a comprehensive dental exam where the dentist or periodontist will use a special probe to measure the depth of pockets around each tooth. The exam will also include dental X-rays to assess bone loss and disease severity. Based on these findings, they will develop a personalized treatment plan that may consist of different procedures depending on the stage of the disease: 

• For mild cases, the treatment might involve a deep tooth cleaning known as scaling and root planing to remove plaque and tartar below the gum line, along with detailed instructions for improved home care. This process may be complemented by antimicrobial treatments, including topical antibiotics placed directly in the periodontal pockets or oral antibiotics to help control bacterial infection. 
• More advanced cases require surgical interventions, such as gum grafting or pocket reduction procedures, commonly known as flap surgery. These surgical procedures are typically performed under local anesthesia. While they may sound intimidating, they are routine treatments that can significantly improve oral health and help save teeth that might otherwise be lost to advanced gum disease.

Throughout the process, patients will receive specific instructions for oral hygiene practices, and follow-up appointments will be scheduled to monitor healing and ensure the treatment's effectiveness. The goal is to create a treatment approach that addresses each patient's unique situation while preventing further disease progression.

How to Prevent Advancing Gum Disease

Preventing the advancement of gum disease requires a comprehensive approach that includes good oral health care and lifestyle choices. The foundation of gum health starts with thorough oral hygiene: 

• Brushing at least twice daily with fluoride toothpaste
• Flossing once daily to remove plaque between teeth
• Using an antimicrobial mouth rinse if your dentist recommends
• Attending regular professional teeth cleanings 

Lifestyle factors also play a significant role in keeping your mouth healthy. It’s important to maintain a balanced diet, avoid tobacco products, limit alcohol consumption, and manage health conditions like diabetes. Additionally, staying well-hydrated, reducing stress, and using a soft-bristled toothbrush with proper technique can help protect your gums from further damage.

Where to Find the Best Periodontist in Redwood City

At Redwood City Dentistry, our experienced team is dedicated to combating gum disease at every stage — offering personalized treatment plans that prioritize your comfort and well-being. What sets us apart is our use of the advanced Piezo ultrasonic scaler, a state-of-the-art tool that makes the process more comfortable and efficient than traditional methods. This innovative device uses high-frequency vibrations to clean hard-to-reach areas gently, ensuring a smoother experience with less discomfort while delivering outstanding results. 

At Redwood City Dentistry, we combine cutting-edge technology with compassionate care, making us the top choice for patients who want expert periodontal treatment in a welcoming environment.