Why Your Gums Still Bleed Even After Normal Dental Cleanings

If you’ve recently had a “normal” dental cleaning and you’re still noticing blood when you brush or floss, it can feel confusing and frustrating. A cleaning is supposed to make your mouth healthier, right?

In many cases, bleeding gums after a routine cleaning are a sign that something deeper is going on below the gumline, especially if bleeding continues beyond a few days. At Pinnacle Center Dental Implants and Periodontics in Pittsburgh, PA, Dr. Katherine L. Roll and Dr. Kelly B. Williams help patients get to the root cause of persistent gum bleeding and create a plan to restore long-term gum health.

Below, we’ll explain why gums may keep bleeding even after a professional cleaning, what it could mean, and when it’s time to see a periodontist.

Quick Answer: Why do gums still bleed after a dental cleaning?

Your gums may still bleed after a routine cleaning because:

  • Gum inflammation (gingivitis) is still present
  • You have early or moderate periodontitis
  • Tartar and bacteria remain below the gumline
  • You need a deeper cleaning like scaling and root planing
  • Your brushing or flossing technique is irritating the gums
  • A medical condition, vitamin deficiency, or medication is contributing

Some bleeding right after a cleaning can be normal, but ongoing bleeding is not.

What’s normal after a routine dental cleaning?

A small amount of gum bleeding for 24 to 72 hours after a cleaning can be normal, especially if:

  • Your gums were inflamed before the appointment
  • You don’t floss regularly
  • Your hygienist had to remove a lot of plaque buildup

This usually improves quickly with gentle brushing, daily flossing, and good home care.

Bleeding that lasts longer than a few days, returns consistently, or is accompanied by swelling or bad breath often indicates a bigger issue than a routine cleaning can resolve.

7 Reasons Your Gums Still Bleed After Normal Cleanings

1) Gingivitis hasn’t fully resolved yet

Gingivitis is inflammation caused by plaque along the gumline. Even after a cleaning removes plaque, your gums may still be irritated and take time to recover.

Signs of lingering gingivitis include:

  • Bleeding during brushing or flossing
  • Puffy or red gums
  • Tender gum tissue
  • Mild bad breath

If your home routine is inconsistent or plaque returns quickly, the inflammation can persist.

2) The problem is below the gumline (and routine cleanings don’t reach it)

A standard dental cleaning (prophylaxis) mainly targets plaque and tartar above the gumline and slightly below it. If bacteria and hardened tartar are deeper in the pockets between the gums and teeth, they often cannot be fully removed with a normal cleaning.

This is one of the most common reasons patients continue to bleed even after “keeping up with cleanings.”

3) You may have early periodontitis

Bleeding gums are often the first sign of periodontal disease.

Periodontitis happens when the infection spreads deeper, damaging:

  • Gum attachment
  • Bone support around the teeth
  • The periodontal ligament

Clues you may have periodontitis include:

  • Bleeding that continues weeks after cleanings
  • Gum recession (teeth look longer)
  • Bad breath that doesn’t improve
  • Sensitivity near the gumline
  • A “bad taste” in your mouth
  • Loose teeth or shifting bite (in more advanced cases)

When periodontitis is present, routine cleanings alone are usually not enough to stop bleeding.

4) You may need a deep cleaning (scaling and root planing)

If your dentist or hygienist measures deeper gum pockets (often 4 mm or more, depending on bleeding and buildup), you may need scaling and root planing, also called a deep cleaning.

Deep cleaning targets:

  • Bacteria and tartar in deep pockets
  • Rough root surfaces that attract buildup
  • Inflamed tissue that needs time to reattach

This treatment is commonly needed when bleeding continues despite regular cleanings and good brushing habits.

5) You’re brushing too hard or using the wrong tools

Sometimes, the issue is mechanical, not infectious.

Bleeding can happen when:

  • You use a hard-bristled toothbrush
  • You brush aggressively
  • You “saw” the floss instead of gently guiding it under the gumline
  • You use a worn-out toothbrush
  • You use toothpicks or abrasive devices that injure gum tissue

Tip: Use a soft toothbrush and gentle circular motions at the gumline. Floss should slide against the tooth in a “C-shape,” not snap into the gums.

6) Dry mouth or smoking is slowing healing

Saliva helps neutralize bacteria and keep gum tissue healthier. Dry mouth can make gum bleeding and inflammation worse, even after cleanings.

Smoking (including vaping) can also contribute to gum disease and reduce gum tissue healing. In some cases, smokers may not bleed as much because nicotine restricts blood flow, which can actually mask gum disease until it becomes more advanced.

7) Medical conditions, medications, or nutritional deficiencies are contributing

Persistent gum bleeding can sometimes be linked to systemic factors, such as:

  • Diabetes (higher risk of gum inflammation and infection)
  • Blood thinning medications (including aspirin or prescribed anticoagulants)
  • Hormonal changes (pregnancy, menopause)
  • Vitamin C or vitamin K deficiency
  • Immune system conditions
  • Certain blood disorders

If your gums bleed consistently and your dental care is on track, your periodontist may recommend coordinating with your physician.

How to tell if your gum bleeding is a bigger problem

Consider seeing a periodontist if you have:

  • Bleeding gums that last longer than 3 to 5 days after a cleaning
  • Bleeding every time you brush or floss
  • Gum recession or “longer-looking” teeth
  • Chronic bad breath
  • Gum tenderness, swelling, or pus
  • A history of gum disease in your family
  • Loose teeth or changes in bite

Periodontal disease can progress quietly, and early intervention can help you avoid tooth loss and more complex treatment later.

What a periodontist can do that a routine dental cleaning can’t

A periodontal evaluation may include:

  • Full gum pocket measurements
  • Checking for bleeding and gum inflammation
  • X-rays to evaluate bone levels
  • Identifying problem areas and infection patterns
  • Creating a treatment plan tailored to your risk factors

Treatment options may include:

At Pinnacle Center Dental Implants and Periodontics, Dr. Roll and Dr. Williams focus on long-term solutions, not just temporary improvement.

What you can do at home (starting today)

If your gums bleed easily, these steps can help while you schedule an evaluation:

  • Brush twice a day with a soft toothbrush
  • Use a fluoride toothpaste and focus on gentle gumline cleaning
  • Floss daily, even if it bleeds at first (bleeding often improves within 1 to 2 weeks)
  • Consider an electric toothbrush with a pressure sensor
  • Use an antimicrobial mouthwash if recommended
  • Stay hydrated and address dry mouth
  • Avoid tobacco products
  • Keep regular dental and periodontal visits

If bleeding persists, don’t ignore it. Ongoing inflammation can lead to irreversible bone loss.

When to schedule a periodontal evaluation in Pittsburgh, PA

Bleeding gums are your body’s way of signaling irritation or infection. If your gums still bleed after routine cleanings, it may be time for periodontal care rather than “just another cleaning.”

If you’re in the Pittsburgh area, Pinnacle Center Dental Implants and Periodontics can help you find the cause and get your gums back to a healthy, stable place.

Request an evaluation with Dr. Katherine L. Roll or Dr. Kelly B. Williams to learn what’s behind your gum bleeding and what treatment will help long-term.

FAQs

Can gums bleed even if I brush every day?

Yes. Daily brushing helps, but bleeding can still occur if tartar is trapped below the gumline, if you have gum pockets, or if brushing technique is too aggressive.

Why do my gums bleed when I floss?

Most commonly, it’s from inflammation due to plaque at the gumline. Consistent flossing usually reduces bleeding within 1 to 2 weeks. If it doesn’t, deeper infection may be present.

Is bleeding after a cleaning a sign the hygienist did something wrong?

Not necessarily. Inflamed gums bleed more easily. The key is whether bleeding improves within a few days.

What’s the difference between a normal cleaning and deep cleaning?

A normal cleaning removes plaque and tartar mostly above the gumline. A deep cleaning (scaling and root planing) treats bacteria and tartar deeper in gum pockets and smooths root surfaces to reduce inflammation and help gums heal.

Why Seeing a Periodontist Is Worth It Without Full Insurance Coverage

When it comes to protecting your oral health, most people think of routine checkups and cleanings at the general dentist. These visits are essential and form the foundation of good dental care. However, there are times when going beyond basic care is not only beneficial but necessary for your long-term health. That is where a periodontist comes in.

At Pinnacle Center Dental Implants and Periodontics in Pittsburgh, PA, Dr. Katherine L. Roll and Dr. Kelly B. Williams provide advanced treatments for gum disease, dental implants, and other conditions that affect the supporting structures of your smile. While some specialized procedures may not be fully covered by dental insurance, the benefits of receiving care from a periodontist can have a lasting impact on both your oral and overall health.

Below we will explore why seeing a periodontist is worth the investment, what sets specialized care apart, and how our office helps patients move forward with clarity and confidence.

Beyond Basic Care: The Role of a Periodontist

A periodontist is a dental specialist who has completed additional years of training beyond dental school. This training focuses on the prevention, diagnosis, and treatment of gum disease, as well as expertise in dental implant placement and other advanced procedures.

General dentists are excellent at providing cleanings, fillings, crowns, and preventive services, but when gum disease becomes more complex or tooth replacement requires surgical precision, a periodontist is the professional best equipped to handle those needs.

Some of the advanced treatments periodontists provide include:

These procedures go beyond what most general dentists offer and can significantly improve both the health and appearance of your smile.

Why Specialized Care Matters

Many people put off seeing a periodontist because they assume their general dentist can handle everything. While this may be true for routine issues, gum disease and tooth loss are complex conditions that require advanced knowledge to treat effectively.

Gum disease is the leading cause of tooth loss in adults. Left untreated, it can progress silently, causing inflammation, bone loss, and eventually tooth loss. Periodontists have the training to identify the earliest signs of gum disease and provide treatments that stop it before it progresses.

Additionally, when it comes to dental implants, precision and long-term success depend on the skill of the provider. Periodontists are uniquely trained to place implants in a way that ensures proper integration with the bone and stability for many years to come. This expertise minimizes complications and maximizes success rates.

Specialized care is not just about treating problems. It is also about preventing them. By seeing a periodontist early, patients can avoid more complex and costly procedures in the future.

The Benefits of Receiving Care at Pinnacle Center

Choosing the right provider for your periodontal and implant needs makes a significant difference. At Pinnacle Center, our team is committed to delivering exceptional results in a compassionate and supportive environment. Patients who come to our office benefit from:

  • Expertise and experience: Dr. Roll and Dr. Williams have advanced training in periodontics and implant dentistry. They have dedicated their careers to helping patients restore oral health and confidence.
  • Comprehensive treatment options: Our office provides both non-surgical and surgical solutions, ensuring patients receive the right treatment at the right time.
  • State-of-the-art technology: From digital imaging to advanced surgical tools, we use the latest technology to improve accuracy and comfort.
  • Personalized care: Every patient’s situation is unique. We take the time to design treatment plans that reflect individual needs, health goals, and lifestyle considerations.
  • A focus on long-term outcomes: Our goal is not just to fix immediate problems but to create lasting improvements in oral health.

Patients frequently report that the care they receive at Pinnacle Center goes beyond what they expected. They appreciate the thoroughness of the evaluations, the clarity of treatment explanations, and the ongoing support throughout their care journey.

The Cost of Care Versus the Value of Health

One concern many patients share is whether their insurance will cover specialized treatments. While some procedures are partially covered, others may not be included in a standard dental insurance plan. This can cause hesitation, but it is important to consider the long-term value of specialized care.

Investing in periodontal treatment or dental implants is not just about improving your smile today. It is about preventing serious problems tomorrow. Untreated gum disease can lead to tooth loss, systemic inflammation, and even increased risks for conditions such as heart disease and diabetes. Dental implants, though sometimes considered costly upfront, provide a permanent solution that eliminates the need for repeated repairs or replacements often associated with bridges or dentures.

When viewed through the lens of long-term health and reduced future costs, specialized periodontal care often pays for itself many times over.

How Pinnacle Center Helps Patients with Insurance

We know that navigating dental insurance can feel overwhelming. That is why our office makes it a priority to help patients understand costs clearly and feel confident in their decisions.

Here is how we assist patients with financial clarity:

  • Procedure information: We provide patients with the codes for each procedure so they can have informed conversations with their insurance company.
  • Claim support: Our team assists with filing claims to ensure you receive the reimbursement you are entitled to.
  • Clear fee presentation: Before any treatment begins, we provide a complete breakdown of all fees for procedures performed in our office.
  • Flexible payment options: For treatments not covered by insurance, as well as any other care, we offer financing solutions to make treatment accessible and affordable.

Our goal is to eliminate financial surprises and help you feel confident moving forward with the care you need.

The Link Between Periodontal Health and Overall Health

Another reason seeing a periodontist is a smart decision is the growing body of research connecting gum health to overall health. Studies have shown that chronic gum disease is associated with conditions such as diabetes, cardiovascular disease, respiratory infections, and even pregnancy complications.

By addressing periodontal problems early, patients may reduce their risk of developing or worsening these systemic conditions. In other words, investing in your gums is also an investment in your overall health and quality of life.

Patient Confidence and Quality of Life

Beyond health benefits, specialized care also improves confidence and quality of life. Patients who receive treatment for gum disease often notice fresher breath, healthier gums, and more comfort when eating. Those who replace missing teeth with dental implants frequently report feeling more confident in social situations and enjoying foods they previously avoided.

These improvements in daily life are priceless. They extend beyond the mouth to affect how patients feel about themselves and how they interact with others.

Invest in Your Long-Term Smile

When deciding whether to see a periodontist, remember that the decision is about more than insurance coverage. It is about protecting your health, preserving your teeth, and improving your quality of life.

At Pinnacle Center Dental Implants and Periodontics, Dr. Roll and Dr. Williams are dedicated to helping patients in Pittsburgh achieve healthier smiles that last a lifetime. Whether you need treatment for gum disease, are considering dental implants, or simply want a specialist’s opinion, our team is here to provide expert guidance and compassionate care.

Ready to take the next step?

Contact us today to schedule your consultation and discover how specialized periodontal care can transform your smile and your health.

Choosing the Right Periodontist: What to Look For

Maintaining optimal periodontal health is crucial for your overall well-being, and finding the right periodontist is a significant step in ensuring your gums and teeth receive the best possible care. At Pinnacle Center Dental Implants and Periodontics, we understand how important it is to choose a periodontist who meets your needs and expectations. Dr. Katherine L. Roll and Dr. Kelly B. Williams are dedicated to providing exceptional care, and today, we will guide you through what to look for when choosing a periodontist.

Credentials and Certifications

When selecting a periodontist, the first thing you should consider is their credentials and certifications. A board-certified periodontist has undergone rigorous training and has met the high standards set by the American Board of Periodontology. This certification ensures that the periodontist is well-versed in the latest techniques and treatments.

Dr. Roll and Dr. Williams have extensive education and training in periodontology. They have both completed advanced degrees and continue to stay updated with the latest advancements in their field. Additionally, they are active members of professional organizations such as the American Academy of Periodontology, which requires ongoing education and adherence to best practices.

Experience and Expertise

Experience is another crucial factor when choosing a periodontist. The more experience a periodontist has, the more skilled they are likely to be in diagnosing and treating various periodontal issues. It’s essential to look for a periodontist who has significant experience in the specific treatments you may need, whether it’s dental implants, gum disease treatment, or other periodontal therapies.

At Pinnacle Center, Dr. Roll and Dr. Williams bring years of experience to their practice. They have successfully treated numerous patients with a wide range of periodontal conditions. Their expertise allows them to provide personalized care tailored to each patient’s unique needs.

Technology and Techniques

Advancements in technology have significantly improved periodontal care. When choosing a periodontist, you should ensure they use modern technology and techniques to provide the best possible outcomes. Look for practices that utilize digital X-rays, 3D imaging, and other advanced diagnostic tools. Minimally invasive techniques can also lead to faster recovery times and more comfortable procedures.

Our team at Pinnacle Center is committed to using the latest technology to enhance patient care. We employ state-of-the-art equipment and innovative techniques to ensure accurate diagnoses and effective treatments. Our goal is to provide the highest standard of care with the most advanced tools available.

Patient Reviews and Testimonials

It’s essential to consider the general reputation of the periodontist you are considering. Online reviews and testimonials can provide valuable insights into the experiences of other patients. Look for consistent themes in reviews, such as the periodontist’s communication skills, the comfort of the office environment, and the quality of care provided.

At Pinnacle Center, we pride ourselves on the positive feedback we receive from our patients. Our team strives to create a welcoming and supportive environment where patients feel heard and cared for throughout their treatment journey.

Communication and Comfort

Good communication is vital in any healthcare setting, and periodontal care is no exception. You should feel comfortable discussing your concerns and treatment options with your periodontist. A periodontist who takes the time to listen to you, explain procedures clearly, and answer your questions can make a significant difference in your overall experience.

Dr. Roll and Dr. Williams are known for their compassionate and approachable demeanor. They prioritize open communication and ensure that patients feel comfortable and informed every step of the way. Our team is always available to address any questions or concerns you may have, making your experience as stress-free as possible.

Comprehensive Care Approach

A good periodontist offers a comprehensive range of services to address all your periodontal needs. This includes preventive care, diagnosis, and treatment of gum disease, dental implants, and other periodontal procedures. It’s beneficial to choose a periodontist who can provide a full spectrum of care and coordinate with other dental professionals when necessary.

At Pinnacle Center, we offer a wide range of periodontal services to meet your needs. Our comprehensive care approach ensures that you receive personalized treatment plans tailored to your specific condition. We work closely with your general dentist and other specialists to provide coordinated and holistic care.

Office Environment and Team

The environment of the periodontist’s office can significantly impact your overall experience. A clean, organized, and welcoming office can make your visits more pleasant. Additionally, the friendliness and professionalism of the team can enhance your comfort and confidence in the care you receive.

Our office at Pinnacle Center is designed with your comfort in mind. We maintain a clean and organized environment, and our team is dedicated to providing a warm and friendly atmosphere. From the moment you walk in, you will be greeted by a team that is committed to making your visit as comfortable as possible.

Insurance and Payment Options

While we do not discuss fees or costs, it’s important to consider whether the periodontist accepts your insurance and offers flexible payment options. This can make a significant difference in the accessibility and affordability of your care. Transparent communication about insurance and payment policies can help you make informed decisions about your treatment.

At Pinnacle Center, we strive to make our services accessible to all patients. Our team is happy to assist you with any insurance questions and provide information on available payment options. We believe in transparent communication and are here to help you navigate your financial options.

Making Your Decision

Choosing the right periodontist is a crucial decision that can significantly impact your oral health and overall well-being. By considering factors such as credentials, experience, technology, communication, comprehensive care, office environment, and insurance options, you can make an informed choice that meets your needs.

At Pinnacle Center Dental Implants and Periodontics, we are dedicated to providing exceptional periodontal care. Dr. Katherine L. Roll and Dr. Kelly B. Williams, along with our entire team, are here to support you on your journey to optimal periodontal health. We invite you to schedule an appointment with us to discuss your needs and learn more about how we can help you achieve a healthy, beautiful smile.

Addressing a Gummy Smile: Cosmetic Options for a Confident Look

A radiant smile is often considered one of our most attractive features. However, for some individuals, an excessive display of gum tissue when smiling—commonly known as a “gummy smile”—can be a source of self-consciousness. Today, we’ll explore the concept of a gummy smile, its impact on confidence, and the various cosmetic options available to help you achieve the smile you’ve always desired.

Understanding a Gummy Smile

A gummy smile, medically termed excessive gingival display, occurs when a disproportionate amount of gum tissue is visible above the upper teeth when smiling. While there’s no strict definition, many dental professionals consider a smile “gummy” when more than 3-4 millimeters of gum tissue is exposed.

Several factors can contribute to a gummy smile:

  1. Genetics: Some people naturally have a higher lip line or shorter upper lip, revealing more gum tissue when smiling.
  2. Overgrowth of gum tissue: This can be due to certain medications or health conditions.
  3. Excessive wear of teeth: This can make teeth appear shorter, creating the illusion of more gum tissue.
  4. Improper eruption of teeth: When teeth don’t fully emerge from the gums, they can appear shorter.
  5. Overactive upper lip muscles: This can cause the upper lip to rise higher when smiling.

While a gummy smile doesn’t typically pose health risks, it can significantly impact self-esteem and confidence. Many patients with gummy smiles feel self-conscious about their appearance, which can affect their social interactions and overall quality of life.

Gum Contouring: Reshaping Your Smile

One of the most effective treatments for a gummy smile is gum contouring, also known as gum reshaping or crown lengthening. This procedure involves carefully removing excess gum tissue to expose more of the tooth surface, creating a more balanced and aesthetically pleasing smile.

Benefits of gum contouring include:

  • Improved smile aesthetics
  • Enhanced tooth-to-gum ratio
  • Increased confidence in your appearance
  • Potential improvement in oral hygiene (by reducing deep gum pockets)

During the procedure, our experienced periodontists use advanced techniques to carefully sculpt your gum line. We typically use local anesthesia to ensure your comfort throughout the process. The procedure is relatively quick, often completed in a single visit, with minimal downtime.

After gum contouring, you can expect some minor swelling and sensitivity for a few days. Our team will provide detailed aftercare instructions to ensure optimal healing and results.

Crown Lengthening: Revealing Your Best Smile

Crown lengthening is another effective option for addressing a gummy smile. This procedure not only removes excess gum tissue but also reshapes the underlying bone to expose more of the tooth crown.

Crown lengthening is particularly beneficial when:

  • Teeth appear too short due to excessive gum coverage
  • There’s a need to expose more tooth structure for restorative work (like crowns or veneers)
  • You desire a more dramatic change in your smile’s appearance

The procedure involves making small incisions in the gum tissue to access the underlying bone. Our skilled periodontists then carefully contour both the gum tissue and bone to achieve the desired tooth exposure. While more involved than simple gum contouring, crown lengthening can provide dramatic and long-lasting results.

Recovery from crown lengthening typically takes a few weeks. During this time, we’ll provide comprehensive care instructions to ensure proper healing and minimize any discomfort.

Advanced Surgical Options

For patients with more complex gum issues, we offer advanced surgical options that can significantly improve both the health and appearance of your smile.

Ridge Augmentation

Ridge augmentation is a procedure that rebuilds the alveolar ridge, the bony structure that contains the tooth sockets. This can be particularly beneficial if you’ve experienced bone loss due to tooth extraction or gum disease.

The procedure involves adding bone graft material to the deficient area, which over time integrates with your natural bone to create a fuller, more aesthetic gum line. This can dramatically improve the appearance of a gummy smile, especially in cases where bone loss has altered the overall structure of the smile.

Gum Grafting

Gum grafting is another advanced technique that can address both aesthetic and health concerns. This procedure is particularly useful for patients who have experienced gum recession, which can make teeth appear longer and create an uneven gum line.

During a gum graft, we take a small amount of tissue (either from your palate or a donor source) and carefully attach it to the areas of recession. This not only improves the appearance of your smile but also protects the exposed tooth roots, reducing sensitivity and the risk of decay.

Both ridge augmentation and gum grafting are more involved procedures that require a longer recovery period. However, they can provide significant improvements in both the health and appearance of your smile.

Choosing the Right Treatment for You

Selecting the best treatment for your gummy smile depends on several factors:

  • The extent of gum display
  • The underlying cause of your gummy smile
  • Your overall oral health
  • Your aesthetic goals

At Pinnacle Center Dental Implants and Periodontics, we believe in a personalized approach to treatment. During your consultation, Dr. Roll or Dr. Williams will thoroughly examine your smile, discuss your concerns and goals, and recommend the most appropriate treatment options for your unique situation.

We may suggest combining treatments for optimal results. For example, gum contouring might be paired with orthodontic treatment to address both gum display and tooth alignment issues.

Your Path to a Confident Smile Starts Here

A gummy smile doesn’t have to hold you back from showing off your best self. With the range of cosmetic options available at Pinnacle Center Dental Implants and Periodontics, we can help you achieve the balanced, confident smile you’ve always wanted.

Our team of experienced periodontists, led by Dr. Roll and Dr. Williams, is dedicated to providing exceptional care in a comfortable, state-of-the-art environment. We use the latest techniques and technologies to ensure optimal results with minimal discomfort and downtime.

Don’t let a gummy smile affect your confidence any longer. Take the first step towards your dream smile by scheduling a consultation with us today. We’re excited to help you explore your options and create a treatment plan tailored to your unique needs and goals.

Contact Pinnacle Center Dental Implants and Periodontics now to schedule your appointment. Your journey to a more confident, radiant smile starts here!

The Role of Sedation in Anxiety-Free Dentistry

An adult woman sits in a dentist's chair wearing a nasal mask to inhale nitrous oxide.Welcome to Pinnacle Center Dental Implants and Periodontics. Today, we will explore an essential aspect of modern dental care that has transformed the experience for many of our patients—sedation dentistry. Dental anxiety and phobia are surprisingly common issues, affecting a significant portion of the population. Many individuals delay or even avoid necessary dental care due to fear and discomfort associated with dental visits.

The impact of this anxiety can be profound, not only affecting oral health but also overall well-being. Neglected dental health can lead to serious complications, including gum disease, tooth loss, and associated health risks such as heart disease. Recognizing this, the dental community has made great strides in making visits more comfortable and less daunting for anxious patients. One effective solution is sedation dentistry, which we offer here at our practice, designed to help overcome these barriers and make your visits more relaxed and anxiety-free.

Types of Sedation Used in Dentistry

At Pinnacle Center Dental Implants and Periodontics, we understand that each patient’s needs are unique, which is why we offer a variety of sedation options to suit different preferences and medical requirements. Let’s discuss the types of sedation available and how they might be beneficial for you.

  1. Inhalation Sedation (Nitrous Oxide—Laughing Gas): This is a mild form of sedation delivered through a mask that fits over your nose. It helps you relax during your procedure but wears off quickly once the mask is removed. You can usually drive yourself home after your appointment, making it a convenient option for mild anxiety and shorter procedures.
  2. Oral Sedation (Anti-Anxiety Pills): Administered in pill form before your appointment, oral sedation allows you to be awake but significantly relaxed. The level of sedation can be adjusted depending on the dose given, making it versatile for various levels of anxiety.
  3. Intravenous (IV) Sedation: This type of sedation is administered through a vein, allowing it to work more quickly. It enables our periodontists to adjust the level of sedation as needed during the procedure. IV sedation is ideal for more extensive treatment and for patients with moderate to severe dental anxiety.
  4. General Anesthesia: Used for the most complex cases and for patients who prefer to be completely unconscious during their procedure, general anesthesia is administered in a controlled environment. This method is typically used for lengthy surgical procedures and for patients who have severe dental phobia.

Each sedation method has its pros and cons, and they are administered under strict safety protocols to ensure a smooth and comfortable experience for you.

How Sedation Dentistry Works

Understanding the process of sedation dentistry can help alleviate any apprehensions you might have about undergoing dental procedures. Here at Pinnacle Center Dental Implants and Periodontics, our team is highly trained in the administration of various sedation techniques, ensuring your safety and comfort throughout your visit.

The sedation process begins with a detailed consultation with either Dr. Roll or Dr. Williams, during which we discuss your medical history, dental anxiety level, and the specific treatment to be performed. This conversation helps us determine the most appropriate type of sedation for your particular needs.

Once the type of sedation is selected, we carefully prepare for your procedure. For inhalation and oral sedation, the process is relatively straightforward, involving the administration of the sedative a short time before the procedure begins. For IV sedation and general anesthesia, more preparation is required to monitor vital signs and ensure overall safety during the procedure.

Throughout your treatment, our team monitors your vital signs and comfort level closely. Post-procedure, we provide detailed instructions for recovery and follow-up care, ensuring a smooth transition back to your daily activities.

Benefits of Sedation Dentistry for Anxious Patients

The advantages of sedation dentistry extend far beyond merely alleviating dental anxiety. By choosing sedation options, patients experience a range of psychological and physical benefits that significantly enhance their experience.

Psychological Benefits: Sedation dentistry can transform a fearful visit into a comfortable and calming experience. It significantly reduces the stress and anxiety associated with dental procedures, allowing patients to maintain regular dental appointments and ultimately improving their overall dental health. Additionally, sedation can help erase negative memories associated with past dental experiences, encouraging a more positive outlook for future visits.

Physical Benefits: For many patients, the anticipation of pain can heighten their discomfort during dental procedures. Sedation provides a relaxed state where patients often feel little to no discomfort, even during complex procedures. This can be particularly beneficial for patients who experience a low pain threshold, have sensitive teeth, or require extensive dental work.

Generalized Case Examples: Consider a patient who avoided the dentist for years due to severe anxiety, resulting in advanced gum disease and multiple dental issues. With the help of oral sedation, this patient was able to undergo a comprehensive cleaning and several fillings in one visit, something they previously thought impossible. Another example might be a patient who needed multiple dental implants and opted for IV sedation, allowing for all procedures to be completed in a single, relaxed session without any recollection of the pain or discomfort that they had feared.

Choosing the Right Sedation Option for You

Deciding on the right type of sedation is a crucial step in managing dental anxiety, and it is a decision best made with the guidance of your periodontist at Pinnacle Center Dental Implants and Periodontics. Here’s how you can approach this important decision:

Discuss with Your Periodontist: It is vital to have an open conversation with either Dr. Roll or Dr. Williams about your concerns, medical history, and any previous experiences with sedation. This dialogue will help us tailor a sedation plan that best fits your needs and ensures your utmost comfort and safety.

Consider Your Medical History: Certain medical conditions may influence the type of sedation that is safest for you. It’s important to provide a complete medical history, including any medications you are currently taking.

Evaluate Your Level of Anxiety and Procedure Complexity: The type and complexity of treatment you require can also dictate the best sedation method. For simple procedures, inhalation sedation might be sufficient, whereas more complex or multiple procedures might benefit from IV sedation or general anesthesia.

We encourage all our patients to ask questions and express any concerns they might have. Understanding your sedation options fully can greatly reduce any apprehensions and make your visit a positive experience.

Embracing Comfort and Confidence with Sedation Dentistry

At Pinnacle Center Dental Implants and Periodontics, we are committed to making your experience as comfortable and stress-free as possible. Sedation dentistry is a safe and effective way to reduce dental anxiety and help you receive the care you need without fear or discomfort.

We hope this overview has helped you understand the role of sedation in making treatment more comfortable and how it can be tailored to meet your individual needs. If you’re considering sedation dentistry or have any questions about the options available, we invite you to contact our office to learn more. Our team is here to ensure that your care is not only effective but also a positive and comfortable experience. Let us help you take the next step towards a healthier, happier smile.

Treating Loose Teeth: Strategies for Restoring Dental Stability

At Pinnacle Center Dental Implants and Periodontics, we understand the importance of dental stability in maintaining a healthy and confident smile. Dental stability isn’t merely a cosmetic concern. It plays a crucial role in chewing food efficiently, preserving jawbone health, and supporting overall facial structure.

Loose teeth, a condition where one or more of your teeth feel wobbly or unstable in your mouth, can pose significant challenges to dental stability. While loose teeth are common in children as their primary teeth give way to permanent ones, they’re usually not a good sign in adults.

Today, we hope to enhance your understanding of loose teeth, their causes, and how we can work together to restore dental stability. We hope this information guides you in maintaining optimal oral health.

Causes of Loose Teeth

There are several reasons why adults may experience loose teeth. Let’s delve into some of the primary culprits.

Periodontal Disease and Gum Recession

Periodontal disease, commonly known as gum disease, is one of the leading causes of loose teeth. This condition develops when bacterial plaque builds up on teeth and gums, leading to inflammation and eventual gum recession. As the gums recede, the structures holding the teeth in place weaken, leading to tooth instability.

Trauma or Injury to the Mouth

Trauma or injury to the mouth can directly impact your dental stability. Whether it’s a sports injury, a fall, or a car accident, any blow to the mouth can loosen or displace teeth. The damage may be immediately noticeable or may surface over time with progressive loosening of the teeth.

Bruxism (Teeth Grinding)

Another common culprit is bruxism or teeth grinding, often associated with stress or sleep disorders. The constant pressure and grinding can wear down the tooth enamel and lead to loose teeth over time.

Poor Oral Hygiene Habits

Poor oral hygiene habits pave the way for a host of dental problems, including loose teeth. Inadequate brushing, not flossing regularly, or skipping dental check-ups can allow plaque to build up, leading to gum disease and subsequently loose teeth.

Genetic Factors and Hormonal Changes

Some people may be genetically predisposed to gum disease, which, as we know, can lead to loose teeth. Additionally, hormonal changes in the body, especially during pregnancy or menopause, can make gums more susceptible to disease and affect dental stability.

Recognizing the Signs of Dental Instability

Recognizing the signs of dental instability can significantly impact your oral health. It allows early intervention and prevents possible complications. Here are some key indicators:

Tooth Mobility and Shifting

An evident sign of dental instability is tooth mobility. You may notice a tooth becoming loose and wobbly, or even shifting position, leading to changes in how your teeth align or gaps appearing between teeth.

Gum Inflammation and Bleeding

Inflamed, swollen gums that bleed easily, especially when brushing or flossing, often indicate gum disease, which can cause loose teeth. Sometimes, you might also notice gum recession or “longer” looking teeth.

Pain or Discomfort While Chewing

Experiencing discomfort or pain when chewing or biting down can be a symptom of dental instability. As the tooth loosens, it may shift under pressure, causing discomfort.

Sensitivity to Hot and Cold Temperatures

Loose teeth can also lead to increased sensitivity. You may feel a sharp, sudden pain when consuming hot or cold food and beverages due to the exposure of the tooth’s root.

Bad Breath and Persistent Bad Taste

Persistent bad breath or a constant bad taste in your mouth, despite regular brushing and flossing, could also be indicative of gum disease leading to loose teeth.

Strategies for Treating Loose Teeth

The good news is that at Pinnacle Center Dental Implants and Periodontics, we can effectively treat loose teeth using several strategies:

Professional Dental Cleaning and Scaling

Regular professional cleaning is crucial to remove plaque and tartar, particularly in areas that are difficult to reach with regular home care.

Scaling and Root Planing (Deep Cleaning)

In the case of advanced gum disease, a deep cleaning procedure, including scaling and root planing, can be performed. This procedure helps remove bacteria and smoothen the root surfaces, encouraging the gums to reattach to the teeth.

Dental Splints and Mouthguards

For patients with bruxism, dental splints or mouthguards may be recommended to protect the teeth from the damaging effects of grinding.

Bite Adjustment and Occlusal Equilibration

In some instances, adjusting the way your teeth come together when you bite and chew – a process known as occlusal equilibration – can alleviate undue pressure on certain teeth, reducing the risk of looseness.

Gum Grafting and Tissue Regeneration

Finally, in severe cases, procedures like gum grafting or guided tissue regeneration may be necessary to restore the supportive structures around the teeth.

Preventive Measures for Maintaining Dental Stability

Prevention is undoubtedly better than cure. Here are some preventive measures you can incorporate into your lifestyle to maintain dental stability:

Proper Oral Hygiene Routine

Keeping your teeth and gums clean is paramount. Brush at least twice a day, floss daily, and use an antimicrobial mouthwash to minimize bacteria in your mouth.

Regular Dental Check-ups and Cleanings

Regular dental check-ups and professional cleanings are vital. They allow early detection and treatment of potential dental problems. We recommend a visit to Pinnacle Center Dental Implants and Periodontics at least twice a year.

Avoiding Tobacco and Excessive Alcohol Consumption

Both tobacco and excessive alcohol can damage your oral health. They contribute to gum disease and other oral health issues that can lead to loose teeth. Limiting or quitting these habits is beneficial.

Managing Stress and Avoiding Teeth Grinding

Managing stress can significantly reduce the likelihood of teeth grinding, which can lead to loose teeth. If you struggle with bruxism, speak with our team about possible solutions.

Eating a Balanced Diet for Optimal Oral Health

Your diet greatly affects your oral health. Consuming a balanced diet rich in vitamins, minerals, and low in sugar can help maintain strong teeth and gums, contributing to dental stability.

Schedule an Appointment

To recap, dental stability is a vital aspect of oral health, and loose teeth can pose challenges to this stability. Factors such as periodontal disease, trauma, bruxism, poor oral hygiene, and genetic and hormonal changes can contribute to dental instability. Early detection through signs like tooth mobility, gum inflammation, discomfort while chewing, sensitivity, and persistent bad breath is essential.

At Pinnacle Center Dental Implants and Periodontics, our team offers effective treatment strategies for loose teeth, ranging from professional cleanings and scaling to more advanced procedures such as gum grafting and tissue regeneration. Preventive measures, such as maintaining an effective oral hygiene routine, regular dental check-ups, avoiding harmful habits, managing stress, and maintaining a balanced diet, are crucial in preserving dental stability.

We encourage you to seek professional dental care when you notice signs of loose teeth or any other dental concerns. Dental stability is not just about maintaining a beautiful smile; it’s about ensuring the health of your mouth and the quality of your life.

Don’t hesitate to reach out and schedule an appointment with our dedicated team, including Dr. Roll and Dr. Williams. We’re here to help you on your journey to optimal oral health.

Bad Breath and Dry Mouth: Causes and Treatment Options

Bad breath and dry mouth are two common oral health issues that many people experience. Both conditions can be uncomfortable, embarrassing, and may impact one’s overall quality of life. Furthermore, they can potentially signal underlying dental or health problems that need to be addressed. Today, we will explore the causes of bad breath and dry mouth, as well as provide helpful tips for managing and preventing these issues. We hope that we can help you maintain optimal oral health and enjoy a more confident smile.

Causes

Bad breath, also known as halitosis, is an unpleasant odor that emanates from the mouth. Dry mouth, or xerostomia, is the condition in which there is an insufficient amount of saliva production, leading to a dry, sticky sensation in the mouth. Understanding the causes behind these issues can help you take the necessary steps to alleviate and prevent them. Some common factors that contribute to bad breath and dry mouth include:

  • Poor oral hygiene: Inadequate brushing and flossing can lead to the buildup of plaque and bacteria in the mouth, resulting in bad breath. Additionally, food particles left behind after eating can also contribute to this issue. A lack of saliva, which helps to clean the mouth and neutralize acids, can exacerbate the problem.
  • Oral infections: Gum disease, tooth decay, and abscesses can all cause bad breath due to the presence of bacteria and infection. A dry mouth may also increase the risk of these conditions, as saliva plays a crucial role in preventing the growth of harmful bacteria.
  • Dehydration: Insufficient water intake can lead to both bad breath and dry mouth. Water helps to flush out food particles and bacteria from the mouth, and a lack of hydration can disrupt the normal production of saliva.
  • Medications: Certain medications can cause dry mouth as a side effect, which may indirectly contribute to bad breath. It is essential to discuss any medications you are taking with your periodontist, as they may be able to recommend alternative treatments or strategies to help alleviate these side effects.
  • Lifestyle choices: Smoking, alcohol consumption, and a diet high in sugary or acidic foods can all contribute to bad breath and dry mouth. These lifestyle choices can also negatively impact your overall oral health, leading to a higher risk of developing dental issues such as tooth decay and gum disease.

Treatment Options

There are various treatment options available for addressing bad breath and dry mouth. By understanding the root causes behind these issues, we can tailor a personalized treatment plan to effectively manage and alleviate your symptoms. Some treatment options include:

  • Improving oral hygiene: Ensuring that you practice good oral hygiene is essential for combating bad breath and dry mouth. This includes brushing your teeth at least twice a day, flossing daily, and using a fluoride-containing toothpaste. Regular dental cleanings and checkups can also help keep your mouth clean and healthy.
  • Addressing underlying dental issues: If your bad breath or dry mouth is caused by an oral infection, tooth decay, or gum disease, it is crucial to seek treatment from a dental professional. At Pinnacle Center Dental Implants and Periodontics, our team is experienced in diagnosing and treating a wide range of dental issues, ensuring that you receive the appropriate care to restore your oral health.
  • Using specialized products: There are many over-the-counter products available that can help alleviate the symptoms of bad breath and dry mouth. These include mouthwashes specifically designed to target odor-causing bacteria, as well as saliva substitutes and oral moisturizers to help combat dry mouth. It is essential to consult with us before using these products to ensure they are appropriate for your specific needs.

Prevention Tips

Preventing bad breath and dry mouth involves maintaining good oral hygiene and making conscious lifestyle choices that promote optimal oral health. Some helpful tips for preventing these issues include:

  • Staying hydrated: Drinking water regularly throughout the day can help keep your mouth moist and flush out food particles and bacteria that can contribute to bad breath and dry mouth.
  • Using a tongue scraper: Cleaning your tongue with a tongue scraper can help remove bacteria and food debris that can cause bad breath. Incorporating this into your daily oral hygiene routine can help keep your breath fresh and clean.
  • Chewing sugar-free gum: Chewing sugar-free gum can help stimulate saliva production, which can help alleviate dry mouth symptoms and freshen your breath. Opt for gum containing xylitol, as it has been shown to help prevent tooth decay.
  • Avoiding tobacco and alcohol: Both smoking and excessive alcohol consumption can contribute to bad breath and dry mouth. Reducing or eliminating these habits can significantly improve your oral health and help prevent these issues.
  • Adopting a healthy diet: Consuming a balanced diet rich in fruits, vegetables, whole grains, and lean proteins can help support good oral health and reduce the risk of developing bad breath and dry mouth.

Conclusion

In conclusion, bad breath and dry mouth are common oral health issues that can be caused by various factors, including poor oral hygiene, oral infections, dehydration, medications, and lifestyle choices. Fortunately, there are numerous treatment options available to help manage and alleviate these conditions, such as improving oral hygiene, addressing underlying dental issues, and using specialized products. Additionally, adopting preventive measures like staying hydrated, using a tongue scraper, chewing sugar-free gum, avoiding tobacco and alcohol, and maintaining a healthy diet can significantly improve your oral health and reduce the risk of developing bad breath and dry mouth.

Seeking professional care is crucial in addressing and preventing these issues. At Pinnacle Center Dental Implants and Periodontics, our experienced team, including Dr. Roll and Dr. Williams, is dedicated to providing personalized, comprehensive care to help you achieve and maintain optimal oral health. We invite you to make an appointment with us to discuss your concerns and develop a tailored treatment plan that addresses your unique needs.

Don’t let bad breath and dry mouth impact your confidence and quality of life. Contact us today to schedule a consultation and start your journey towards a healthier, more radiant smile.

Laser Gum Treatment: A Less Invasive Option for Gum Disease

Gum disease is a common dental problem that affects millions of people worldwide. It is caused by the buildup of plaque and bacteria on the teeth and gums, which can lead to inflammation, bleeding, and eventually tooth loss. Traditional treatments for gum disease include scaling and root planing, which can be invasive and uncomfortable for patients. However, there is a less invasive option available: laser gum treatment.

At Pinnacle Center Dental Implants and Periodontics, we offer laser gum treatment as a safe and effective alternative to traditional gum disease treatments. This innovative procedure uses a special laser to remove bacteria and infected tissue from the gums, without the need for incisions or sutures. Laser gum treatment is a great option for patients who want to avoid the discomfort and downtime associated with traditional gum disease treatments.

In the next section, we will discuss the benefits of laser gum treatment and how it compares to traditional treatments. If you are experiencing symptoms of gum disease, such as bleeding gums or bad breath, we encourage you to schedule a consultation to learn more about laser gum treatment and determine if it is right for you.

Benefits of Laser Gum Treatment

Gum disease is a common dental problem that affects millions of people worldwide. Traditional gum disease treatments involve invasive procedures such as scaling and root planing, which can be painful and require a longer recovery time. However, laser gum treatment is a less invasive option that offers several benefits.

Laser gum treatment works by using a specialized laser to remove infected gum tissue and bacteria from the gums. The laser also stimulates the growth of healthy tissue, which helps to promote faster healing. Compared to traditional gum disease treatments, laser gum treatment is less painful and requires less downtime.

One of the main benefits of laser gum treatment is that it reduces the risk of infection. Traditional gum disease treatments can leave the gums vulnerable to infection, which can lead to further complications. However, laser gum treatment is a sterile procedure that minimizes the risk of infection.

Another benefit of laser gum treatment is that it promotes faster healing. Traditional gum disease treatments can take several weeks to heal, while laser gum treatment typically only takes a few days. This means that patients can return to their normal activities sooner and experience less discomfort during the healing process.

Who is a Good Candidate for Laser Gum Treatment?

Gum disease is a common dental problem that affects millions of people worldwide. It is caused by the buildup of plaque and bacteria on the teeth and gums, which can lead to inflammation, bleeding, and eventually tooth loss. While traditional gum disease treatments such as scaling and root planing can be effective, they can also be invasive and uncomfortable for patients. This is where laser gum treatment comes in as a less invasive option.

Laser gum treatment is suitable for patients with mild to moderate gum disease. It is particularly effective for patients who have pockets of bacteria and plaque that are difficult to reach with traditional cleaning methods. Patients who have bleeding gums, bad breath, or loose teeth may also benefit from laser gum treatment.

Factors that may make a patient a good candidate for laser gum treatment include their age, overall health, and the severity of their gum disease. Patients who are in good overall health and have good oral hygiene habits are more likely to have successful outcomes with laser gum treatment. Additionally, patients who have early-stage gum disease may be better candidates for laser gum treatment than those with advanced gum disease.

If you are interested in laser gum treatment, it is important to consult with a periodontist who has experience with this procedure. At Pinnacle Center Dental Implants and Periodontics, our team of dental professionals is dedicated to providing personalized care to each of our patients. We will work with you to determine if laser gum treatment is the right option for your individual needs and help you achieve optimal oral health.

What to Expect During and After Laser Gum Treatment

Laser gum treatment is a minimally invasive procedure that can effectively treat gum disease. During the procedure, a periodontist will use a laser to remove infected tissue and bacteria from the gums. The laser also stimulates the growth of healthy tissue, promoting faster healing and reducing the risk of infection.

Before the procedure, your periodontist will numb the area with a local anesthetic to ensure your comfort. During the procedure, you may feel some slight discomfort or a sensation of heat, but most patients report minimal pain. The procedure typically takes less than an hour, and you can return to your normal activities immediately afterward.

After the procedure, you may experience some mild discomfort or sensitivity in the treated area. We may recommend over-the-counter pain relievers or prescribe medication to manage any discomfort. You should also avoid eating hard or crunchy foods and stick to a soft diet for a few days.

It’s important to follow our post-treatment instructions carefully to ensure proper healing. You may need to schedule a follow-up appointment to monitor your progress and ensure that your gums are healing properly.

Choosing a Periodontist for Laser Gum Treatment

Choosing the right periodontist for laser gum treatment is crucial to ensure the best possible outcome. Here are some tips to help you find a qualified periodontist who offers laser gum treatment:

1. Look for experience: Choose a periodontist who has experience with laser gum treatment. Ask how many procedures they have performed and what their success rate is.

2. Check credentials: Make sure the periodontist is licensed and certified to perform laser gum treatment. Look for additional training or certifications in laser dentistry.

3. Personalized care: Choose a periodontist who provides personalized care and takes the time to understand your unique needs and concerns. They should be able to answer all your questions and explain the procedure in detail.

4. Technology: Look for a periodontist who uses the latest technology and equipment for laser gum treatment. This can ensure a more precise and effective treatment.

5. Reviews: Check online reviews and testimonials from previous patients to get an idea of their experience with the periodontist and the procedure.

At Pinnacle Center Dental Implants and Periodontics, our team of experienced periodontists, including Dr. Roll and Dr. Williams, are dedicated to providing personalized care and using the latest technology for laser gum treatment. We have a proven track record of successful procedures and satisfied patients. Contact us today to schedule a consultation and learn more about how laser gum treatment can benefit you.

Scaling and Root Planing: A Comprehensive Guide

When plaque builds up on teeth, it can harden into tartar and cause several complications for your oral health, even advancing to periodontal disease as it worsens. At Pinnacle Center Dental Implants and Periodontics, we recommend a scaling and root planing procedure for many cases of chronic periodontal disease, allowing our professional team to restore your smile in all its glory. This procedure is an effective way to manage periodontal disease by providing a deep cleaning to your teeth and gums, preventing the disease from worsening. If you have chronic periodontal disease, it’s our team’s goal to help you regain a healthy mouth, retain your teeth and boost your confidence.

What are Scaling and Root Planing?

The process of removing tartar from the teeth is called scaling and root planing. This is the initial treatment offered for gum disease, designed to clean and smooth the root surface so the gums can heal. This prevents them from receding further and protects your mouth from infection.

Scaling is used to remove plaque and tartar from the teeth. Once this is complete, root planing smooths out the root, creating a healthy and clean root surface that the gums can reattach to. However, because we cannot see all of the plaque and tartar deposits underneath the gum line, this process may not remove all of the buildup and other treatments may be required to remove the remaining deposits. In some cases, surgery may be needed to complete the process and leave the gums healthy.

Why Patients May Need Scaling and Root Planing

The tooth scaling and root planing procedure is often recommended for patients with signs of periodontal disease because it can stop the effects and prevent progression. Chronic periodontal disease is a condition in which plaque builds up and forces the gums to detach from the teeth. When left untreated, periodontal disease can lead to loose teeth, tooth loss or bone and tissue loss.

Chronic periodontal disease causes more than just deep pockets between the gums and teeth. It can also present with symptoms such as red and inflamed gums, bleeding gums, bad breath, changes to the bite or shifting permanent teeth.

If you’ve noticed these symptoms or if you have concerns about chronic periodontal disease, the best thing you can do is schedule an appointment with a periodontist as soon as possible for an examination.

Benefits of Scaling and Root Planing

Scaling and root planing is used as the primary treatment for chronic periodontal disease. It can reduce the pocket gaps between gums and teeth by an average of 0.5 millimeters, thus reducing the risk of loss of bone, tooth and tissue that typically occurs with untreated chronic periodontal disease.

The Scaling and Root Planing Process

Prior to treatment, a diagnosis of chronic periodontal disease is made during a dental check-up or with x-rays to identify bone loss. If necessary, a future appointment will be scheduled for the procedure.

At the appointment, your gums and below the gum line will be cleaned to remove as much tartar as possible, all the way down to the roots. This is typically an outpatient procedure, meaning you will be awake during it, but your provider will numb your mouth using local anesthetic.

When the mouth is numb, your periodontist will use an ultrasonic scaler, a tool that vibrates a metal tip to chip away at tartar from your teeth above the gum line. Using a water spray, the chips of tartar will be washed away and plaque will be flushed from the gum pockets. Any pieces of tartar that were not removed with the ultrasonic scaler will be manually removed with a manual dental scaler and scraping device to leave your teeth free of tartar above the gumline.

Once the scaling is complete, a similar process is completed below the gum line to remove any tartar or plaque from the surface of your roots. A tool is used to expose the roots by pushing aside gum tissue and the same tools are used to smooth out the roots. Your periodontist may also choose to inject antibiotic medication into any developed gum pockets.

Depending on the severity, this may occur over the course of two or three appointments before your mouth has the chance to heal. Once the procedure is completed, you will need to be seen again 4 to 6 weeks later for an examination to determine if it was successful. If all sites are healthy, then you will move into the periodontal maintenance phase, in which you will prevent the buildup of plaque to keep your gums healthy and prevent the progression of periodontal disease. If there are still unhealthy sites, you may need further treatment, which may include osseous surgery in some cases.

Risks of Scaling and Root Planing

Scaling and root planing is a safe treatment option with minimal risks. There is a small risk of infection following the procedure and you may be prescribed an antibiotic or mouthwash to use while your gums heal to prevent it.

It is normal to experience pain, sensitivity and tenderness in the gums while your mouth heals, but these side effects should clear up quickly and many patients find that their mouths feel better as the discomfort subsides.

If you experience worsening pain, a fever or if the area is not healing as expected, it’s important to contact your periodontist immediately to be evaluated for potential infection. Mouth infections should be treated promptly to minimize health effects.

Caring for Your Mouth After Scaling and Root Planing

After scaling and root planing, you will likely notice swelling and tenderness in your gums or tooth sensitivity. Your periodontist will provide you with instructions for your recovery, which often includes using antimicrobial mouthwash, taking over-the-counter pain relievers and eating softer foods.

You may eat after your procedure once the anesthetic has worn off, usually within 1 to 3 hours so you don’t bite or burn your tongue. It’s also generally recommended to use saltwater rinses every few hours to treat tenderness or sensitivity in the gums after the procedure.

Because there is no cure for gum disease since plaque will constantly continue to form, the best way to protect your teeth once they heal is to keep up with daily oral hygiene. Brushing, flossing, using mouthwash and attending regular dental checkups is a crucial part of caring for your mouth after the procedure to prevent the buildup of tartar again and to hopefully minimize the risk of needing to have the procedure completed again in the future.

Contact us to schedule an appointment today!

Crown Lengthening: A Solution for Short Teeth

If you have too much pink in your smile, you probably have an excessive gingival display, otherwise known as a “gummy” smile. Around 10% of the population has this aesthetically unappealing dental condition, affecting women slightly more than men. Fortunately, dental procedures like crown lengthening reduce unsightly gum lines for an upgraded smile you’ll love to show off.

Lengthening your front teeth isn’t the only reason for seeking crown lengthening. Cracked and chipped front teeth benefit from this procedure because it saves existing teeth from further damage and decay. Although crown lengthening is a surgical procedure, it usually takes an hour or less.

Crown Lengthening Defined

In dental procedures, crown lengthening provides aesthetic appeal and motivation for oral hygiene. Like all other crowns, the underlying teeth must be strong enough to support the crowns. Consequently, a face crown for a front tooth must perform differently from a crown placed on a molar.

If you care enough to worry about what your smile looks like in the mirror, you’ll also want to do things that improve your smile. Oral hygiene motivation comes from keeping your front teeth clean and healthy so that the face crown doesn’t fail. Crown lengthening is a specialized cap designed to expose more teeth and decrease how much gum shows when you smile.

What You Should Know Before Crown Lengthening

Crown lengthening requires special skills to re-contour gum lines and even shave bone if necessary. That said, you should know the cause of your excessive gingival display so that we know how to proceed with the right treatment. Common causes include:

  • Altered passive eruption – Caused by abnormal teeth growth, this condition is often genetic. It happens when the gum grows too far over the teeth causing “short teeth.”
  • Excessive grinding and teeth clenching – Sometimes, front teeth can wear down because of bruxism.
  • Irritated gums and braces – If you notice too much gum after getting your braces off, you probably had short teeth before getting orthodontic work done. Patients get braces to improve their smiles, so crown lengthening after the braces come off is a common next step if there is too much gum line.
  • Skeleton problems – In less common cases, gummy smiles are caused by skeletal issues, with treatments beyond a periodontist’s or oral surgeon’s expertise. This should be determined before undergoing crown lengthening. A separate surgical procedure can be completed, but it’s outside the scope of a dental professional.

As you prepare for crown lengthening for your gummy smile, your dental history outlines anything that applies to the current procedure.

Other Conditions that Require Crown Lengthening

This is a surgical procedure that might catch some people by surprise if their dentist recommends it. Notably, patients don’t associate crown lengthening with healthy living. This procedure helps anyone with front teeth that don’t work as they should. For example, front teeth can crack and chip, weakening your teeth and forcing you to eat differently, putting unnecessary wear on other teeth.

When you fix your front teeth, you reduce the risk of decay and potential tooth loss. Waiting too long increases the risks of later complications, which is why your dentist might recommend crown lengthening for your front teeth. They see a bigger picture of oral hygiene to overall health. Crown lengthening usually takes about an hour and can be done as an outpatient with little risk.

Crown Lengthening Initial Consultation

At the first visit, patients should discuss with us all the steps for completing the procedure. Always ask questions, so you aren’t surprised during and after the procedure. Tell us about specific medications you already take just in case of conflict. When you are ready, we will tell you about your options, including crown lengthening. The more information you offer about your dental and medical histories, the happier you’ll be with the end results.

Crown Lengthening has an aesthetic purpose, making the look of the crown essential to patient satisfaction and something that should not be rushed. The patient should be able to approve the color shade the crown puts into their mouths. The shade must match the existing teeth perfectly or risk an abnormally looking smile.

What to Expect During the Procedure

You’ll receive a local shot to numb the pain. Sometimes we will provide a mild sedative for more comfort. For many, the first shot of novocaine hurts the most. We make an incision and fold back the gums to expose the roots and bone. In many cases, this is all that’s needed to fix a gummy smile. In other cases, there isn’t enough tooth for lengthening, which is why a crown is very useful.

The doctor prepares the tooth for the crown, adjusting the gum tissue to reveal a larger portion of the crowned tooth. Sometimes, you may need to give the bone and roots time to heal before attaching the final crown. For example, it isn’t uncommon to receive stitches inside your mouth at the gum line. In these cases, you’ll need to keep the sutures clean. In these cases, the doctor attaches a temporary crown until your next appointment, when you finally see your brand-new smile.

Post Care

After the crown lengthening procedure, taking care of yourself is crucial for post-care. Get used to a regular routine of mouth washing and cleansing. While healing can take up to three months, you can resume normal activities after three days. If you need stitches in your gums, you’ll need to be extra careful about infection and don’t do any strenuous activity for three days. Your teeth might be sensitive to cold and hot temperatures, but this should ease with time.

Long Term Care

Dental crowns aren’t permanent and have an average lifespan of around fifteen years. However, you’ll likely get more years out of your crowns with careful oral hygiene. Thankfully, most insurances pay for replacement if they fail after five years.

Contact us to schedule an appointment for crown lengthening today!