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Katherine Ni, DMD, MS, PC
Periodontics and Dental Implants
Call: 717-299-5544

When to See a Periodontist

Dr. Green is a periodontist specializing in the prevention, diagnosis and treatment of infections and diseases in the soft tissues surrounding the teeth, and the jawbone to which the teeth are anchored.  Periodontists have to train an additional three years beyond the four years of regular dental school, and are familiar with the most advanced techniques necessary to treat periodontal disease and place dental implants.  Periodontists also perform a vast range of cosmetic procedures to enhance the smile to its fullest extent.

Periodontal disease begins when the toxins found in plaque start to attack the soft or gingival tissue surrounding the teeth.  This bacterium embeds itself in the gum and rapidly breeds, causing a bacterial infection.  As the infection progresses, it starts to burrow deeper into the tissue causing inflammation or irritation between the teeth and gums.  The response of the body is to destroy the infected tissue, which is why the gums appear to recede.  The resulting pockets between the teeth deepen and if no treatment is sought, the tissue which makes up the jawbone also recedes causing unstable teeth and tooth loss.

Referrals from General Dentists and Self Referral

There are several ways treatment from a periodontist may be sought.   In the course of a regular dental check up, if the general dentist or hygienist finds symptoms of gingivitis or rapidly progressing periodontal disease, a consultation with a periodontist may be recommended.  However, a referral is not necessary for a periodontal consultation.

If you experience any of these signs and symptoms, it is important that you schedule an appointment with Dr. Green without delay:

  • Bleeding while eating or brushing – Unexplained bleeding while consuming food or during the course of daily cleaning is one of the most common signs of periodontal infection.

  • Bad breath – Continued halitosis (bad breath) which persists even when a rigorous oral hygiene program is in place, can be indicative of periodontitis, gingivitis or the beginnings of an infection in the gum tissues.

  • Loose teeth and gum recession – Longer looking teeth can signal recession of the gums and bone loss due to periodontal disease.  As this disease progresses and attacks the jawbone, (the anchor holding the teeth in place) the teeth may become loose or be lost alltogher.

  • Related health conditions – Heart disease, diabetes, osteopenia and osteoporosis are highly correlated with periodontitis and periodontal infections.  The bacteria infection can spread through the blood stream and affect other parts of the body.

Diagnosis and Treatment

Before initiating any dental treatment, Dr. Green must extensively examine the gums, jawbone and general condition of the teeth.  When gingivitis or periodontal disease is officially diagnosed, Dr. Green has a number of surgical and non surgical options available to treat the underlying infection, halt the recession of the soft tissue, and restructure or replace teeth which may be missing.

  • Gingivitis/mild periodontal disease – When the gum pockets exceed 4mm in depth, Dr. Green or one of our hygienists may perform scaling and root planing to remove debris from the pockets and allow them to heal.  Education and advice will be provided on an effective cleaning regime thereafter.

  • Moderate periodontal disease – If the gum pockets reach 4-6mm in length a more extensive scaling and root planning cleaning might be required.  This cleaning is usually performed under local anesthetic.

  • Advanced periodontal disease – Gum pockets in excess of 6-7mm are usually accompanied by bone loss and gum recession.  Scaling and root planning will most likely be performed as the initial nonsurgical treatment.  In addition to to non surgical treatments, Dr. Green may recommend surgical treatment to reduce pocket depth and improve your periodontal health.

  • Tooth loss – Where one or several teeth are missing due to periodontal disease, dental implants are an effective option.  If the bone is strong enough to provide a suitable anchor for the prosthetic tooth, the implant can be placed.  However, if the bone is severely eroded, bone grafts may be performed by Dr. Green to provide a suitable anchor for the new tooth/teeth.

Ask Dr. Green if you have questions about periodontal disease, periodontal treatment or dental implants.

Testimonials

I'd like to take just a couple moments of your time to share my thoughts regarding my positive experiences with Dr. Green.

I first came to his practice prior to getting a dental implant. My implant preparations required a bone graft and other gum work. Needless to say, I was nervous and a bit apprehensive. From the very beginning, Dr. Green and his extraordinary staff put me at ease and took the time to answer all the questions I kept coming up with. I was impressed with how everything was handled; from the beginning post-op. I never felt rushed or that I wasn't important. Dr. Green clearly explained what was going to happen, the timeframes and yes, even my responsibilities. In my opinion, his dental skills are first rate. I was very pleased with the results of his work.

It goes without saying that when I needed some additional periodontal work on other teeth, I didn't hesitate to see Dr. Green. I knew he would take care of me in the same caring and professional manner as before and I was right. He and his capable staff took care of me and my problems. I would highly recommend Dr. Green. If you need periodontal work, please don't hesitate to make an appointment.

Rich E.

When my dentist told me that he recommended I have a gum graft and was referring me to Dr. Green, I felt a bit anxious as it sounded like a painful procedure. After meeting with Dr. Green and his professional staff I felt a lot more comfortable with the idea. The area had deep recession, but Dr. Green was confident that he could successfully repair it. I had the procedure done with very little discomfort. Dr. Green and his assistant made sure I was comfortable the entire time. I also appreciated the personal follow up call that evening to make sure everything was fine. The graft turned out great. I have since had another graft done on the other side of my mouth with the same results. I would definitely recommend Dr. Green and his staff for periodontal procedures.

Thomas K.

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