Periodontal Services

Your gums are the foundation of your oral health, playing a crucial role in keeping your teeth strong and stable. When periodontal health is compromised, it can lead to severe complications, including tooth loss and systemic health concerns. At Salem Periodontal and Implant Specialists, we provide advanced periodontal services to diagnose, treat, and prevent gum disease.

Our specialized periodontal care includes both surgical and non-surgical treatments, focusing on restoring gum health, preserving natural teeth, and improving overall oral function. Whether you are experiencing gum disease symptoms, require preventive periodontal care, or need advanced procedures such as gum grafting or dental implants, our expert team is here to help.

What is Periodontal Disease in Salem, OR?

Periodontal disease, commonly known as gum disease, is a progressive inflammatory condition affecting the gums and supporting structures of the teeth. It is caused by bacterial plaque—a sticky film that accumulates on teeth. If left untreated, periodontal disease can lead to gum recession, bone loss, and eventual tooth loss.

Causes of Periodontal Disease:

• Plaque and tartar buildup
• Poor oral hygiene
• Smoking and tobacco use
• Genetic predisposition
• Certain medical conditions, such as diabetes
• Hormonal changes
• Medications that reduce saliva flow
• Stress and a weakened immune system

Signs of Periodontal Disease

Recognizing the symptoms of periodontal disease early can help prevent its progression. Some common signs include:

• Red, swollen, or tender gums
• Persistent bad breath (halitosis)
• Bleeding gums, especially when brushing or flossing
• Receding gum line, making teeth appear longer
• Loose or shifting teeth
• Formation of deep pockets between the teeth and gums
• Painful chewing or sensitivity

If you experience any of these symptoms, it is crucial to seek professional evaluation and treatment.

When to See a Periodontist?

While general dentists handle basic gum care, a periodontist specializes in advanced gum disease management. You should schedule an appointment with a periodontist if you:

• Have been diagnosed with moderate to severe periodontal disease
• Notice persistent gum recession
• Experience gum infections that do not improve with basic oral hygiene
• Have difficulty wearing dentures due to gum issues
• Require dental implants for tooth replacement
• Have medical conditions like diabetes that increase the risk of gum disease

Early intervention by a periodontist can help prevent further damage and preserve your oral health.

• Non-surgical treatments (such as deep teeth cleaning) fail to control the infection
• Gum pockets become too deep to clean with regular brushing and flossing
• There is significant gum recession or bone loss
• You need preparation for dental implants or other restorative procedures

What is Included in a Periodontal Disease Evaluation?

A Periodontal Disease Evaluation is a comprehensive assessment performed by a periodontist to diagnose the presence and severity of gum disease. This evaluation helps determine the appropriate treatment plan to restore and maintain gum health. The process includes several key components:

Review of Medical and Dental History

• Identifies risk factors such as smoking, diabetes, heart disease, osteoporosis, or a family history of gum disease.
• Review any medications that may affect gum health, such as blood thinners or drugs causing dry mouth.
• Discusses symptoms the patient may be experiencing, such as bleeding gums, bad breath, or loose teeth.

Gum Examination

• Check for signs of redness, swelling, and bleeding in the gums.
• Assesses gum recession, where the gums pull away from the teeth, exposing tooth roots.
• Evaluates the overall health and attachment of the gums to the teeth.

Periodontal Pocket Depth Measurement

• A periodontal probe is gently inserted between the teeth and gums to measure pocket depth.
• Healthy gums: 1-3 mm pockets.
• Mild to moderate periodontitis: 4-6 mm pockets.
• Severe periodontitis: 7 mm or deeper pockets.

X-rays & Digital Imaging

• Detects bone loss around the teeth, which is a key indicator of periodontitis.
• Identifies deep periodontal pockets that may not be visible during a physical exam.
• Evaluates the positioning of teeth and potential areas of infection or damage.

Bacterial and Plaque Analysis

• Identifies harmful bacteria contributing to gum inflammation and infection.
• Helps determine the need for antibiotic therapy or specialized treatments.

Assessment of Bite & Tooth Mobility

• Examines how teeth come together when biting or chewing.
• Check for loose teeth, which may indicate bone loss or advanced periodontal disease.
• Evaluates signs of teeth grinding (bruxism), which can worsen gum recession and bone loss.

Personalized Treatment Plan

• Based on the findings, a customized periodontal treatment plan is developed.
• It may include deep cleaning (scaling and root planing), gum surgery, or bone grafting, depending on disease severity.
• Recommendations for at-home care routines and follow-up visits to manage gum health.

Can Periodontal Disease Be Treated?

Yes, periodontal disease can be managed and treated effectively. Treatment approaches depend on the severity of the disease:

• Mild Gingivitis: This can be reversed with professional cleanings and improved oral hygiene.
• Moderate Periodontitis: Requires scaling and root planing (deep cleaning) to remove plaque and tartar below the gumline.
• Severe Periodontitis: May need surgical intervention to restore gum and bone health.

Women and Periodontal Health During Different Stages

Hormonal fluctuations throughout a woman’s life can significantly impact oral health, particularly the health of the gums. Changes in estrogen and progesterone levels can make the gums more sensitive to plaque and bacteria, increasing the risk of periodontal disease. Understanding how each stage of life affects gum health allows for better prevention and treatment strategies.

Puberty and Periodontal Health

During puberty, the body experiences a surge in estrogen and progesterone, which can lead to increased blood flow to the gums. This heightened sensitivity can cause:

• Gum Swelling and Redness: The gums may appear puffy and more inflamed than usual.
• Increased Bleeding: Gums may bleed more easily, especially while brushing or flossing.
• Plaque Sensitivity: Even small amounts of plaque can trigger an exaggerated inflammatory response.

Menstruation and Gum Sensitivity

Some women experience menstruation gingivitis, which typically occurs a few days before their period and resolves once menstruation begins. Symptoms include:

• Swollen, red, or tender gums
• Increased gum bleeding
• Oral sores or ulcers, in some cases

Pregnancy and Periodontal Health

Pregnancy-related hormonal changes can increase the risk of pregnancy gingivitis, affecting up to 60–75% of pregnant women. Symptoms often appear in the second or third trimester and may include:

• Swollen, red, or tender gums
• Excessive bleeding when brushing or flossing
• Pregnancy tumors (pyogenic granulomas) – benign growths on the gums that can develop due to increased hormonal activity

Untreated periodontal disease during pregnancy has been linked to preterm birth, low birth weight, and preeclampsia. Bacteria from infected gums can enter the bloodstream and trigger an inflammatory response, potentially affecting the developing baby. Contact us to learn more.

Menopause and Postmenopausal Oral Health

Menopause results in a significant drop in estrogen levels, leading to various oral health issues, including:

• Gum Recession – Decreased collagen production can cause gums to shrink and expose tooth roots.
• Dry Mouth (Xerostomia) – Reduced saliva production increases the risk of cavities and gum disease.
• Bone Loss & Osteoporosis – Estrogen deficiency can lead to bone resorption, weakening the jawbone and increasing the risk of tooth loss.
• Burning Mouth Syndrome – A burning sensation in the mouth, often linked to hormonal changes.

The Importance of Regular Periodontal Care for Women

Throughout every stage of life, women’s gum health is closely tied to hormonal changes. By scheduling regular periodontal checkups at Salem Periodontal and Implant Specialists and maintaining a strong oral hygiene routine, women can prevent and manage gum disease effectively.

Periodontal Treatments: Surgical and Non-Surgical Options

Periodontal disease, if left untreated, can lead to gum recession, bone loss, and even tooth loss. Fortunately, there are both non-surgical and surgical treatment options available to restore gum health and prevent further damage. The appropriate treatment depends on the severity of the disease, the patient’s overall health, and the response to initial therapies.

Non-Surgical Periodontal Treatments in Salem, OR

Non-surgical periodontal treatments are typically the first line of defense against gum disease. These conservative approaches help control bacterial infection, reduce inflammation, and promote gum healing without invasive procedures.

Scaling and Root Planing (Deep Cleaning)

Scaling and root planing (SRP) is a deep-cleaning procedure that removes plaque, tartar (calculus), and bacteria from below the gumline.

• Scaling: Removes plaque and tartar from the tooth surface and beneath the gums.
• Root Planing: Smooths the root surfaces to discourage bacteria from reattaching and helps the gums reattach to the teeth.

Best for:

• Mild to moderate periodontitis
• It may require multiple sessions for effectiveness
• Local anesthesia may be used for patient comfort

Antibiotic Therapy

To enhance the effectiveness of deep cleaning, antibiotics may be prescribed to reduce bacterial infection.

• Topical antibiotics (Arestin, PerioChip): Inserted directly into deep pockets to fight bacteria.
• Oral antibiotics: Used for more severe or widespread infections.

Best for:

• Mild to moderate periodontal disease
• Reduces pocket depth and bacterial colonies

Laser Therapy (LANAP – Laser-Assisted New Attachment Procedure)

Laser treatment is a minimally invasive option that removes infected gum tissue and bacteria while promoting healthy tissue regeneration.

• Targets only diseased tissue, leaving healthy tissue intact
• Reduces bleeding and swelling compared to traditional surgery
• Less discomfort and faster healing than traditional methods

Best for:

• Moderate to severe periodontal disease
• Requires specialized laser technology available at select periodontal offices

Periodontal Maintenance Therapy

After initial treatment, periodontal maintenance visits are crucial to prevent disease progression.

• Professional cleanings every 3-4 months to control bacterial buildup
• Monitoring of gum pockets and bone levels
• At-home oral hygiene recommendations

Best for:

• Long-term disease management
• Helps prevent recurrence of periodontitis

Surgical Periodontal Treatments in Salem, OR

When gum disease is more advanced, surgical intervention may be necessary to restore gum and bone health. These procedures are designed to eliminate infection, reshape gum tissue, and regenerate lost bone support.

Pocket Reduction Surgery (Osseous Surgery)

Also called flap surgery, this procedure reduces deep periodontal pockets where bacteria accumulate.

• The gum tissue is lifted back to allow deep cleaning of the roots and bone.
• Damaged bone may be reshaped or smoothed to prevent bacterial reattachment.
• The gums are then sutured back into place for a snug fit.

Best for:

• Severe periodontitis with deep pockets
• Helps prevent tooth loss by reducing pocket depth

Gum Grafting (Soft Tissue Graft)

Gum recession due to periodontitis can lead to exposed tooth roots, increased sensitivity, and an unattractive smile. A gum graft restores lost tissue.

• Tissue is taken from the roof of the mouth (palate) or a donor source.
• The graft is placed over the receded area and sutured into place.
• Over time, the graft integrates with existing gum tissue, covering exposed roots.

Best for:

• Gum recession, sensitivity, and aesthetic concerns
• Strengthens and protects exposed tooth roots

Bone Grafting and Regenerative Procedures

Severe periodontitis can cause bone loss, weakening the foundation that supports the teeth. Bone grafting helps rebuild lost bone and encourages new bone growth.

• Bone graft material (patient’s bone, donor bone, or synthetic material) is placed in areas of bone loss.
• The graft is covered with a membrane (Guided Tissue Regeneration - GTR) to promote healing.
• Over time, new bone regenerates, stabilizing the teeth.

Best for:

• Bone loss due to periodontitis
• Essential for patients planning dental implants

Crown Lengthening Surgery

This procedure removes excess gum tissue to expose more of the tooth’s surface, either for restorative or cosmetic purposes.

• It can be done to prepare for dental crowns or fillings.
• Helps with "gummy smile" correction.

Best for:

• Patients needing tooth restoration or cosmetic gum contouring
• Enhances smile aesthetics and restores function

Dental Implants for Tooth Replacement

If periodontal disease has led to tooth loss, dental implants provide a long-term solution.

• Titanium implants replace missing tooth roots and support artificial crowns.
• Requires healthy bone structure for implant stability.
• Often combined with bone grafting if bone loss is significant.

Best for:

• Patients with missing teeth due to gum disease
• Provides a natural look and function, preventing further bone loss

Post-Operative Instructions After Periodontal Procedures in Salem, OR

Proper aftercare is essential for healing and preventing complications. General post-operative instructions include:

• Avoid eating hard or spicy foods for the first 24 hours.
• Use prescribed pain relievers and antibiotics as directed.
• Apply ice packs to reduce swelling.
• Avoid smoking, as it slows healing.
• Rinse gently with warm salt water or prescribed mouthwash.
• Follow up with your periodontist for post-procedure assessments.

Preventing Gum Disease

Preventing periodontal disease is possible with proper oral care and regular dental visits. Here are some essential tips:

• Brush Twice a Day: Use a soft-bristled toothbrush and fluoride toothpaste.
• Floss Daily: Removes plaque from between teeth and below the gumline.
• Use Antiseptic Mouthwash: Helps reduce bacteria and plaque buildup.
• Eat a Balanced Diet: Nutrient-rich foods support gum health.
• Quit Smoking: Tobacco use is a major risk factor for gum disease.
• Schedule Regular Dental Visits: Professional cleanings and checkups can detect early signs of gum disease.

Conclusion

Periodontal health is a vital aspect of overall well-being, impacting not only the stability of your teeth but also your systemic health. Gum disease, if left untreated, can lead to severe complications, including tooth loss and an increased risk of conditions such as heart disease and diabetes. Fortunately, with modern periodontal treatments—ranging from non-surgical deep cleanings and laser therapy to advanced surgical procedures like gum grafting, bone regeneration, and dental implants—patients have access to highly effective solutions tailored to their needs.

At Salem Periodontal and Implant Specialists, we are dedicated to providing comprehensive periodontal care, utilizing the latest technology and evidence-based techniques to help our patients achieve healthy gums, strong teeth, and confident smiles. If you are experiencing signs of gum disease or require specialized periodontal care, don’t wait—schedule a consultation today.

Take control of your gum health today with expert periodontal care at Salem Periodontal and Implant Specialists. Call (503) 585-4281 or visit us at 2605 12th Pl SE, Salem, OR 97302, to schedule your consultation and start your journey toward a healthier smile!