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933 S Sunset Ave, Suite 203 West Covina, CA 91790Phone: (626) 962-5415Email: moc.sddoakeidde%40ofniBusiness Hours: Tuesday - Friday: 10 AM - 6 PM | Saturday: By appointment only

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Home > Dental Services > Periodontics

Periodontics

Gum Treatment in West Covina, CA

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Gum & Bone (Periodontics)

Periodontics is that specialty of dentistry that encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Professional dental cleanings are needed at least twice a year to maintain good oral health. Many people require a routine cleaning three or four times a year because of the buildup of plaque and tartar that they accumulate.

If you have been told you have periodontal (gum) disease, you’re not alone. An estimated 80 percent of American adults currently have some form of the disease.

Periodontal diseases range from simple gum inflammation to serious diseases that result in major damage to the soft tissue and bone that support the teeth. In the worst cases, teeth are lost.

Gum disease is a threat to your oral health. Research is also pointing to possible health effects of periodontal diseases that go well beyond your mouth (more about this later).

Whether it is stopped, slowed, or gets worse depends a great deal on how well you care for your teeth and gums every day, from this point forward.

Gum Treatment in West Covina, CA

Periodontics FAQ

Click on any of the questions below to see their respective answers.

  • Why do I need to maintain good oral hygiene?

    Dental health begins with good oral hygiene. This requires professional care and guidance provided by us, combined with proper care at home by you. When you follow our recommended home care routine and have regular professional care, you will be able to maintain healthier teeth and gums. When you do your part at home for 365 days a year, it makes the few visits to our office that much more enjoyable. Please see How to Brush and How to Floss for more information.

  • Why do I need a prophylaxis (professional cleaning)?

    Professional cleaning removes plaque, calculus (tartar), and stains from your teeth. The cleaning is done by a dental professional in the dental office, and we provide education in the proper care of the teeth and gums.

  • What is plaque?

    Plaque is a soft, sticky, colorless film of bacteria constantly forming on your teeth. It combines with sugar and other carbohydrates to form acids, which attack tooth enamel that can cause cavities.
    Plaque can also cause inflammation of the gums (gingivitis), which can result in swollen and bleeding gums. If not treated early, gingivitis can lead to periodontitis, a more serious condition that causes gums to recede and bone to deteriorate. As a result, the supporting structures are weakened, and teeth become loose. It’s easy to see why brushing and flossing to remove plaque is essential to keep your teeth and gums healthy.

  • What is calculus (tartar)?

    Minerals in saliva combine with plaque at the tooth surface and harden into a rough, unsightly deposit called calculus (tartar). Calculus, which is mostly mineral, provides a rough surface to which more plaque can attach, and makes thorough plaque removal more difficult. Your toothbrush and floss can’t remove calculus once it has formed and it can only be removed during a regular dental prophylaxis.

  • What does a professional cleaning do that I can’t do for myself?

    A prophylaxis is a professional cleaning procedure that can be done only by a dentist or hygienist. The prophylaxis not only helps prevent gum disease but also improves the appearance of your teeth by making them look clean and bright. A prophylaxis is usually performed in two steps. Instruments called scalers are used to remove calculus from teeth above and below the gumline. Then polishing with a special paste by means of a motorized instrument removes the remaining plaque and surface stains caused by various foods, beverages, tobacco, etc. A polished tooth surface makes it more difficult for plaque and debris to accumulate.

    You can help improve your oral hygiene by making plaque control part of your daily routine. Proper brushing helps remove plaque from the outer, inner, and chewing surfaces of your teeth. Flossing thoroughly helps remove plaque and debris from between the teeth, especially in hard-to-reach areas and slightly under the gumline.

  • What causes periodontal disease?

    Our mouths are full of bacteria. These bacteria, along with mucus and other particles, constantly form a sticky, colorless “plaque” on teeth. Brushing and flossing help get rid of plaque. Plaque that is not removed can harden and form bacteria-harboring “tartar” that brushing doesn’t clean. Only a professional cleaning by a dentist or dental hygienist can remove tartar.

  • What is Gingivitis?

    The longer plaque and tartar are on teeth, the more harmful they become. The bacteria cause inflammation of the gums, which is called “gingivitis.” In gingivitis, the gums become red and swollen and can bleed easily. Gingivitis is a mild form of gum disease that can usually be reversed with daily brushing and flossing and regular cleaning by a dentist or dental hygienist. This form of gum disease does not include any loss of bone and tissue that hold teeth in place.

  • What is Periodontitis?

    When gingivitis is not treated, it can advance to “periodontitis,” (which means “inflammation around the tooth.”) In periodontitis, gums pull away from the teeth and form “pockets” that are infected. The body’s immune system fights the bacteria as the plaque spreads and grows below the gum line. Bacterial toxins and the body’s enzymes fighting the infection actually start to break down the bone and connective tissue that hold teeth in place. If not treated, the bones, gums, and connective tissue that support the teeth are destroyed. The teeth may eventually become loose and have to be removed.

  • How can I tell if I have gum disease?

    Symptoms are often not noticeable until the disease is advanced. They include:● Bad breath that won’t go away.● Red or swollen gums.● Tender or bleeding gums.● Painful chewing.● Loose teeth.● Sensitive teeth.
    Any of these symptoms may signal a serious problem, which should be checked by a dentist. At your dental visit:● We will ask about your medical history to identify underlying conditions or risk factors (such as smoking) that may contribute to periodontal disease.● We will examine your gums and note any signs of inflammation.● We will use a tiny ruler called a ‘probe’ to check for periodontal pockets and to measure any pockets. In a healthy mouth, the depth of these pockets is usually between 1 and 3 millimeters.● We may take an x-ray to see whether there is any bone loss.● We may refer you to a periodontist, a specialist who treats gum diseases.

  • What can I do to prevent gum disease?

    Here are some things you can do to prevent periodontal diseases:● Brush your teeth twice a day (with fluoride toothpaste).● Floss every day.● Visit the dentist routinely for a check-up and professional cleaning.● Eat a well-balanced diet.● Don’t use tobacco products.

  • Who gets periodontal disease?

    People usually don’t show signs of gum disease until they are in their 30s or 40s. Men are more likely to have periodontal disease than women. Although teenagers rarely develop periodontitis, they can develop gingivitis, the milder form of gum disease. Most commonly, gum disease develops when plaque is allowed to buildup along and under the gum line.

  • How is periodontal disease treated?

    The main goal of treatment is to control the infection. The number and types of treatments will vary, depending on the extent of the gum disease. Any type of treatment requires that the patient keep up good daily care at home. Additionally, modifying certain behaviors, such as quitting tobacco use, might also be suggested as a way to improve treatment outcomes.

  • What are the risk factors?

    ● Smoking. Need another reason to quit smoking? Smoking is one of the most significant risk factors associated with the development of periodontitis. Additionally, smoking can lower the chances of success of some treatments.● Hormonal changes in girls/women. These changes can make gums more sensitive and make it easier for gingivitis to develop.● Diabetes. People with diabetes are at higher risk for developing infections, including periodontal disease.● Stress. Research shows that stress can make it more difficult for our bodies to fight infection, including periodontal disease.● Medications. Some drugs, such as antidepressants and some heart medicines, can affect oral health because they lessen the flow of saliva. (Saliva has a protective effect on teeth and gums.)● Illnesses. Diseases like cancer or AIDS and their treatments can also affect the health of gums.● Genetic susceptibility. Some people are more prone to severe periodontal disease than others.

Scaling & Root Planning

We remove the plaque through a deep-cleaning method called scaling and root planing. Scaling means scraping off the tartar from above and below the gum line. Root planing gets rid of rough spots on the tooth root where the germs gather, and helps remove bacteria that contribute to the disease.

Medications

Medications may be used with treatment that includes scaling and root planing, but they cannot always take the place of surgery. Depending on the severity of gum disease, we may still suggest surgical treatment. Long-term studies will be needed to determine whether using medications reduces the need for surgery and whether they are effective over a long period of time. Here are some medications that are currently used:

    • Medication

    • What is it?

    • Why is it used?

    • How is it used?

    • Medication

    • Medication

    • What is it?

    • What is it?

    • Why is it used?

    • Why is it used?

    • How is it used?

    • How is it used?

    • Prescription antimicrobial mouth rinse

    • A prescription mouth rinse containing an antimicrobial called chlorhexidine.

    • To control bacteria when treating gingivitis and after gum surgery.

    • It’s used like a regular mouthwash.

    • Medication

    • Prescription antimicrobial mouth rinse

    • What is it?

    • A prescription mouth rinse containing an antimicrobial called chlorhexidine.

    • Why is it used?

    • To control bacteria when treating gingivitis and after gum surgery.

    • How is it used?

    • It’s used like a regular mouthwash.

    • Antiseptic “chip”

    • A tiny piece of gelatin filled with the medicine chlorhexidine.

    • To control bacteria and reduce the size of periodontal pockets.

    • After root planing, it’s placed in the pockets where the medicine is slowly released over time.

    • Medication

    • Antiseptic “chip”

    • What is it?

    • A tiny piece of gelatin filled with the medicine chlorhexidine.

    • Why is it used?

    • To control bacteria and reduce the size of periodontal pockets.

    • How is it used?

    • After root planing, it’s placed in the pockets where the medicine is slowly released over time.

    • Antibiotic gel

    • A gel that contains the antibiotic doxycycline.

    • To control bacteria and reduce the size of periodontal pockets.

    • We place it in the pockets after scaling and root planing. The antibiotic is released slowly over a period of about seven days.

    • Medication

    • Antibiotic gel

    • What is it?

    • A gel that contains the antibiotic doxycycline.

    • Why is it used?

    • To control bacteria and reduce the size of periodontal pockets.

    • How is it used?

    • We place it in the pockets after scaling and root planing. The antibiotic is released slowly over a period of about seven days.

    • Antibiotic micro-spheres

    • Tiny, round particles that contain the antibiotic minocycline.

    • To control bacteria and reduce the size of periodontal pockets.

    • We place it in the micro-spheres into the pockets after scaling and root planing. The particles release minocycline slowly over time.

    • Medication

    • Antibiotic micro-spheres

    • What is it?

    • Tiny, round particles that contain the antibiotic minocycline.

    • Why is it used?

    • To control bacteria and reduce the size of periodontal pockets.

    • How is it used?

    • We place it in the micro-spheres into the pockets after scaling and root planing. The particles release minocycline slowly over time.

    • Enzyme suppressant

    • A low dose of the medication doxycycline that keeps destructive enzymes in check.

    • To hold back the body’s enzyme response — If not controlled, certain enzymes can break down gum tissue.

    • This medication is in pill form. It is used in combination with scaling and root planing.

    • Medication

    • Enzyme suppressant

    • What is it?

    • A low dose of the medication doxycycline that keeps destructive enzymes in check.

    • Why is it used?

    • To hold back the body’s enzyme response — If not controlled, certain enzymes can break down gum tissue.

    • How is it used?

    • This medication is in pill form. It is used in combination with scaling and root planing.

Bone Grafting

Bone Grafting is used to prepare a site for dental implants that are needed to replace a missing tooth or teeth. Bone, in an area where teeth have been lost, naturally shrinks or resorbs over time, both in height and width. As a result, new bone must be grafted to create a secure site for placing implants and to achieve aesthetic results. Bone grafting can also be used to save teeth that have experienced bone loss resulting from gum disease.

Bone Loss can be caused by the following:

    The loss of a tooth.
    Localized infection.
    Gum disease.
    Trauma.

What to expect from a Bone Graft Procedure?

Prior to your procedure, we will go over any pre-operative instructions you should follow, as well as any specifics about the surgical process. The following general steps may be included:

1. A local anesthetic is applied to the grafting site.
2. A small opening is made in the area where the bone is needed.
3. The grafting material is gently placed within the grafting site alongside the existing bone and stabilized with a protective covering.
4. The area is sutured—stitches will either dissolve or be removed by the doctor in 7 to 10 days.
5. Allow approximately 3 to 6 months for healing.

How can I reduce the risk of bone loss in the future?

The risk of bone loss can be reduced by replacing lost teeth quickly before significant bone loss occurs. If you’re not ready for dental implants at the time that your teeth are lost or removed, we may recommend a Ridge Preservation Procedure to maintain the bone in that area until your implants can be placed.

Bone Loss | Gum Grafting

This tooth is unrestorable due to the large amount of bone loss that is missing on the front side of the tooth.

Fillings | Gum Grafting

The defect in the bone is filled in with bone used from various sources.

Tooth Extraction | Gum Grafting

The tooth is removed and there is a large hole in the bone that needs to be filled in.

Gum Covering | Gum Grafting

The gum is covered up. The goal is to preserve the height of the bone so that an implant can be placed.

More Procedures

If you have any questions about our procedures, please call our office during business hours.

Many of the procedures involving the gum and bone can be considered plastic surgery. Perio plastic surgery can improve many situations, such as:
● Gummy smiles: When an abnormal amount of gum tissue appears when someone smiles. This is usually corrected with crown lengthening.● Uneven gum tissue height: This is usually corrected with crown lengthening.● Missing teeth: This can be corrected with fixed bridges or with implants.● Defects in the bone: When tooth loss occurs, there is typically a loss of the bone that used to surround the previous tooth. The resulting defect can be treated to make it look like the bone had never been lost. This treatment is known as ridge augmentation.● Combination therapy: When just the periodontal procedure is not sufficient, restorative procedures are needed to obtain the proper alignment, shape, and color of the teeth.

There are two main types of gum tissue. One type is the attached tissue, which is the pink, firm gum that is attached to the bone. The other type is the unattached tissue, which is red and not attached to the bone. When the attached tissue is lost, you need a periodontal procedure called a soft tissue graft to stop further dental problems and gum recession and/or to improve the aesthetics of your gum line.

When the gum tissue has receded either from hard brushing, grinding, or from periodontal disease, the root surface gets exposed. This can cause an unaesthetic appearance as well as sensitivity to temperature and foods and liquids. If left untreated, this situation can lead to further bone loss and, possibly, tooth loss.

Soft tissue grafts can be used to cover exposed root surfaces. During this procedure, a piece of gum tissue is taken from your palate or another donor source to cover the exposed root. This can be done for one tooth or several teeth to even your gum line and reduce sensitivity.

A soft tissue graft can reduce, and in some cases eliminate, further recession and bone loss. Since the tissue covers the previously exposed root surface, it may result in reduced tooth sensitivity. If the defect was visible when smiling, the result is also aesthetic.

This procedure is typically needed for one of two reasons; either cosmetic or restorative. Crown lengthening can cosmetically improve the smile line by eliminating the “gummy” smile look. The restorative reason is to provide more tooth to be visible in the mouth so the tooth can be properly restored. When a tooth breaks off near the gum line or when decay occurs on the root surface, crown lengthening is needed to properly restore the tooth. Crowns and/or bridges cannot be cemented with the edge of the crown near the bone, which is why crown lengthening is needed.

When performing a crown lengthening procedure, the gum and bone around the area needing treatment are reshaped to expose more of the natural tooth. For cosmetic procedures, one tooth can be treated to provide an even appearance at the gum line, or what we call the whole smile line can be treated to create a natural smile line.

If the procedure is needed to restore a tooth that is decayed or fractured near the bone, then the area around the defect is treated. The only other option would be extraction of the involved tooth.

Frenectomy is the surgical procedure for removing a frenum. A frenum is a fold of tissue that passes from the movable lip or cheek to the gum or from the tongue to the gum.

A surgical procedure is required to remove a frenum if it interferes with the normal alignment of teeth, interferes with the movement of the tongue during speech, or pulls the gum away from the tooth resulting in recession. There are several frenums in the mouth on both the top and bottom arches.

This is a simple procedure that only takes one office appointment.

A major factor for implant success is the quantity and the quality of the bone where the implant needs to be placed. The issue with placing implants in the back of the mouth for the upper jaws is the location of the sinus. Implants need to be placed in a certain amount of bone, and they cannot be placed into the sinus cavity. Since the sinus is a membrane, it can be lifted and displaced by bone in a procedure called a sinus lift or sinus augmentation. This does decrease the volume of the sinus cavity, but it is rarely ever an issue.

Schedule your dental appointment today!

Dr. Kao and our friendly staff are dedicated to making every visit to our dental office a great experience. We provide expert dental care with a personal touch in a comfortable setting.