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Periodontal Treatment

Gum disease is one of the leading causes of adult tooth loss, and its effects reach farther than the smile alone. Research shows that many adults develop some form of periodontal inflammation by middle age, often without dramatic symptoms. At Arevalo Dental Studio, we focus on preventing and treating gum disease with approaches that preserve oral function, protect overall health, and help patients keep their teeth for a lifetime.

Good periodontal care blends careful assessment, routine maintenance, and targeted treatment when needed. The rest of this page explains how gum disease develops, how to recognize early warning signs, and the treatment pathways we use to restore and maintain periodontal health while minimizing disruption to your daily life.

How gum disease begins and what it does to your mouth

Periodontal disease starts when bacteria in dental plaque trigger inflammation in the gum tissues that surround and support the teeth. Left unchecked, this inflammatory response can damage the soft tissue attachments and the underlying bone that anchor teeth. Over time, that damage creates deeper pockets around teeth, loosening their support and increasing the risk of tooth loss.

Unlike cavities, which often cause localized pain, periodontal disease can progress quietly. Mild stages may present only subtle signs while more advanced disease produces visible changes such as gum recession and gaps between teeth. Because the process is gradual, regular dental evaluations and professional cleanings are essential for catching problems early.

Addressing gum disease early reduces the need for invasive procedures and preserves natural tooth structure. When treatment begins promptly, inflammation can be controlled, pockets can shrink, and long-term outcomes improve. Our goal is to stop disease progression while restoring oral comfort and function.

Early warning signs: what to watch for

Being aware of common symptoms helps you identify potential periodontal problems before they become severe. Everyday signs include gums that bleed during brushing or flossing, persistent bad breath, and tissues that look red, swollen, or tender. These indicators point to active inflammation that deserves attention.

Other warning signs to monitor include increased tooth sensitivity, gum recession that reveals root surfaces, and changes in how teeth fit together when you bite. Patients may also notice new gaps between teeth or a partial denture that no longer sits comfortably. These changes can signal that the supporting tissues are being affected.

Below are common indications that warrant a dental evaluation:

  • Inflamed or reddened gum tissue

  • Bleeding during brushing or flossing

  • Receding gums or exposed root surfaces

  • Increased sensitivity to hot or cold

  • Persistent bad breath or an unpleasant taste

  • Teeth that feel loose or shift position

  • Developing spaces between teeth or bite changes

  • Partial dentures that no longer fit properly

  • Discharge around the gum line

  • Discomfort when biting or chewing

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Why healthy gums matter for the whole body

Oral health is closely connected to overall health. Chronic gum inflammation increases the body’s inflammatory burden and has been associated with conditions such as cardiovascular disease, diabetes-related complications, and respiratory concerns. Controlling periodontal infection and inflammation supports systemic wellbeing as well as oral comfort.

Maintaining healthy gums is not just about preserving teeth — it helps reduce sources of ongoing infection and inflammation. This makes periodontal care an important part of long-term preventive health for adults at every stage of life.

Prevention is the most effective strategy: consistent home hygiene, routine professional cleanings, and timely interventions when early signs appear are the cornerstones of protecting both oral and general health.

Spotlight on gingivitis: the reversible stage

Gingivitis is the earliest and most treatable stage of gum disease. It typically appears as redness, swelling, and bleeding of the gums with minimal or no pain. Because the supporting bone and connective tissues are still intact at this stage, gingivitis is usually reversible with proper care.

Effective treatment for gingivitis focuses on removing plaque and tartar deposits, improving daily brushing and flossing techniques, and establishing a schedule of professional cleanings. With those steps, gum tissue can return to a healthy state and the risk of progression can be dramatically reduced.

Recognizing gingivitis and responding quickly prevents lasting damage. We emphasize patient education and practical home-care strategies so that improvements achieved in the office are sustained between visits.

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When gingivitis advances: understanding periodontitis

If inflammation continues unchecked, gingivitis can progress to periodontitis — a condition where the connective tissue and bone that support the teeth begin to break down. This stage is characterized by deeper periodontal pockets, gum recession, and progressive loss of the bone that stabilizes teeth.

Treatment at this stage focuses on stopping tissue destruction, reducing pocket depth, and restoring a healthy environment around the teeth. Depending on the extent of damage, treatment can include targeted cleaning beneath the gumline, antimicrobial therapies, and procedures to regenerate or graft lost tissues.

The objective of periodontal care during periodontitis is to halt progression, preserve existing structures when possible, and re-establish a level of health that can be maintained through ongoing home care and professional maintenance visits.

Modern, personalized approaches to periodontal care

Today’s periodontal therapies begin with a careful diagnosis and a treatment plan tailored to the individual. Factors such as disease severity, overall health, oral hygiene habits, and restorative needs help determine the best pathway for care. Our practice integrates proven clinical techniques with technologies intended to improve precision and recovery.

Non-surgical measures are the first line of treatment for many patients. These include thorough professional cleanings and scaling and root planing to remove plaque, tartar, and bacterial toxins from below the gumline. Adjunctive treatments, such as localized antimicrobial agents, can enhance outcomes in specific cases.

When conservative therapy is not sufficient, surgical solutions may be recommended to clean inaccessible areas, reduce pocket depths, and restore lost tissue. In selected cases we employ techniques that promote tissue regeneration and improve the contours of the gums for both health and esthetics.

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How treatment is typically categorized

  • Conservative, non-surgical care

    When gum disease is detected early, careful professional cleanings and an improved home-care routine can often restore periodontal health. Scaling and root planing are the cornerstone procedures for removing plaque and hardened deposits beneath the gumline and smoothing root surfaces to discourage bacterial recolonization.

    Non-surgical therapy aims to reduce inflammation and pocket depth without incisions. In many cases this approach, combined with patient-driven improvements in oral hygiene, achieves meaningful and lasting results.

    Adjunctive therapies, including localized antimicrobial applications or systemic medications when appropriate, can be used to support healing and decrease bacterial load.

    If disease activity continues despite conservative measures, we evaluate surgical options to address deeper structural issues and restore periodontal stability.

  • Surgical and regenerative procedures

    Surgery may be necessary when periodontal pockets are too deep for complete cleaning or when regenerative steps are needed to rebuild lost tissues. Procedures are designed to remove bacteria, recontour infected areas, and create an environment that is easier to keep clean.

    Periodontal flap surgery, for example, allows access to root surfaces and bone so deposits can be thoroughly removed and the area reshaped for healing. Sutures hold tissues in a new position that facilitates maintenance and reduces pocket depth.

    Modern regenerative techniques, including bone grafts and tissue-guided regeneration, help restore structural support in areas of bone loss when clinically appropriate. Laser-assisted procedures are another option for select cases, offering a minimally invasive means to reduce pocket depth and manage tissue contours.

    The goals of surgical therapy include:

    • Eliminate subgingival bacterial deposits and detoxify root surfaces

    • Stop progression of bone loss and, where possible, restore lost hard tissues

    • Reduce pocket depth to simplify daily cleaning and long-term maintenance

Working together to protect your periodontal health

Successful periodontal care is a partnership between the dental team and the patient. Routine evaluations, consistent home care, and adherence to recommended maintenance visits are all essential to keeping gum disease under control. At Arevalo Dental Studio, we aim to provide clear explanations, practical guidance, and individualized treatment so you can make informed decisions about your oral health.

Advances in diagnostics and treatment allow us to offer solutions that target disease while promoting healing and comfort. Whether the need is preventive care, non-surgical therapy, or surgical regeneration, our focus is on restoring a stable, healthy foundation for your smile.

If you have noticed any of the signs described on this page or would like to learn more about periodontal care options, please contact us to discuss your concerns and schedule an evaluation. We are here to help you preserve your oral health and maintain a confident, functional smile.

Frequently Asked Questions

How common is gum disease?

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Most people don’t realize that periodontal disease is the leading cause of tooth loss among adults. According to statistics from the Centers for Disease Control and Prevention, one out of every two adults over the age of 30 in the United States has periodontal disease.

What causes gum disease?

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You may be surprised to learn that the human mouth is home to a wide variety of microbes. The fact is that over 700 different strains of bacteria have been detected in the oral cavity. Although some of these bacteria are beneficial, others are harmful to oral health. Without proper oral hygiene and routine dental care, these harmful bacteria can cause tooth decay and gum disease, compromising both your oral health and overall wellbeing.

Are there other risk factors for periodontal disease?

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In addition to inadequate oral hygiene and infrequent professional care, other factors, including smoking, genetic tendencies, and unchecked diabetes, can contribute to the escalation of periodontal disease.

Why are healthy gums so important?

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Your gums and teeth have an interdependent relationship, which means healthy teeth depend on the support of healthy gums. Also, taking care of your smile does more than keep your teeth and gums in optimal condition; good oral health also supports systemic health. In addition to being the leading cause of tooth loss in adults, researchers are finding more and more links between periodontal disease and a number of medical problems, including heart disease, stroke, diabetes, respiratory problems, and adverse pregnancy outcomes such as pre-term and low birth-weight babies.

What are the symptoms of gingivitis?

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If you notice that your gums are bleeding with the slightest pressure while brushing or flossing, it’s a sign of gingivitis. Although gingivitis is the earliest stage of gum disease, it can easily be reversed with deeper cleanings as well as an improved regimen of oral hygiene at home.

What happens as gum disease progresses?

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In the absence of professional treatment and better home care, gingivitis progresses to the next stage, which is known as periodontitis. In this stage, the connective tissue and bone that hold the teeth in place begin to break down with an increase in pocketing between the teeth and bone, gum recession, and bone loss. Without proper treatment by your dentist, periodontitis will progress from a mild to moderate loss of supporting tissue to the destruction of the bone around the teeth.

What are the best ways to manage and treat more advanced gum disease or periodontitis?

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Although gingivitis can often be reversed with improved oral hygiene and professional cleanings, as periodontal disease advances, more extensive procedures are required to halt its progression. Based on a complete assessment of your periodontal health and a review of possible contributing factors, our office will recommend the best options in care. Treatment for periodontitis may include a series of deeper cleanings known as root planing and scaling, surgical procedures to reduce pocket depth, bone or tissue grafts, laser procedures, or antimicrobial medications.

How much does periodontal treatment cost?

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The cost of care depends on the type of procedures required to restore your periodontal health. If you have dental insurance, plans often cover treatment to prevent gum disease as well as many procedures to treat the various stages of gum disease. Our goal is to help patients restore and maintain good oral health. We do all we can to help you begin care without additional stress or delay. Our business office works with you to maximize your benefits and provide easier, more convenient payment options.

What is the best way to prevent gum disease?

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By seeing our office regularly for care and doing your best to eat a healthy diet and practice good oral hygiene, you can keep your smile in tip-top shape as well as protect your overall wellbeing.

Why choose the office of Arevalo Dental Studio for care?

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At the office of Arevalo Dental Studio, we provide a comprehensive range of services to address all your oral healthcare needs. You can rest assured that your smile is in the best of hands at our office. Our skilled and experienced team maintains a position at the forefront of advances in care and remains dedicated to providing the highest quality of skilled and compassionate treatment.

What is periodontal disease and how does it affect my mouth?

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Periodontal disease is an infection and inflammation of the tissues that surround and support the teeth, triggered by bacteria in dental plaque. Over time the inflammatory response can damage the gum attachments and underlying jawbone, creating deeper pockets around teeth and reducing their stability. As support structures deteriorate, teeth can shift, feel loose, and become harder to clean effectively.

Because periodontal disease often progresses slowly, many people do not notice major pain until the condition is advanced. Early intervention can control inflammation, reduce pocket depth, and preserve natural tooth structure. A timely diagnosis and treatment plan improve the prospects for long-term oral comfort and function.

What are the early signs of gum disease I should watch for?

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Common early signs include gums that bleed during brushing or flossing, persistent bad breath, and tissues that appear red, swollen, or tender. You may also notice increased tooth sensitivity, gum recession that exposes root surfaces, or a change in how your teeth fit together when you bite. These symptoms indicate active inflammation that warrants a dental evaluation.

Other warning signs can include new spaces between teeth, a partial denture that no longer fits comfortably, discharge at the gum line, or discomfort when chewing. Because some stages of gum disease produce minimal symptoms, routine dental exams and periodontal screening are important for early detection. Prompt attention reduces the risk of progression to more destructive disease.

How is gingivitis different from periodontitis?

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Gingivitis is the earliest, reversible stage of gum disease and involves inflammation of the gum tissue without loss of the supporting bone or connective tissue. Typical signs are redness, swelling, and bleeding with brushing or flossing, and gingivitis usually resolves with improved oral hygiene and professional cleanings. At this stage the underlying tooth support remains intact.

Periodontitis occurs when inflammation advances and the connective tissues and bone that anchor teeth begin to break down, resulting in deeper periodontal pockets and potential tooth mobility. Treatment for periodontitis focuses on stopping tissue destruction and may require more intensive non-surgical or surgical therapies. Early recognition of gingivitis and timely care help prevent progression to periodontitis.

What happens during a periodontal evaluation and diagnosis?

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A periodontal evaluation typically begins with a review of your medical and dental history followed by a clinical examination that measures pocket depths, checks for bleeding on probing, and assesses tooth mobility and gum recession. Diagnostic X-rays are often used to evaluate the level of bone supporting the teeth and to identify areas of bone loss that are not visible during a visual exam. Together these findings allow the clinician to determine the stage and activity of the disease.

Based on the assessment the dental team creates a personalized treatment plan that addresses your specific needs and goals and outlines recommended therapies and maintenance. The practice will explain the rationale for each step and discuss what to expect during and after treatment. Clear communication helps you make informed decisions about preserving periodontal health at Arevalo Dental Studio.

What non-surgical treatment options are available for gum disease?

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Non-surgical therapy is often the first line of treatment and includes thorough professional cleanings, scaling and root planing to remove plaque and hardened deposits beneath the gumline, and smoothing root surfaces to deter bacterial recolonization. Adjunctive measures such as localized antimicrobial applications or systemic medications may be used in select cases to reduce bacterial load and support healing. Improving daily home care is a critical component of any non-surgical program.

After initial therapy the clinical response is reassessed and additional conservative interventions may be recommended if pockets remain or inflammation persists. Periodic periodontal maintenance appointments focus on controlling bacterial accumulation and monitoring pocket depths and tissue stability. For many patients, consistent non-surgical care combined with improved hygiene leads to meaningful and lasting disease control.

When is surgery or regenerative treatment necessary?

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Surgical or regenerative treatment is considered when periodontal pockets are too deep to be effectively cleaned with non-surgical methods or when there is significant bone or soft tissue loss that compromises tooth support. Common procedures include periodontal flap surgery to access and thoroughly decontaminate root surfaces, bone grafting to restore lost hard tissue, and guided tissue regeneration to encourage regrowth of supportive structures. The choice of procedure depends on the pattern and extent of tissue destruction.

The goals of surgical therapy are to eliminate subgingival bacterial deposits, reduce pocket depth to make daily cleaning more effective, and, when possible, regenerate lost tissues to improve long-term stability. Modern techniques aim to minimize discomfort and promote predictable healing while creating an anatomy that is easier to maintain. A careful evaluation determines whether regenerative options are clinically appropriate for each site.

How does laser therapy like LANAP® help treat gum disease?

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Laser-assisted periodontal procedures such as LANAP® use a dental laser to selectively target diseased tissue and bacteria while preserving healthy gum and root structure. The approach can allow access to infected pockets with less invasive tissue manipulation than traditional surgery, and it is designed to encourage clot formation and stimulate healing of the tissues. Some patients experience reduced post-operative discomfort and a faster initial recovery.

Not every case is suitable for laser therapy, so candidacy is determined by the clinical presentation and the extent of tissue and bone loss. When appropriate, laser-assisted therapy is integrated into a comprehensive treatment plan that includes debridement, careful monitoring, and ongoing maintenance. Discussing the potential benefits and limitations with your clinician helps set realistic expectations for outcomes.

How can I prevent gum disease and protect my overall health?

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Prevention begins with consistent daily oral hygiene: brushing twice a day, cleaning between teeth with floss or interdental brushes, and using a dentist-recommended toothpaste and technique. Regular professional cleanings and periodontal screenings allow early removal of plaque and calculus and help identify problems before they progress. Lifestyle factors such as quitting tobacco use, managing blood sugar if you have diabetes, and maintaining a balanced diet also support periodontal health.

Because chronic gum inflammation can increase systemic inflammatory burden, controlling periodontal disease contributes to overall well-being and may reduce risks associated with certain health conditions. Coordinating care with your primary medical provider is advisable when systemic issues like diabetes or cardiovascular disease are present. Preventive care and early interventions are the most effective strategies for protecting both oral and general health.

How often should I have periodontal maintenance after treatment?

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Frequency of periodontal maintenance is individualized based on disease severity, response to treatment, and your ability to maintain home hygiene; many patients are scheduled for maintenance visits every three months initially. These visits include thorough cleaning of root surfaces, removal of new deposits, pocket monitoring, and reinforcement of oral hygiene techniques. Regular maintenance helps prevent recurrence and allows early management of any signs of disease reactivation.

Over time the maintenance interval may be adjusted if clinical stability is demonstrated, but consistency is essential because gum disease is chronic and can recur without ongoing care. Your dental team will document pocket depths and other parameters to guide scheduling and ensure timely intervention if conditions change. Adherence to the recommended maintenance program is a key factor in long-term periodontal success.

How do I schedule an evaluation for periodontal care at Arevalo Dental Studio?

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To schedule an evaluation, you can call the practice to describe your concerns and request a periodontal assessment; the office is located at 6546 Gunn Hwy, Tampa, FL 33625 and new patients may call (813) 474-7201 while existing patients can call (813) 908-8100. When you call, the team can advise whether any preliminary information or forms are needed and reserve an appointment time that aligns with your needs. Preparing a list of medications and any relevant medical history helps the clinician assess factors that influence periodontal care.

At the initial visit the provider will review your history, perform a clinical examination, take any necessary X-rays, and discuss a recommended treatment plan and maintenance schedule. This consultation is an opportunity to ask questions about diagnostic findings, treatment options, and what to expect during therapy and recovery. Clear communication at the first visit sets the foundation for coordinated, long-term periodontal care.

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