A periodontist is a dental surgical specialist who specializes in the prevention, diagnosis, and treatment of periodontal disease, and in the placement of dental implants. Periodontists receive extensive training in these areas, including three additional years of education beyond dental school. They are familiar with the latest techniques for diagnosing and treating periodontal disease, and know when each treatment is appropriate for your particular circumstance. Periodontists are also trained in performing cosmetic periodontal procedures and are experts at helping restorative dentists achieve the best possible outcome.
Periodontists often treat more problematic periodontal cases, such as those with severe gum disease or a complex medical history. Periodontists offer a wide range of treatments, from non-surgical options to complex surgical options. In addition, periodontists are specially trained in the placement, maintenance, and repair of dental implants. Periodontists are also well versed in management of surgical complications in periodontal and implant surgery, which allows them the modify their surgical plan if the need arises during surgery.

WHO SHOULD SEE A PERIODONTIST?

Some patients’ periodontal and implant needs can be managed by the general dentist. However, patients who present with moderate or severe levels of periodontal disease, or patients with more complex periodontal and implant cases, will be best managed by a partnership between your family dentist and periodontist. Some examples may include:

Patients With Moderate-to-Severe Periodontal Disease
– Probing depths (also known as “pocketing”) of 6mm or greater
– Patients with bone loss in between the roots of teeth (also known as “furcation involvement”)
– Patients with mobile teeth

Patients With Medical Conditions That Put Them At High-Risk For Periodontal Disease
– Patients that have diabetes or are smokers
– Patients that have immune problems that limit healing
– Patients above the age of 65

Patients With Gum Recession
– Patients with a receding gum line exposing the roots of the teeth
– Patients with “thin” gum tissue – those that lack firm, pink tissue surrounding a tooth/teeth
– Pre- or post- orthodontic patients with existing gum recession or with risk factors for recession

Implant Patients
– Patients needing implants, especially in аesthetic areas
– Patients with diminished bone that require grafting prior to implant placement

Patients With a “Gummy Smile”
– Patients who “short teeth” who would like to improve the appearance of their smile
– Patients who are undergoing dental crowns or veneers who need reshaping of their gumline prior to restorations