What Is A Periodontist?
A periodontist is a dentist who specializes in the soft tissues of the mouth and the underlying jawbone which supports the teeth. A dentist must first graduate from an accredited dental school before undertaking an additional three years of study within a periodontology residency training program, in order to qualify as a periodontist.
The primary focus of this residency training is on both surgical and non surgical management of periodontal disease and the placement of dental implants.
Conditions Treated by a Periodontist
The periodontist is mainly concerned with: preventing the onset of gum disease (periodontal disease); diagnosing conditions affecting the gums and jawbone; and treating gingivitis, periodontitis, and bone loss. Periodontal disease is a progressive condition and the leading cause of tooth loss among adults in the developed world.
The periodontist is able to treat mild, moderate and advanced gum disease by first addressing the bacterial infection at the root of the problem, providing periodontal treatment, then providing information and education on good oral hygiene and the effective cleaning of the teeth.
The most common conditions treated by a periodontist are:
Gingivitis – This is the mild inflammation of the gums which may or may not be signified by pain and bleeding.
Mild/moderate periodontitis – When the pockets between the teeth and the soft tissues are measured to be between 4-6mm it is classified as moderate periodontitis (gum disease).
Advanced periodontitis – When the pockets between the teeth and the soft tissues in general exceed 6mm in depth, significant bone loss may occur; causing shifting or loss of teeth.
Missing teeth – When teeth are missing as a result of bone loss, the periodontist can implant prosthetic teeth. These teeth are anchored to the jawbone and restore functionality to the mouth.
Treatments Performed by a Periodontist
The periodontist is able to perform a wide range of treatments to halt the progression of gum disease, replace missing teeth and make the appearance of the smile more aesthetically pleasing.
Here are some of the treatments commonly performed by the periodontist:
Implant placement – When a tooth or several teeth are missing, the periodontist is able to create a natural-looking replacement by anchoring a prosthetic tooth to the jawbone.
Osteoplasty (hard tissue recontouring) – Once periodontitis has been treated, the periodontist can recontour the hard tissue to make the smile both natural-looking and aesthetically pleasing.
Gingivoplasty (soft tissue recontouring) – As gums recede due to periodontitis, the teeth may appear longer; causing a “toothy" smile. The periodontist can remove tissues or straighten the gum line to make the teeth look more even.
Extractions and Bone grafting – Dental implants can only be positioned if there is sufficient bone available. If bone loss has occurred, bone grafting is an excellent way to add or “grow” bone so that an implant may be properly secured.
Non-Surgical and Surgical Treatments for Periodontal Disease – As gingivitis and periodontitis progress, it becomes more difficult to cleanse the pockets between the soft tissues and the teeth. The periodontist can clean bacterial deposits from underneath the gum line and correct the damage from bone loss to help stabilize the condition and prevent progression of disease.
Crown lengthening – In order to expose more of the natural tooth, the periodontist can remove some of the surrounding gum tissue.
- Soft Tissue Grafting – In order to improve esthetics, comfort and maintainability when gum loss occurs exposing the underlying root structure.
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