Periodontal Disease.It is not a given that we must lose teeth as we age. If we maintain good oral hygiene and have regular professional cleanings and oral examinations, chances are we can keep our natural teeth for life. That involves not only caring for the teeth themselves, but also the structures that surround them: the gums and tooth-supporting bone. Gum disease, which is a bacterial infection, threatens these supporting tissues. That is why dental professionals are always on the lookout for early signs that patients may not notice. When signs of trouble become apparent, periodontal therapy may be suggested.

Periodontal therapy can take various forms, but the goal is always to restore diseased tissues to health. Gum (periodontal) disease can spread from the gums to the bone that supports the teeth, and may even cause tooth loss in the most severe cases. There are very effective therapies to combat this, ranging from scalings (deep cleanings) that remove plaque and calculus (tartar) from beneath the gum line, to surgical repair of lost gum and bone tissue.

Periodontal Therapy Procedures

Periodontal therapy includes both surgical and non-surgical techniques to restore health to the tissues that support the teeth (gums and bone) and prevent tooth loss. They include:

  • Scaling and Root Planing. These deep-cleaning techniques are the best starting point to control gum disease. Plaque and calculus (tartar) are removed from beneath the gum tissues, using hand scalers and/or ultrasonic instruments.
  • Gum Grafting. Sometimes it's necessary to replace areas of lost gum tissue so that tooth roots are adequately protected. This can be accomplished by taking healthy gum tissue from one area of the mouth and moving it to where it is needed, or by using laboratory-processed donor tissue.
  • Periodontal Plastic Surgery. When used to describe surgery, the word “plastic” refers to any reshaping procedure that creates a more pleasing appearance of the gum tissues.
  • Periodontal Laser Treatment. Removing diseased gum tissue with lasers can offer significant advantages over conventional surgery, such as less discomfort and gum shrinkage.
  • Crown Lengthening Surgery. This is a surgical procedure in which tooth structure that is covered by gum and bone tissue may need to be exposed either for cosmetic reasons (too make the teeth look longer and the smile less gummy) or to aid in securing a new dental crown.
  • Dental Implants. Today's preferred method of tooth replacement is a titanium dental implant, which is placed beneath the gum line and into the jawbone during a minor surgical procedure. The implant is then attached to a realistic-looking dental crown that is visible above the gum line and indistinguishable from a natural tooth.

Your Role in Periodontal Health

Dental plaque is the main cause of periodontal disease, so it's essential to remove it every day with effective brushing and flossing. This doesn't mean scrubbing, which can actually cause your gums to recede. Proper techniques can be demonstrated for you, if you have any questions.

Of course, there are some areas of the mouth that a toothbrush and floss just can't reach, which is why it's so important to have regular professional cleanings at the dental office. Your regular dental exam is also a time when early signs of gum disease can be detected — before they become apparent even to you.

Eating a nutritious diet low in sugar, and staying away from tobacco in all forms, will also increase your periodontal health — and your chances of keeping your teeth for life.

Related Articles

Periodontal (Gum) Disease - Dear Doctor Magazine

Understanding Gum (Periodontal) Disease Have your gums ever bled when you brushed or flossed? This most commonly overlooked simple sign may be the start of a silent progressive disease leading to tooth loss. Learn what you can do to prevent this problem and keep your teeth for life... Read Article

Link Between Heart and Gum Disease - Dear Doctor Magazine

The Link Between Heart & Gum Diseases Inflammation has emerged as a factor in the process of cardiovascular disease (CVD), which commonly results in heart attacks and strokes. While the precise role inflammation plays in causing chronic CVD remains an area of intense investigation, much more is now known. The good news is that, based on current research, we know that if we can reduce the inflammation caused by periodontal disease, we may reduce the risk for heart attacks and strokes... Read Article

Periodontal Surgery - Dear Doctor Magazine

Periodontal Surgery — Where Art Meets Science This Dear Doctor magazine article is an overview of how the art of plastic surgical procedures and the science of periodontics can enhance the health and beauty of your teeth. You will learn what periodontal surgery is designed to do, what makes it successful and what to expect during treatment... Read Article

  • Periodontal (Gum) Disease

    While you may think that some loss of teeth is inevitable with aging, it is actually possible for all of your teeth to last a lifetime. One of the ways you can achieve this goal is to avoid periodontal disease (“peri” – around; “odont” – tooth), which is caused by bacteria that attack the

    Read more
  • Ultrasonic Cleanings

    After a thorough, professional tooth cleaning, you know that your teeth look brighter and feel fresher. But tooth cleaning isn't just about appearances. It's the primary means of preventing and treating periodontal (gum) disease. Many studies have demonstrated a possible link between periodontal health

    Read more
  • Periodontal Flap Surgery

    When advanced gum disease (periodontitis) develops, your teeth are in danger: At this stage, the ligaments and bone tissue that surround them are being destroyed, and you could even begin losing teeth! If the disease can't be controlled by non-surgical treatments like cleaning and scaling, then periodontal

    Read more
  • Oral Systemic Connection

    Maintaining good oral health has many rewards: A sparkling smile, fresh breath, and healthy gums. But recent scientific evidence suggests that it may have an even greater benefit to your overall health: Specifically, it could potentially reduce your risk for a number of systemic (whole-body) diseases,

    Read more
  • Non-Surgical Periodontal Treatment

    Periodontal (gum) disease is an infection caused by bacterial plaque, a thin, sticky layer of microorganisms (called a biofilm) that collects at the gum line in the absence of effective daily oral hygiene. Left for long periods of time, plaque will cause inflammation that can gradually separate the gums

    Read more
  • Professional Teeth Cleanings

    Even if you brush and floss your teeth faithfully, it is important that you have your teeth professionally cleaned on a regular basis. (Of course, if you aren't quite so meticulous about your oral hygiene, it's even more important!) After a thorough cleaning, your teeth will feel smooth and squeaky-clean,

    Read more
  • Gum Grafting

    If gum recession is affecting your health or your appearance, a procedure called gingival (gum) grafting may be recommended. Although it might sound scary, a variety of gum grafting procedures are routinely performed by periodontists (specialists in the area of gingival tissue), and by some general dentists

    Read more
  • Cosmetic Gum Surgery

    There are many elements that make up an ideal smile; bright, healthy-looking teeth immediately come to mind. But the gum tissue that surrounds and supports those teeth also plays a big role in how appealing your smile will look. There are various cosmetic issues involving gum (gingival) tissue. For

    Read more
  • Loose Teeth & Bite Problems

    When you are a child, your first loose tooth can be cause for celebration; when you are an adult, it definitely is not. Biting and chewing with a tooth that is not securely attached in its socket can be difficult or even painful — and any tooth that becomes loose is at risk of needing to be removed

    Read more

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  • "Dr Steve Manson... Superb! Janese... Top notch manager

    Jan 14, 2016 5/5 stars"
    - Morison, Jacqueline
  • "best dentist in town, very modern.

    Dec 27, 2015 5/5 Stars"
    -Toure, Elhadji
  • "The stairs will become more difficult as I age.

    Nov 5, 2015"
    - Hogan, Debra
  • "great dentist great secretary most important his treatment is outstanding. special treatment who have fear!!

    Oct 22, 2015 5/5 Stars"
    - Scime, Rose
  • "There was time between appointments.. You don't feel that the doctor has no time for you. Dr Manson has time for your individual needs... What a great man!

    Aug 27, 2015 5/5 Stars"
    - Morison, Jacqueline
  • "The visit was with staff that was friendly and professional.
    June 27, 2015 5/5 Stars"
    - McEvoy, Joe
  • "Professional staff, make you feel comfortable as you can be in the dental chair. Any questions you have are always answered & explained to the fullest. Taken for your appt. on time.

    Jun 25, 2015 5/5 Stars"
    - Phelps, Ruth
  • "Dr Steve Manson exceeds the standards of excellence in dentistry. We need another ten more of Dr Steve around New York City.

    May 21, 2015 5/5 Stars"
    - Morison, Jacqueline
  • "The Staff is wonderful. Dr. Manson is the best Dentist I ever went to. Does excellent work, and NO PAIN... Hes mine forever. I tell everyone I know to only go to him...He is a professional in every way. 5 STARS ALL THE WAY!!!

    May 8, 2015 5/5 Stars"
    - scime, Rose
  • "I was treated by staff and colleagues very well.

    June 27, 2015 5/5 Stars"
    - Rywak, Tamara
  • "Always feel confident I am getting the best advice possible on any dental situation.

    Mar 24, 2015 4/5 Stars"
    - Phelps, Ruth
  • "You guys are awesome!!!
    Aug 5, 2014 5/5 Stars"
    - Antoian, Kerrianne
  • "Besides being a great dentist, Dr. Manson is kind and caring.

    Jul 2, 2014 5/5 Stars"
    - Immordino, Rosary
  • "Fantastic dentist; been going to him for 15 years. Very nice and professional receptionist/assistant. Dr. Manson is the best of all professionals: he is meticulous, extremely skilled and has a warm but focused manner. The best old school professionalism with state-of-the art dental care.

    Jun 20, 2014 5/5 stars"
    - DiLeo, Leslie
  • "the office is run in a very professional manner. No changes are really needed.

    Jun 17, 2014 5/5 Stars"
    - Daly, William
  • "As always Dr. Manson and his assistant Janice are excellent. I travel from eastern Long Island because they are excellent! I have been a patient for approximately 40 years.

    June 12, 2014 5/5 Stars"
    - Tavano, Claudia
  • "Fantastic office. Fantastic work.

    Jun 11, 2014 5/5 stars"
    - Rusin, Ruza
  • "Janice is excellent!!!!!!

    May 6, 2014 5/5 Stars"
    -Tavano, Lawrence
  • "ALL'S WELL THAT ENDS WELL!

    Apr 24, 2014 5/5 stars"
    - Mushorn, William
  • "Janiece is a wonderful addition to Dr. Manson's practice. She is so helpful and wonderful with a calm demeanor. Perfect hire Dr. Steve!

    Apr 21, 2014 5/5 Stars"
    - Duffy, Robin
  • "No issues. Dr. Manson seemed very knowledgeable and I really appreciated his hands on approach.

    Apr 8, 2014 5/5 Stars"
    - Lodato, Anthony
  • "Dr. Manson was thorough, gentle and very understanding. Would absolutely recommend!"
    - Ikeguchi, Jennifer
  • "Don't change a thing...continue to do the excellent job and service I receive every three months.

    Mar 18, 2014 5/5 stars"
    - Morison, Jacqueline
  • "A fast thorough no nonsense cleaning procedure performed in a pleasant friendly manner.

    Mar 11, 2014 5/5 Stars"
    - Chu Mun, Donald
  • "No pain! Janice is great!

    1/19/2014"
    – K. Dicicco 5/5 Star
  • "PAINLESS....FOR ME....THAT SAYS IT ALL.!

    11/12/2013"
    - B. Mushorn 5/5 Stars
  • "Caring, efficient, meticulous, professional. What more do you want?

    11/6/2013"
    – D.Chu Mun 5/5 Star
  • "I have been going to Dr. Manson's office for 30 years. Starting with his Dad and then moving on to Dr. Steven Manson who is wonderful! I was someone who avoided dentists for many many years because i was fearful but if you do have that fear he will put you completely at ease. I know for a fact that had i not started when i did with him I would more than likely not have a tooth left in my head. I have very soft teeth with lots of decay from bad eating habits and he has fixed them all just perfectly. I do believe my fear came from having teeth pulled which didn't really have to be at a young age so just give him a try, just once, and your fears will be settled. You should also know I do not write reviews normally and that is how strongly i feel you will be happy with this choice. Good Luck and You're Welcome :)

    11/6/2013"
    – Anonymous 5/5 Star
  • "DR. Manson is highly skilled, caring and professional with an excellent staff that makes a trip to the dentist a pleasant experience. If you're looking for a great dentist in Long Island City- he's your man!

    10/13/2013"
    N. Ricci 5/5 Star
  • "Competent, caring, gentle, friendly. What more could you want?

    10/11/2013"
    – Immordino, R. 5/5 Sta
  • "I started going there with Dr. Roy Manson and when he retired I now see his son, Steven. They have been the most concerned about caring for you and not causing you any pain which other dentists did cause a great deal of pain in my youth. Very knowledgeable and always trying new and better methods of dentistry. I didn't have to wait long this time either which is a BIG plus.

    10/3/2013"
    - B. Trazino 5/5 Star
  • "Dr. Manson is a wonderful dentist that I have been going to for years and would highly recommend him…

    9/26/2013"
    – Costello, M. 5/5 Star
  • "Dr. Manson and his staff are extremely professional. I feel very confident at having my dental health in their care. Typically, my latest visit was a pleasant experience. My cleaning was performed successfully and efficiently.

    9/22/2013"
    – Daly, W. 5/5 Star
  • "Awesome

    8/23/2013"
    – Cheffolway, L. 5/5 Star
  • "The best dentist in all of the city, been going to Dr. Manson for 20+ years, he is kind, gentle and just an amazing dentist.

    8/23/2013"
    - R. Michele Marigliano 5/5 Star
  • "Dr. Manson is probably one of the BEST dentists in the area. Other then the fact that my entire family goes to him he really DOES care about his patients and his work (something that is hard to find these days.)

    8/21/2013"
    -– Anonymous 5/5 Stars
  • "As always the care was tops!

    7/27/2013"
    –Tavano, C. 5/5 Stars
  • "Every time I leave Dr. Manson's office (and it's been well over ten years since I first saw him), I think "what a fantastic dentist." He is skilled and meticulous in his work and senstitive to the patient's comfort. He makes smart use of the latest dental technology, and he is old-fashioned in the best sense of that description: focusing on quality care for the patient.

    7/5/2013"
    – Dileo, L. 5/5 Stars
  • "Another great and gentle dental experience with Dr. Manson!

    6/26/2013"
    – Anonymous 5/5 Stars
  • "Dr. Manson is the greatest. Puts you at ease and has hands of a surgeon.

    6/1/2013"
    – R. Motta 5/5 Stars
  • "Dr Manson is an excellent doctor.

    5/13/2013"
    – R. Tavano 5/5 Stars
  • "I have been a patient of Dr. Manson's for nearly thirty years, and would recommend him to anyone interested in receiving excellent dentistry without pain or stress.

    5/6/2013"
    – R. Owsley 5/5 Stars
  • "I always feel comfortable with Doctor Manson and i always get praise on my teeth and i said Thanks to Dr. Manson

    5/6/2013"
    – R. Cavaliere 5/5 Stars
  • "Dr. Manson is on my opinion the "Best Dentist" in New York. I have been a patient of Dr Manson fit over 25 years and would recommend him to everyone. As a Dentist he makes his patient feel at home and relaxed. Everyone in the office will make your visit as comfortable as you can be.

    5/1/2013"
    – R. Hidalgo 5/5 Stars