PERIODONTAL THERAPY IN FRESNO, CA

Healthy gums are the foundation of a beautiful smile and overall oral health. When gum disease threatens this foundation, periodontal therapy can restore your gums to optimal health and prevent serious complications. At Nivedita Nijhawan DDS, we provide comprehensive periodontal therapy using the latest techniques and technology. Dr. Nivedita Nijhawan is committed to helping you achieve and maintain healthy gums through personalized treatment plans that address your specific needs.

What Is Periodontal Therapy?

Periodontal therapy encompasses a range of non-surgical and surgical treatments designed to treat periodontal disease and restore gum health. This specialized area of dentistry focuses on the supporting structures of your teeth, including the gums, periodontal ligaments, and underlying bone.

The goal of periodontal therapy is to eliminate infection, reduce inflammation, and prevent the progression of gum disease that can lead to tooth loss. Treatment approaches vary depending on the severity of the condition, ranging from deep cleaning procedures to more advanced surgical interventions.

    Woman pointing at her teeth after periodontal therapy at Fresno dentist office

     

    Key Components of Periodontal Therapy:

    • Bacterial elimination through thorough cleaning and disinfection
    • Inflammation reduction to promote healing and comfort
    • Tissue regeneration, when possible, to restore healthy gum attachment
    • Ongoing maintenance to prevent disease recurrence

    Early intervention with appropriate periodontal therapy can often reverse the effects of gum disease and restore your mouth to optimal health.

    Causes of Periodontal Disease

    Understanding what causes periodontal disease helps patients take preventive measures and recognize the importance of early treatment. Several factors contribute to the development and progression of gum disease.

    Primary Causes:

    • Bacterial plaque buildup along the gum line that hardens into tartar
    • Poor oral hygiene that allows harmful bacteria to accumulate
    • Genetic predisposition that makes some individuals more susceptible
    • Smoking and tobacco use, which significantly increase disease risk

    Contributing Risk Factors:

    • Hormonal changes during pregnancy, menopause, or puberty
    • Certain medications that reduce saliva flow or affect gum tissue
    • Systemic diseases, such as diabetes, that affect immune function
    • Stress, which can impact the body’s ability to fight infection
    • Nutritional deficiencies that compromise immune system function
    • Teeth grinding or clenching that puts excessive pressure on the supporting tissues

    Recognizing these risk factors allows Dr. Nijhawan to develop targeted treatment and prevention strategies for each patient.

    Symptoms of Periodontal Disease

    Periodontal disease often develops gradually, and early stages may not cause obvious symptoms. Regular dental examinations are crucial for early detection, but being aware of warning signs helps patients seek treatment promptly.

    Early Stage Symptoms (Gingivitis):

    • Red, swollen gums that may appear puffy or irritated
    • Bleeding gums during brushing, flossing, or eating
    • Bad breath that persists despite good oral hygiene
    • Tender gums that are sensitive to touch

    Advanced Stage Symptoms (Periodontitis):

    • Gum recession that makes teeth appear longer
    • Deep pockets between teeth and gums
    • Loose teeth or changes in bite alignment
    • Pus between teeth and gums
    • Persistent bad taste in the mouth
    • Pain while chewing or increased tooth sensitivity

    If you notice any of these symptoms, it’s important to schedule an evaluation with Dr. Nijhawan promptly to prevent further progression of the disease.

    Periodontal Therapy Options

    Dr. Nijhawan offers comprehensive periodontal therapy options tailored to each patient’s specific condition and needs.

    Non-Surgical Treatments

    Scaling and Root Planing

    This deep cleaning procedure is often the first line of treatment for periodontal disease. Scaling removes plaque and tartar from above and below the gum line, while root planing smooths rough spots on tooth roots where bacteria tend to accumulate.

    Antibiotic Therapy

    Localized or systemic antibiotics may be used in conjunction with scaling and root planing to eliminate stubborn bacterial infections and promote healing.

    Laser Therapy

    Advanced laser technology can be used to remove infected tissue and bacteria while promoting faster healing and reducing discomfort.

    Surgical Treatments

    Gum Graft Surgery

    When gum recession exposes tooth roots, a gum graft can restore protective tissue coverage. This procedure uses tissue from another area of your mouth or a specialized graft material to rebuild the gum line.

    Pocket Reduction Surgery

    For advanced cases with deep pockets, surgical intervention may be necessary to reduce pocket depth and eliminate areas where bacteria can hide.

    Bone Grafting

    When periodontal disease has damaged the underlying bone, grafting procedures can help regenerate lost bone structure and provide better support for your teeth.

    Guided Tissue Regeneration

    This technique uses special membranes to encourage the regeneration of periodontal ligaments and bone that support your teeth.

    Post-Treatment Care

    Successful periodontal therapy requires ongoing commitment to oral hygiene and regular maintenance. Dr. Nijhawan will provide detailed instructions for caring for your gums after treatment.

    Immediate Post-Treatment Care:

    • Gentle oral hygiene with soft-bristle toothbrushes and prescribed mouth rinses
    • Pain management with recommended medications if needed
    • Dietary modifications to avoid irritating foods during healing
    • Activity restrictions to promote optimal healing

    Long-Term Maintenance:

    • Regular periodontal maintenance cleanings every 3–4 months
    • Improved home care with proper brushing and flossing techniques
    • Lifestyle modifications, such as smoking cessation if applicable
    • Regular monitoring to detect any signs of disease recurrence

    Periodontal Therapy FAQ

    How do I know if I need periodontal therapy?
    Dr. Nijhawan will assess your gum health during regular examinations using specialized probing techniques and X-rays. Signs like bleeding gums, persistent bad breath, or gum recession may indicate the need for treatment.
    Is periodontal therapy painful?
    Most procedures are performed with local anesthesia to ensure comfort. Some mild discomfort may occur during healing, but this can be managed with appropriate pain relief methods.
    How long does periodontal therapy take?
    Treatment duration varies depending on the severity of your condition. Scaling and root planing typically requires 2–4 visits, while surgical procedures may need additional time for healing.
    Will my insurance cover periodontal therapy?
    Most dental insurance plans provide coverage for medically necessary periodontal treatment. Our office will help verify your benefits and maximize your coverage.
    Can periodontal disease come back after treatment?
    With proper ongoing care and maintenance, periodontal disease can be successfully managed long-term. Regular cleanings and excellent home care are essential for preventing recurrence.
    How often will I need maintenance cleanings?
    Most patients with a history of periodontal disease benefit from maintenance cleanings every 3–4 months rather than the standard 6-month intervals.

    Pricing and Insurance

    Investing in periodontal therapy provides significant long-term benefits for your oral health and overall well-being. The cost of treatment is minimal compared to the potential consequences of untreated gum disease, which can include tooth loss, bone deterioration, and systemic health complications.

    Benefits of Periodontal Therapy:

    • Prevention of tooth loss and the need for costly tooth replacement
    • Improved overall health by reducing inflammation and bacterial load
    • Enhanced quality of life through better oral function and comfort
    • Long-term cost savings by preventing more extensive treatments
    • Better breath and appearance through healthier gums

    Financial Options Available:

    • Insurance coverage — Most plans cover medically necessary periodontal treatment
    • Flexible payment plans — Monthly payment options to fit your budget
    • Health Savings Accounts — HSA and FSA funds can be used for treatment
    • Preventive focus — Early treatment is more affordable than advanced interventions

    The investment in periodontal therapy pays dividends in improved health, comfort, and confidence for years to come.

    Call to Schedule an Appointment Today

    Don’t let gum disease compromise your oral health and overall well-being. Dr. Nivedita Nijhawan and our experienced team are here to provide expert periodontal therapy that can restore your gums to optimal health. We understand that gum disease can be concerning, which is why we take time to thoroughly explain your condition and treatment options.

    Our Fresno office is equipped with the latest technology to provide effective, comfortable periodontal therapy. Whether you need preventive care or advanced treatment for existing periodontal disease, we’re committed to helping you achieve and maintain healthy gums.

    Ready to take control of your gum health? Call us today at 559-224-1303 to schedule your periodontal evaluation. We look forward to helping you achieve optimal oral health through comprehensive, caring periodontal therapy.

    Dental treatment room prepared for periodontal therapy at Fresno dental clinic

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