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Periodontal Therapy in Atlanta

Save Your Smile with our expert care

At Goldstein, Garber & Salama, our periodontists are highly trained and experienced in delivering effective, comfortable periodontal care. With proper intervention, we can preserve your smile and prevent further damage from periodontal disease. Contact us today to schedule your visit!

What Is Gum Disease & How Do You Treat It?

Gum disease, also known as periodontal disease, is a major threat to your health and wellbeing. Your best bet when it comes to treating gum disease is to act as soon as you can and begin addressing the problem. The sooner your dental team can determine what is causing your gum and teeth issues, the sooner they can work out a treatment plan that is right for you. The most common course of action for treating periodontal disease is a process known as dental scaling and root planing.

If caught early, periodontal disease and its effects can be drastically decreased with proper gum disease treatment and continued maintenance. If left untreated, periodontal disease can lead to tooth and bone loss. Gingivitis can be one of the first signs of infection and gum disease. The build-up of bacteria that is causing the inflammation of your gums comes from plaque. If the plaque is not brushed away properly, it hardens into tartar/calculus, which cannot be removed with normal brushing.

The bacteria in the hardened plaque starts to eat away at the connective tissue between your teeth and gums. This causes the creation of “pockets”. At this stage, the effects of periodontal disease are still often reversible. In some patients, their gum disease is diagnosed early enough to where they can avoid needing gum surgery. Instead, their gum disease can be treated with a special deep dental cleaning called scaling and root planing.

Preparation for Dental Implant Placement

Bone augmentation

Dr. toni working with patient

Dental implant surgery is one of the most integral aspects of periodontal treatment, allowing patients who may have lost their permanent (adult) teeth a chance to restore and rejuvenate their smile. However, in order to successfully place an oral implant, patients must have enough bone tissue to ensure a strong, secure connection between the implant and the patient’s jaw. For those individuals who may not have enough bone tissue remaining, bone augmentation is a critical step in ensuring the jaw is ready to successfully accept the implant and restore the patient’s dental structure.

The loss of bone around the teeth, along with a general weakening of the bone structure in the jaw, leads to tooth loss. The bone grafting procedure is done by the periodontist in order to replace lost bone tissue. The goal is to strengthen the weakened structure of the jaw while also encouraging new bone growth to start naturally. Bone grafting is a very adaptive procedure that can be very effective when it comes to oral reconstruction and maintenance for advanced periodontal disease. Bone grafting treatments can help provide enough support to install dental implants and can also prevent further tooth loss.

Crown Lengthening

Crown Lengthening is a periodontal plastic surgery, gum reshaping procedure in which gum tissue or bone is removed to expose a greater area of the tooth structure. This can be used for cosmetic purposes such as minimizing the appearance of a "gummy smile," or for prosthetic purposes such as exposing more tooth to support a crown, veneer, or filling. The gums are reduced or reshaped by removing small amounts of gum tissue in the desired areas. The goal is to lengthen the appropriate teeth and create greater symmetry at the gum line. Candidates for crown lengthening are those who are in good general health, specifically those with healthy gums. Those with a gummy smile, decay or a crack near the gum line are also strong candidates. If you suffer from periodontal disease or have insufficient bone you may not be eligible for this procedure. We recommend scheduling a consultation to see if you can benefit from this procedure.

doctors working together to do surgery

What Is LANAP?

LANAP (Laser Assisted New Attachment Procedure), also called laser gum therapy, is a new approach to periodontal treatment that's both more comfortable and convenient than traditional approaches. Normally, advanced periodontal disease is treated through a procedure called osseous surgery. This involves cutting open gum tissues to access the tooth roots, then using ultrasonic scalers to remove tartar from below the gumline.

LANAP uses high-grade medical lasers to achieve the same results without the need for cutting or stitching of the gum tissue. These lasers eliminate diseased gum tissue while protecting healthy tissue since the laser immediately cauterizes the tissue. This process also widens the pocket between the gum and tooth, providing access to the tooth roots. This means, our periodontist, Dr. Toni Salama, can use an ultrasonic scaler to clear away plaque and tartar buildup on the root.

Laser gum therapy can offer a more comfortable, convenient option for patients in need of gum treatment. If you'd like to find out if it's right for you, we'd be thrilled to help. Contact us today to learn more about the procedure or simply request your appointment online to get started. We can't wait to hear from you, and we look forward to helping you achieve a healthy, beautiful smile.

front door of office peaking into the area

Am I a Good Candidate For LANAP?

Anyone who needs periodontal treatment can be a candidate for laser assisted gum therapy. If you notice symptoms like redness, swelling, bleeding, or tenderness of the gums, you may have periodontal disease – and that means laser gum therapy may be right for you.

Gum Graft Surgery

What is gum recession?

Gum recession is a periodontal condition which occurs when a patient’s gum tissue wears away over time – exposing not only more of your teeth, but the tooth’s root as well. Root surfaces exposed by gum recession can become sensitive to temperature and pressure changes, and can also decay or wear away over time. If this condition is left untreated, and continues to progress it can often worsen to the point of severe damage or tooth loss. Whether it be for cosmetic reasons or to prevent damage to your exposed teeth, it is critical for patients suffering from gum recession to seek treatment.Gum grafts may be used to treat a variety of conditions, including: periodontal disease, gum recession, poor dental hygiene, jawbone loss, missing teeth, aesthetic issues with the shape of the gums, and gum problems around dental implants.

What is gum Grafting?

Gum grafting, also known as periodontal plastic surgery or gingival grafts, refers to any periodontal procedure aimed at grafting gingival tissue onto the gums to build up the gums and cover exposed tooth root surface. While there are several approaches to gum grafting, all of them aim to improve the appearance of your smile, alleviate teeth sensitivity, and prevent periodontal recession. Our Atlanta periodontists, Dr. Maurice Salama and Dr. Toni Salama, perform a variety of gum grafting procedures in our office.

Gum grafting is a simple, effective way to reverse periodontal recession and promote healthy, functional gums and teeth, and if you're interested in seeing how it may benefit you, we can help. Contact us today to learn more about gum grafts or to schedule a consultation for dental treatment at our Atlanta office. We can't wait to hear from you and help you achieve a smile you’re proud of!

Periodontal Pocket Reduction

As a result of severe periodontal disease, pockets can develop between the teeth and gums over time. These pockets are often filled with plaque and unwanted bacteria. Over time, these pockets become deeper, providing a larger space for bacteria to live. As bacteria develop around the teeth, they can accumulate and advance under the gum tissue. These deep pockets collect even more bacteria, resulting in further bone and tissue loss. Eventually, if too much bone is lost, the teeth will need to be extracted.

By reducing pocket depth and eliminating existing bacteria we can prevent damage caused by the progression of periodontal disease and help you maintain a healthy smile. However, eliminating bacteria alone may not be sufficient to prevent disease recurrence. Deeper pockets are more difficult for you and your dental care professional to clean, so it's important to have them reduced. These procedures can be combined with regenerative procedures in order to spur the development of new bone tissue as well. Reduced pockets and a combination of daily oral hygiene and professional maintenance increase your chances of keeping your natural teeth and decrease the chance of serious health problems associated with periodontal disease.

a doctor looking at the patient's gums and teeth

What Is Sinus Augmentation?

Sinus augmentation, also known as sinus lifts are used to prepare the upper jaw for implant placement. A key to implant success is the quantity and quality of the bone where the implant is to be placed. The upper back jaw has traditionally been one of the most difficult areas to successfully place dental implants due to insufficient bone quantity and quality and the close proximity to the sinus. If you've lost bone in that area due to reasons such as periodontal disease or tooth loss, you may be left without enough bone to place implants.

Sinus lift surgery can help correct this problem by raising the sinus floor and developing bone for the placement of dental implants. Several techniques can be used to raise the sinus and allow for new bone to form. Your periodontist can explain your options for graft materials, which can regenerate lost bone and tissue. Depending on your individual needs, the bone usually will be allowed to develop for about 4 to 12 months before implants can be placed. After the implants are placed, an additional healing period is required. In some cases, the implant can be placed at the same time the sinus is augmented.

Undergoing sinus lift surgery has been shown to greatly increase your chances for successful implants that can last for years to come. Dr. Salama is very skilled in this procedure and will keep you informed to ensure you feel confident and at ease. every step of the way. Plus with our variety of sedation options, we can help you feel comfortable throughout the entire treatment. Many patients experience minimal discomfort during this procedure and some soreness for a few days after the procedure is normal.

front door of office peaking into the area

How common is periodontal disease?

Periodontal disease is actually quite common among adults. Luckily, the first stage of periodontal therapy, gingivitis, doesn't cause permanent damage unless it is left untreated. The expert periodontists at Goldstein Garber & Salama can quickly identify whether or not you have gum disease and help you get the care you need to maintain lifelong dental wellness.