Periodontal Treatment in Richmond, TX
Stop gum disease before it causes tooth loss. Comprehensive periodontal therapy including deep cleanings, scaling & root planing, and structured maintenance programs to restore and protect your gum health for life.
What Is Periodontal Disease?
Periodontal disease — commonly called gum disease — is a bacterial infection of the gums and supporting structures around your teeth. It begins when plaque accumulates along and below the gum line. If not removed through regular brushing, flossing, and professional cleanings, plaque hardens into tartar that can only be removed by a dental professional.
The bacteria in plaque and tartar trigger an inflammatory response, causing gums to become red, swollen, and prone to bleeding. Left untreated, this inflammation destroys the gum tissue and bone supporting your teeth — the leading cause of tooth loss in adults.
At Best Dental in Richmond, TX, our comprehensive periodontal evaluations detect gum disease early when it's most treatable. Dr. Jasmine Naderi and Dr. Sonny Naderi provide personalized treatment plans to restore your gum health and prevent tooth loss.
Warning Signs of Gum Disease
Many people don't realize they have gum disease because early stages can be painless. If you notice any of the following, schedule a periodontal evaluation immediately.
- Bleeding gums when brushing, flossing, or eating
- Red, swollen, or tender gums that look puffy or inflamed
- Receding gums making teeth appear longer than before
- Persistent bad breath that doesn't improve with brushing
- Pus between teeth and gums indicating active infection
- Loose or shifting teeth that move when touched
- Changes in bite or the way teeth fit together
- Pain when chewing or sensitivity around gums
- Gums pulling away from teeth creating deep pockets
Stages of Periodontal Disease
Gum disease progresses through distinct stages, each more serious than the last. Understanding these stages helps you recognize the urgency of treatment.
Stage 1: Gingivitis
Mild · Reversible- Red, swollen gums
- Bleeding when brushing or flossing
- Bad breath
- No bone or tissue loss yet
Professional cleaning and improved home care can completely reverse gingivitis. This is the only reversible stage.
Stage 2: Early Periodontitis
Moderate · Manageable- Gums pull away from teeth
- Pockets 4–5mm deep form
- Early bone loss begins
- Increased bleeding & sensitivity
Deep cleaning (scaling & root planing) can stop progression and stabilize the condition, though bone loss cannot be reversed.
Stage 3: Moderate Periodontitis
Advanced · Serious- Deeper pockets (5–7mm)
- Significant bone loss
- Teeth may feel loose
- Gum recession noticeable
Deep cleaning, possible antibiotics, more frequent maintenance (every 3 months), and potentially gum surgery.
Stage 4: Advanced Periodontitis
Severe · Tooth Loss Risk- Pockets 7mm or deeper
- Severe bone loss (50%+)
- Loose, shifting teeth
- Pus, abscesses, pain
May require extraction, gum surgery, bone grafting. Aggressive ongoing treatment needed to save remaining teeth.
Periodontal Treatment Options
Treatment depends on the stage and severity of your gum disease. Our goal is always to use the most conservative, effective approach to restore your gum health.
Professional Dental Cleaning
For gingivitis. Removes plaque and tartar above the gum line. Combined with improved home care, this reverses gingivitis completely. Most patients need cleanings every 6 months; those prone to gum disease benefit from 3–4 month intervals.
Scaling & Root Planing (Deep Cleaning)
For early to moderate periodontitis. The gold-standard non-surgical treatment for gum disease — cleans below the gumline to eliminate bacteria, tartar, and toxins from root surfaces. Learn more about scaling and root planing →
Antibiotic Therapy
For active infection or in combination with deep cleaning. Options include oral antibiotics (7–14 days), topical antibiotic gel placed directly in deep pockets, and prescription antimicrobial mouthrinse to reduce bacteria.
Periodontal Maintenance
Ongoing care after initial treatment. More frequent cleanings every 3–4 months to prevent disease recurrence. Critical for long-term success — periodontal disease returns without proper maintenance.
Referral to Periodontist
For advanced or complex cases. When gum disease is severe, we refer to a periodontal specialist for gum surgery (flap surgery), bone grafts, soft tissue grafts, or guided tissue regeneration.
Scaling & Root Planing (Deep Cleaning)
Scaling and root planing is the most common non-surgical treatment for periodontal disease. It's more extensive than a regular cleaning and specifically targets the bacteria, plaque, and tartar that have accumulated below the gum line.
Scaling
Ultrasonic scalers and hand instruments remove plaque, tartar, and bacteria from tooth surfaces and beneath the gums, reaching deep into periodontal pockets. This eliminates the infection source that a regular cleaning can't reach.
Root Planing
Root surfaces are smoothed to remove bacterial toxins. Smooth roots make it harder for bacteria to reattach and help gums heal and reattach to teeth — reducing pocket depths over the following weeks.
Follow-Up & Success Rates
We schedule a re-evaluation 4–6 weeks after your final deep cleaning to re-measure pocket depths and assess gum healing. When combined with improved home care and regular maintenance, scaling and root planing successfully halts periodontal disease progression in approximately 85–90% of cases.
Periodontal Maintenance: Long-Term Success
Successfully treating gum disease is only half the battle. Preventing it from returning requires ongoing periodontal maintenance — this isn't optional, it's essential for keeping your gums healthy and your teeth in place.
"The risk of tooth loss in the regular-compliance group was significantly lower than that in the erratic-compliance group (pooled RRTL: 0.56 [CI: 0.38, 0.82])… Teeth have less risk of being lost if patients are more compliant with supportive periodontal therapy."— Lee CT, Huang HY, Sun TC, Karimbux N. Impact of Patient Compliance on Tooth Loss during Supportive Periodontal Therapy. Journal of Dental Research, 2015;94(6):777–86. Harvard School of Dental Medicine & Tufts University. View on PubMed →
This meta-analysis analyzed eight studies comparing tooth loss between compliant and non-compliant periodontal maintenance patients. Patients who kept their regular maintenance schedule had a 44% lower risk of tooth loss. Once you've had periodontal disease, you're at higher risk for recurrence — bacteria can repopulate treated pockets within 9–11 weeks, which is why 3–4 month cleanings replace the standard 6-month interval.
Cost & Insurance Coverage
Periodontal treatment costs vary based on severity and extent of treatment needed. While the investment may seem significant, untreated gum disease leads to tooth loss — and replacing lost teeth with dental implants or dentures costs far more.
Cash price without insurance. See our full deep cleaning cost guide for insurance breakdown and payment options.
Preventing Gum Disease
The best periodontal treatment is preventing gum disease in the first place. Even if you've already had gum disease treated, these preventive strategies help ensure it doesn't return.
Risk Factors You Can't Change
Some factors increase gum disease risk but can't be modified. If these apply to you, extra vigilant preventive care is crucial: genetics (some people are predisposed), age (risk increases after 30), hormonal changes (pregnancy, menopause), and certain medications that reduce saliva or cause gum overgrowth.
The Connection to Overall Health
Gum disease doesn't just affect your mouth — it impacts your entire body. Research links periodontal disease to heart disease and stroke, diabetes complications, respiratory disease, pregnancy complications (premature birth, low birth weight), rheumatoid arthritis, and dementia. Maintaining healthy gums protects both your teeth and your overall health.
Frequently Asked Questions
Key Takeaways
Related Resources
Protect Your Gums & Save Your Teeth
Don't wait until you lose teeth to gum disease. Early treatment is easier, more affordable, and more successful. Schedule a comprehensive periodontal evaluation today.
Best Dental · 22377 Bellaire Blvd, Ste 400, Richmond, TX 77407 · Insurance & financing accepted