What is a Periodontist?

A periodontist is a dentist who specializes in the prevention, diagnosis and treatment of periodontal diseases (gum disease.) The specialty of Periodontics also involves the treatment planning, placement, and maintenance of dental implants. In order to become a periodontist, a dentist must first complete four years of dental school and then an additional three years in a periodontic specialty-training program. The American Dental Association recognizes eight different dental specialties, Periodontics being one of the eight. Periodontists are extensively trained in offering services which include implant dentistry, dental surgery procedures, gum surgery, crown lengthening, gum grafts, bone grafts, sinus grafts/sinus lifts, and other perio surgeries.

Periodontal Disease

What is periodontal disease? Periodontal diseases are gum diseases that affect the gums, gum tissues, and the teeth. The term periodontal translates as "around the tooth.” Under the umbrella definition of periodontal disease, one will find diseases like periodontitis and gingivitis which are both serious infections of the gums. The harmful effects of gum disease include potential tooth loss, and individuals can actually have periodontal disease and not even be aware that they have it until the condition worsens.

Chronic periodontal disease is a lasting bacterial infection which has harmful effects on the bones that support one's teeth as well as the gums and tissues surrounding one's teeth. It has been determined by a variety of studies that some 75 percent of adult tooth loss is due to the existence of periodontal disease. Periodontal disease does not discriminate; it can have an effect on one or all of an individual's teeth, and it can affect individuals of all ages, genders, and races. The onset of periodontal disease and issues with the gums is instigated by plaque and the bacteria in plaque in most cases. Plaque is a colorless film that forms on the teeth continuously; the substance is sticky and clings to one's teeth, which later causes the gums to be severely irritated and infected.

What is periodontal disease? It is a disease occurring in the mouth of an individual that, over time, can produce a loss of teeth, as well as a variety of other major health issues. Periodontal disease is something that needs to be treated by a trained periodontist as soon as possible to secure the longevity of one's oral health.

Healthy and Diseased Gums

Warning Signs of Gum Disease:

  • Red, swollen or tender gums
  • Bleeding while brushing or flossing
  • Gums that pull away from the teeth
  • Loose or separating teeth
  • Pus between the gum and the tooth
  • Persistent bad breath
  • A change in the way your teeth fit together when you bite
  • A change in the fit of partial dentures

Periodontitis and Heart Disease

Because periodontal disease is a bacterial infection, periodontal bacteria can enter the blood stream and travel to major organs and begin new infections. The heart is one of the most susceptible organs.

Several theories exist to explain the link between periodontal disease and heart disease. One theory is that oral bacteria can affect the heart when they enter the blood stream, attaching to fatty plaques in the coronary arteries (heart blood vessels) and contributing to clot formation.

Researchers have found that people with periodontal disease are almost twice as likely to suffer from coronary artery disease as those without periodontal disease.

It is very important that you always provide your periodontist with a comprehensive and accurate medical history, including any problems you are aware of with your heart. Some existing heart conditions such as a history of rheumatic fever, mitral valve prolapse or heart murmur may require antibiotics prior to dental procedures. Your periodontist and physician can work together to help you protect both your gums and your overall health.

Periodontal Procedures (Before and After)

Before Gum (Connective Tissue) Graft

After Gum (Connective Tissue) Graft


Before Bone grafts and Implants

After Bone grafts and Implants