4945 Stone Falls Center, Suite A, O’Fallon, IL Call (618) 624-2800

Procedures

Periodontics: Treating the Gums

Periodontics is the care of the gums and bone around the teeth. This part of the site covers the treatments themselves, from deep cleaning to managing gums that have receded.

What periodontal treatments do we provide?

The central one is scaling and root planing, often called a deep cleaning. Where pockets have formed, tartar and bacteria are removed from the root surfaces below the gumline, and the roots are smoothed so the gum can tighten back against them. It’s usually done one section of the mouth at a time, with the area numbed. If you want to understand the disease behind it first, start with our page on gum disease.

Gum recession is the other common reason for care. Gums pull back for several reasons, among them gum disease, brushing too hard, a tooth’s position in the jaw and grinding, and an exposed root can be sensitive and wears faster than enamel. We look for the cause, address it and protect the root, so the recession doesn’t keep advancing.

Why do the gums come before other dental work?

Because crowns, bridges, implants and aligners all depend on them. The edge of a crown placed against inflamed gum won’t seal well, an implant needs healthy tissue and bone around it, and moving teeth with aligners through infected gums can speed bone loss. So when Dr. Prane finds active gum problems while planning other treatment, the gums are treated first and the rest follows once they’re stable.

Before a periodontal visit, new patients can complete the periodontal registration form online from our patient registration forms page, so your history is in hand before you sit down.

Answers

Questions people ask

Can a general dentist treat gum disease, or do I need a periodontist?

Many cases of gum disease are treated in a general practice, with scaling and root planing, close follow-up and maintenance cleanings. Advanced cases that need gum or bone surgery are the work of a periodontist, a specialist in the gums. Ask Dr. Prane which applies to you and why.

What is crown lengthening, and when is it needed?

Crown lengthening removes a small amount of gum, and sometimes bone, to expose more of a tooth. It’s used when a tooth has broken or decayed down near the gumline and a crown needs more tooth to hold onto, and sometimes to even out a gumline that covers too much of the teeth.

Will my teeth look different after gum treatment?

Possibly a little. As inflamed gums heal, the swelling goes down and the gums settle closer to the bone, so teeth can look slightly longer and small spaces may show between them. Some temporary sensitivity is common too. Those changes are a sign of healthier tissue, and they usually become less noticeable with time.

Can I get implants or crowns after I’ve had gum disease?

Usually, yes, once the gum disease is under control and stays that way. A history of gum disease raises the risk of infection around implants later, so steady home care and regular maintenance visits matter even more afterward. Dr. Prane checks the gums and bone before any of that work is planned.

New patients welcome

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Call the office or send a request, and our scheduling coordinator will call you back to confirm a time.

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