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ProCare Dental

Treatment Options

Periodontics

Gum disease treatment, deep cleanings and bite adjustments to protect the foundation your teeth depend on.

Hygienist examining a patient's gums during a periodontal visit

Protecting the Foundation Your Teeth Depend On

Healthy teeth depend on healthy gums and bone — the foundation that holds everything in place, even though it rarely gets the attention the teeth themselves do. Periodontal (gum) disease is a bacterial infection of that foundation, and it's remarkably common: most adults will experience some degree of it in their lifetime. Because early gum disease is usually painless, it's easy to miss until it has already started to loosen the attachment between your teeth and the bone beneath them — which is exactly why we screen for it at every single visit, not just when a patient mentions a symptom.

Our Periodontal Treatment Options

The right treatment depends entirely on how far the disease has progressed. Gingivitis, the earliest and fully reversible stage, typically responds well to a thorough professional cleaning combined with sharper at-home habits. Once the disease has advanced into periodontitis and bacteria have colonized below the gumline, we perform scaling and root planing — often called a "deep cleaning" — which removes plaque and tartar from the tooth root surfaces and smooths them so gum tissue can reattach more easily. We also correct occlusal (bite) problems: when a tooth's biting surface is even slightly out of alignment, that uneven pressure can accelerate bone loss around that specific tooth, and a quick, painless adjustment can relieve it. For patients in ongoing periodontal maintenance, we set a personalized recall schedule — often every three to four months — that keeps inflammation from re-establishing itself between visits.

  • Non-surgical scaling and root planing (deep cleaning)
  • Occlusal (bite) adjustment
  • Periodontal maintenance on a personalized schedule
  • Early gingivitis reversal through professional cleaning + home care

Recognizing the Warning Signs

Gum disease is easiest to treat — and easiest to fully reverse — while it's still in its earliest stage, which makes recognizing the warning signs early genuinely valuable. Watch for gums that bleed when you brush or floss, redness or puffiness along the gumline, gums that appear to be pulling away from your teeth (making them look longer than they used to), persistent bad breath that doesn't resolve with brushing, or teeth that feel slightly loose or have shifted position. Any one of these on its own is worth a look at your next visit; more than one together is worth calling us sooner rather than waiting for your next scheduled cleaning.

Why Gum Health Affects More Than Your Mouth

Periodontal disease doesn't stay contained to your gums. A growing body of research links untreated gum disease to a higher risk of heart disease, complications for patients managing diabetes, and even adverse pregnancy outcomes — the inflammation and bacteria involved don't respect the boundary between your mouth and the rest of your body. That connection is part of why we treat periodontal disease proactively, as a genuine health priority, rather than as a cosmetic afterthought once teeth are already loosening.

What to Expect After Treatment

Mild gum tenderness and slight bleeding for a couple of days after a deep cleaning are both normal and expected, and typically resolve on their own with gentle brushing and warm saltwater rinses. Some patients notice mild tooth sensitivity to cold for one to two weeks, which a sensitivity toothpaste usually manages well. Most patients are back to their normal routine the same day. The real key to lasting results is the maintenance schedule that follows — periodontal disease can be managed successfully for a lifetime with consistent care, but it can also quietly return if visits are skipped, which is why we build a realistic recall plan around your specific case rather than a generic six-month default.

What's included

  • Gum disease treatment
  • Scaling & root planing
  • Occlusal (bite) adjustment
  • Periodontal maintenance

Patient Reviews

For periodontics

  • "My gums stopped bleeding within a week of my deep cleaning. Wish I'd come in sooner."
    — Karen T.
  • "The bite adjustment took five minutes and the soreness I'd had for months was just gone."
    — Frank M.

Frequently Asked Questions

How do I know if I have gum disease?
Bleeding when you brush or floss, red or swollen gums, persistent bad breath, and gums that look like they're pulling away from your teeth are all common early signs — we check for these at every visit.
Is scaling and root planing painful?
We numb the area first, so most patients feel pressure rather than pain. Mild tenderness for a day or two afterward is normal.
What is an occlusal adjustment?
A quick, painless reshaping of tiny high spots on a tooth's biting surface so your bite meets evenly — it can relieve soreness, sensitivity and uneven wear.
Can gum disease really affect my overall health?
Yes — research links untreated gum disease to heart disease, diabetes complications and other systemic conditions, which is part of why we treat it proactively rather than waiting.

Aftercare

Post-Op: Deep Cleaning (Periodontal Therapy)

Follow these instructions for a comfortable, complication-free recovery.

  1. Gums may be tender and bleed slightly for 2–3 days.
  2. Rinse with warm saltwater 2–3x/day for the first week.
  3. Avoid spicy, crunchy, or acidic foods for 48 hours.
  4. Tooth sensitivity to cold can last 1–2 weeks — use sensitivity toothpaste.
  5. Resume gentle brushing the same day; floss starting the next day.
  6. Return for periodontal maintenance every 3–4 months as recommended.

Emergency? Call our Livingston office at (973) 533-1777.