Periodontal Procedures

Periodontal procedures decorative image

Oakland Dental Care provides several periodontal procedures to patients in Oakland, NJ. Contact us at 201-337-7733 to learn more or schedule an appointment.

Home care is an extremely important part of maintaining healthy teeth and gums, but even excellent home care cannot prevent bacteria and plaque. If the plaque is not removed, it can harden, becoming calculus. We will recommend a periodontal maintenance program that is best for you based on how quickly you develop calculus and your past and current periodontal health. During your maintenance visits we will perform an oral examination as well as a dental cleaning.

Cosmetic periodontal surgery includes, but is not limited to Crown Lengthening, Soft Tissue Grafts, and Bone Grafting.  These procedures can enhance your smile by correcting problems like long or short teeth, uneven gum line, receding gums, exposed roots, and indentations in the gums or jawbone.

Scaling and Root Planing

Dental instruments

Scaling and root planing is a non-surgical procedure used to treat gum disease.  During the scaling process, specialized dental instruments are used to remove dental plaque and calculus from beneath the gums.  Planing is the procedure used to smooth the tooth's root after the scaling process.  Root planing helps the gums heal and reattach themselves to a cleaner and smoother root surface.

Periodontal Splinting

Periodontal splinting is done to stabilize teeth that have become loose as a result of bone loss due to periodontal disease. The doctor will determine if periodontal splints are needed, as sometimes careful management of the periodontal disease causes the teeth to become more stable. Periodontal splints may use stabilizing wire or ribbon, composite resin, crowns, inlays/onlays, and/or veneers to accomplish the goal of stabilizing the teeth. 


Arestin® minocycline HCl 1mg microspheres

ARESTIN® is a locally applied antibiotic that delivers minocycline microspheres in the form of a powder. It is placed directly into the infected periodontal pocket at the time of scaling and root planing procedures for easy, targeted treatment. The microspheres adhere to the surrounding surfaces to provide a sustained release of the antibiotic at the site of active infection for effective treatment. It is used in pocket depth reduction and may be used as part of a periodontal maintenance program. 

Benefits of ARESTIN® include: 

  • No local anesthesia required
  • No adhesive required
  • No dressing required
  • No need for removal as the microspheres are completely bioresorbed
  • Remains active in the pocket for an extended period of time

Crown Lengthening

Closeup of person's smile

Crown lengthening is commonly used to expose more tooth structure, crown lengthening involves the removal of gum tissue and/or bone to expose more of a tooth's structure.

Gum Grafting

Gum grafting treats root exposure resulting from receded gum tissue.  Tissue is removed from the roof of the mouth or from gum tissue near the tooth and stitched into the area needing gingival repair.

Learn more about Gum Grafting

Bone Grafting

dental x-ray

Bone grafting is the replacement or enhancement of bone around teeth.  When a tooth is lost, the surrounding bone collapses.  Bone grafting is performed to reverse bone loss or enhance bone.  The bone can be taken from parts of the body or from synthetic material.  Bone grafting allows for proper support of dental implants or prostheses.

Osseous Surgery (aka Pocket Depth Reduction)

A pocket depth reduction is a surgical procedure used to smooth and reshape affected bone under the gum tissue.   This procedure is performed when a pocket around a tooth (or teeth) has not responded to other treatments.  It creates a shallow pocket making it difficult for bacteria to survive and damage bone, resulting in bone loss and ultimately, tooth loss.

Bone Regeneration

Bone regeneration is a periodontal surgical procedure that regenerates jaw bone and surrounding tissue. This procedure is often performed to protect your existing teeth and the tissues that keep them in place from bacterial plaque. The gingival tissue is folded back to remove the disease-causing bacteria. Membranes, bone grafts or tissue-stimulating proteins can be used to encourage the body's natural ability to regenerate bone and tissue.

Ridge Preservation

Ridge preservation involves placing a regenerative bone grafting material into empty tooth sockets to rebuild bone where an extraction has left an empty, weakened area.  This process encourages your body’s natural capacity to regenerate bone.

Learn More About Periodontal Disease

Periodontal health can be prevented with proper dental care, and treated at each stage.

Learn More About the Stages of Periodontal Disease

Contact us at 201-337-7733 to schedule an appointment.

Frequently Asked Questions

What causes periodontal disease?

There are many factors that play into whether or not someone develops periodontal disease, but regardless of what makes one susceptible to it, plaque is always the culprit. It is the primary cause of gingivitis that, if left untreated, will turn into more advanced forms of periodontal disease.

Plaque is a sticky substance that forms from food particles and bacteria. It latches on to your teeth above - and below - the gum line. If it isn’t removed, the plaque will harden and turn into tartar. This no longer can simply be brushed or flossed away, but instead requires professional cleaning. Not having it removed can lead to bigger issues -- like periodontal disease.

What are the symptoms of periodontal disease - and will I know I have it?

There are different stages of periodontal disease, but the first sign is inflamed, often bleeding gums as well as the buildup of plaque. More advanced symptoms are: 

  • Gums pulling away from teeth, forming pockets. 
  • Receding gum lines
  • Bleeding, inflamed gums 
  • Loose teeth
  • Pain while chewing
  • Severe bad breath
  • Foul taste in your mouth
  • Tooth loss

The best way to determine whether or not you have periodontal disease is to visit your dentist. A professional dental team will be able to determine if you have it, what stage you are in, and the best treatment options for you.

What should I expect during my first periodontal exam?

A periodontal exam does not vary much from a regular dental exam. Your dentist will do a thorough inspection of all areas of your mouth - and may include the use of X-ray and other diagnostic tests.

The dentist is looking for things like receding gums, a misaligned jaw or jaw dysfunction, the loss of bone, and the overall health of your teeth. This will help in determining whether or not you have periodontal disease and, if so, what the best treatment will be.

There are many periodontal procedures available. The dental team will likely put together a treatment plan for you to see the steps necessary to improve your oral health.

Will periodontal procedures reverse the damage of the disease?

The only stage of periodontal disease that can be reversed is the first one - gingivitis. If caught early, your dentist can use the scaling and root planing process to help you regain your oral health.

If your periodontal disease has advanced beyond this stage, it cannot be reversed. However, it can be halted from advancing. Your dentist can help clear up the bacteria and disease and work to restore your mouth to a state of vibrant health. So, while we cannot always undo what has happened, there are procedures to greatly help.

What are the potential consequences of periodontal disease if I don’t move forward with treatment?

Without addressing your periodontal disease with the proper procedures and treatment, the disease will continue to progress. Eventually, the support your teeth need to stay in place will dissipate and you will experience tooth loss.

Will my insurance cover periodontal procedures?

Every insurance plan is different, but most will provide assistance for periodontal treatment. It is a good idea to read your benefits information and/or contact your insurance company to better understand what is covered.

Periodontal procedures are necessary for your oral health. That’s why we have various financing options available to you. If you have any concerns, you can call our office to discuss them at 201-337-7733.`