Gum Disease Treatment
At Tetri’s Smile, we perform comprehensive treatment of gum disease with a smart approach — we diagnose and treat the underlying cause of your problems, not just the symptoms. We restore the destroyed tissues and stop the progression of the disease. We use advanced technologies with clinically proven effectiveness.
Dr. Tetri is a board-certified periodontal dentist (applying conservative treatments) and gum surgeon (using soft tissue gum grafting). He will personally diagnose and identify the root cause of gum problems, which will save even hopeless teeth from loosening and falling out.
Who treats gums?
A few words about me:
- Was certified in periodontics from the Department of Periodontology and Implantology at NYU in 2009
- Taught microsurgery in periodontics at NYU from 2013 before moving to Miami
- One of several doctors in Florida who uses GNM (trained by Dr. Clayton A. Chan).
Types of gum disease
Gingivitis
It is an inflammation of the gingival margin (including the part adjacent to the tooth cervix) due to poor oral hygiene.
The reason:
Bacterial plaque and tartar accumulate near the necks of the teeth. The pathogenic bacteria they contain release toxins that trigger an inflammatory process in the periodontal tissues.
The symptoms:
- Occasional bleeding and soreness of the gums while brushing the teeth
- Redness or lividity of the gingival margin
- Swelling of the gingival papillae
- Bad breath
The solution: Ultrasonic teeth cleaning.
Periodontitis
It is an inflammatory process in the tissues of the gingival attachment (gradually destroying it) and in the periodontal bone tissue. It causes tooth loosening, which, without timely treatment, can lead to tooth loss.
The reason:
Lack of treatment of gingivitis, which leads to further spread of inflammation. Incorrect traumatic bite.
The symptoms:
- Root exposure
- Accumulation of subgingival tartar
- Formation of periodontal pockets (may be accompanied by purulence)
- Loosening or displacement of teeth.
The solution: Ultrasonic cleaning + surgical treatment (curettage and flap surgery) + normalization of bite with GNM.
Pericoronitis
Inflammation of the mucosa over an erupting tooth due to an infection.
The reason:
- Pathologically dense bone tissue in the area of teething
- Thick gingival biotype over the teething tooth
- Denser cortical plate due to an anomaly in the development of the jaw.
The symptoms:
- Swelling or redness of the gum
- Pain (may extend to neighboring areas)
- Inflammation of regional lymph nodes
- Painful opening of the mouth.
The solution: Medication therapy + surgical treatment (excision of the hood or removal of the causal tooth).
Gum boil
Infectious inflammation in the periosteum — a connective tissue surrounding the tooth. A purulent pouch forms inside the gum, which enlarges and causes the soft tissue to swell.
The reason:
- Lack of timely treatment of caries/pulpitis (with infection penetrating the pulp, developing, and causing purulent inflammation)
- Poor-quality treatment of root canals (with infection developing in the unsealed areas of the canal and causing a purulent focus)
- Exacerbation of periodontal disease (a fistula occurs due to the violation of the outflow of pus from the deep periodontal pocket).
The symptoms:
- Nagging pain in the area of the affected tooth, intensifying when pressure applied
- Swelling of the gum
- Swelling on the cheek
- Lymph-node hyperplasia
- Temperature increase up to 38 degrees Celsius.
The solution: Anti-inflammatory therapy + root canal treatment + curettage (if indicated).
Gingival hyperplasia
Pathological overgrowth of periodontal tissues, which causes most of the tooth to close.
The reason:
- Side effects of certain medical drugs
- Hormonal disorders
- Teeth crowding.
The symptoms:
- Gum covering ⅔ of a tooth or more
- Enlargement of the gingival papillae
- Bleeding when brushing teeth or eating.
The solution: Gingivectomy (see below).
Gingival recession
Abnormal loss of gingiva, leading to gradual bareness of the tooth root.
The reason:
- Untimely treatment of periodontitis
- Permanent trauma to the gum by the edge of the crown or brace
- Incorrect bite.
The symptoms:
- Bleeding, swelling of the gums
- Gum flaking from the surface of the tooth
- Hypersensitivity of the teeth to irritants.
The solution: Orthodontic treatment + gingivectomy (Periodontal Surgery).
Before and after
![WhatsApp_Image_2021-[1]](https://tetrismile.com/wp-content/uploads/2022/11/WhatsApp_Image_2021-1.jpeg)
![WhatsApp_Image_2021-[1]](https://tetrismile.com/wp-content/uploads/2022/11/WhatsApp_Image_2021-1-1.jpeg)
The patient had been bothered by gum inflammation for many years. She was treated at various clinics, but the problem was not solved. It got to the point where her teeth began to come loose. She decided to go to Dr. Tetri. With his knowledge of neuromuscular dentistry, Dr. Tetri identified the cause of the gum problems, corrected it, and then placed the implants and immediately loaded them with fixed prosthesis. The result is in evidence.
Diagnostics on modern equipment
Computed tomography allows you to look at the picture from all sides and projections, with an accuracy of a fraction of a millimeter to detect altered areas and to make a reliable diagnosis.
Gum disease is often caused by an abnormal bite or malfunction of the temporomandibular joint. In-depth diagnosis of the condition of the masticatory muscles at the neuromuscular level reveals “hidden” problems with bite or TMJ dysfunction.
Treatment options
The surgical procedure to remove overgrown gum tissue is performed when treatment is ineffective.
The gingiva is peeled off during the surgery, a new gingival contour is corrected, and sutures are applied.
The mucosa is detached from the surface of the teeth, deposits are removed from the roots, an artificial bone is implanted (only if severe atrophy is present), and sutures are applied.
Multiple optical zoom allows for minimal invasiveness of gum surgery: neat incisions/sutures (fast healing), thorough removal of granulation or necrotic tissue, and excellent aesthetic results.
Includes a set of procedures: removal of plaque and calculus with AirFlow — a course of antiseptic rinses and applications of anti-inflammatory gel on the gums.
Choose premium treatment at Tetri's Smile Boutique
If you want to remove visible smile imperfections or symptoms of gum disease and find the root cause of the problem at the neuromuscular level, entrust Dr. Tetri for a permanent fix to your dental problems.