Periodontics

Millions of Americans suffer from periodontal disease. At Dentistry Of Newburyport, we treat patients throughout the Newburyport area that are struggling with this condition and provide a variety of treatment solutions to help combat the symptoms and heal the gums. If you are concerned that your gums are unhealthy, call (978) 465-8492 to schedule an appointment with Drs. Mandic and Kuljic and receive a dental examination.

What are the signs of gum disease?

You may have gum disease if your gums are red and swollen or bleeding. It is natural for this to happen from time to time after eating something that irritates your gums or brushing too aggressively. If, however, this happens on a regular basis you probably have some type of gum disease. Another symptom is bad breath, loose teeth, pain while chewing, sensitive teeth or teeth that appear longer. If you live in the 01950 area, we can examine your gums and let you know what the source of your problem is.

The consequences of periodontal disease

In its early stages, gum disease can cause some irritation and bleeding. There may be some discomfort, but it will be minimal. This stage is called gingivitis. If, however, it is left untreated the disease will spread, and the gums will start to recede by pulling away from the tooth. This creates pockets in the gum tissue that can expose more of the tooth structure and the root system. Once exposed, the tooth and roots are more susceptible to becoming infected as bacteria can gather and start to irritate the area. This can lead to cavities and infections along with bone loss. In severe cases, the bone loss in combination with receding gums can lead to tooth loss. In many cases, adult teeth that fall out due so because of gum disease.

Our Periodontal Specialties

01

Scaling and root planing

In order to preserve the health of the gum tissue, the bacteria and calculus (tartar) which initially caused the infection, must be removed. The gum pockets will be cleaned and treated with antibiotics as necessary to help alleviate the infection. A prescription mouthwash may be incorporated into daily cleaning routines.

02

Pocket elimination surgery

Pocket elimination surgery (also known as flap surgery) is a surgical treatment which can be performed to reduce the pocket size between the teeth and gums. Surgery on the jawbone is another option which serves to eliminate indentations in the bone which foster the colonization of bacteries.

03

Periodontal Maintenance Visits

It only takes twenty four hours for plaque that is not removed from your teeth to turn into calculus (tartar)! Daily home cleaning helps control plaque and tartar formation, but those hard to reach areas will always need special attention.

Once your periodontal treatment has been completed, your dentist and dental hygienist will recommend that you have regular maintenance cleanings (periodontal cleanings), usually four times a year. At these cleaning appointments, the pocket depths will be carefully checked to ensure that they are healthy. Plaque and calculus that is difficult for you to remove on a daily basis will be removed from above and below the gum line.

What causes gum disease?

In short – bacteria. When bacteria remain on the teeth, it can form plaque and tartar. When this substance becomes stuck in between the teeth and gums, it can lead to gum complication. The best way to prevent this is to brush and floss several times throughout the day along with visiting the dentist for regular teeth cleanings.

Are certain people at risk for the condition?

There are things you can do to increase your risk for getting gum disease. This includes smoking, hormonal changes, pregnancy, diabetes, certain medications, and genetics. Any time that the blood flow is constricted or reduced, your risk for the disease increases. This is why diabetics and pregnant women are more susceptible to the condition. At Dentistry Of Newburyport, we recommend that our pregnant patients visit our office at least twice during pregnancy in order to decrease their risk and the pregnancy complications that come with it.

How is it treated?

At Dentistry Of Newburyport, there are several ways that we treat gum disease. Drs. Mandic and Kuljic will make a recommendation after examining your teeth and gums to determine what the source of the problem is and what should be done to address it. The treatment plan is often dictated by the severity of the periodontitis. We recommend that patients throughout Massachusetts look for the signs of gum disease and schedule an appointment immediately so that the least invasive procedure can be used to correct the problem. Once the disease has progressed too far, more significant procedures may be necessary to heal the gums. At times, this involves surgery.

The first step in addressing gum disease is to complete a deep cleaning. By removing plaque and tartar from the teeth and gums, we can help patients throughout the Newburyport area start the healing process. Once the bacteria and plaque have been removed, the gums will start to heal naturally. If the plaque is only around the edge of the gum line, a standard teeth cleaning will work. If it has become trapped between the gums and teeth, a scaling and root planning procedure will be required. In this case, Drs. Mandic and Kuljic will need to scrape the plaque off from the teeth underneath the gums. Some dentists use a laser to do so in order to complete the procedure faster.

When surgery is required, it is typically because the gums have receded so significantly. When pockets form in the gum tissue, they need to be restored in order to protect the tooth again. In this case, a gum graft can be helpful. This works by taking tissue from the roof of the mouth or another area and grafting it to the gums so that the gum tissue can start to regenerate. The gums then need to be secured back around the tooth in order to protect it and the roots. If bone loss has occurred as a result of gum disease, a bone graft may be necessary in order to restore and strengthen the tooth. In this procedure natural or synthetic bone is compacted into the area and sealed so that the bone can start to regenerate.

These procedures combined can help to both heal and restore your gums. In order to tell which procedures are necessary for you, call (978) 465-8492 and schedule a consultation with Drs. Mandic and Kuljic. At Dentistry Of Newburyport, we may start with a deep cleaning to see how well your gums react and start to heal. If they do not recover in short order, we may move to surgical procedures as necessary.

Mon - Tue
8:00 AM - 6:00 PM
Wed - Thu
8:00 AM - 5:00 PM
Fri - Sun
Closed
37 1/2 Forrester St #7
Newburyport, MA 01950
Same day emergency visits (tooth chip or tooth ache)
In-house periodontist
Flexible hours to meet your busy schedule
New patient exams
Elise Mitchell
Elise Mitchell
2022-06-08
The Dentistry of Newburyport team is always so friendly and helpful. I look forward to my bi-annual cleanings here (:
Heather True
Heather True
2022-06-03
I’ve gone here for more than a decade because I love the staff! From the receptionists to the dentists, everyone is fantastic. My favorite person here is my hygienist Jamie. She is awesome, even when I show up on her birthday! I highly recommend their services.
Larry Hill
Larry Hill
2022-06-02
Wonderful people ❤
HOLLY G
HOLLY G
2022-05-26
Dentristry of NBPT has a kind and caring staff they are always on time and keep you informed of your dental health. Jamie my hygienist is so sweet, I’ve been a patient here for about 20 +years. Great work done by great people.
Justin Auger
Justin Auger
2022-05-25
This was the best dentist I have ever been to. The Dr. Was amazing and super polite. I can’t wait to go back.
Joan Cassin
Joan Cassin
2022-05-19
Jamie is always so considerate, kind, and professional. I always leave feeling good and know that I’ve gotten excellent care. The best.
Joe Martis
Joe Martis
2022-05-17
Linda Doodnauth
Linda Doodnauth
2022-05-05
Loved 🥰 working with Karen! She makes things feel better ❤️‍🩹! Keeps us coming back! She’s got a lot of positivity, and that helps a lot with my 87 year old mother!
Douglas Settele
Douglas Settele
2022-04-21
Janet Murphy
Janet Murphy
2022-04-11
Everyone in this office is caring and professional.
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