Periodontal Therapy Procedures

Gum disease, also known as periodontal disease or periodontitis, is a bacterial infection that inflames the soft tissue around your teeth and becomes more severe if left untreated. Over time, gum disease will erode the bone that supports your teeth, leading to tooth mobility and loss.

Depending on the stage of progression, gum disease causes red, swollen, tender, receding, and bleeding gums, periodontal pockets, halitosis, pus-filled abscesses, gapping, and changes in bite. When prevention is no longer an option, especially in the later stages when damage is permanent, nonsurgical and surgical treatments are available to reduce the effects of gum disease.

Gum Disease Treatments

Treatment is always going to be dependent on the stage of gum disease. There are many options available, both nonsurgical and surgical.

Nonsurgical Treatments

  • Antibiotics: Oral antibiotics, either in pill or topical form, may be enough to fight off infection.
  • Scaling and root planing: Similar to a routine dental cleaning, SRP cleans much deeper. Local anesthesia will need to be used to numb your gums while your dental hygienist cleans away bacteria underneath your gum line and smooths the tooth roots to prevent further plaque and bacteria from accumulating beneath your gum line.

Surgical Treatments

  • Flap surgery: Your periodontist will make an incision along your gum line, temporarily shifting the gum tissues away from your teeth. With the tooth roots more easily seen, your periodontist is able to clean them more thoroughly. If bone loss has occurred, your periodontist may re-contour your bone ridge to make it easier for your daily oral hygiene routine.
  • Dental bone grafts: If a significant amount of bone loss has occurred, bone-grafting material will be placed in areas where there is a lack of bone tissue. Dental bone grafts serve as a “scaffolding” to encourage new bone growth.
  • Gum grafts: Gum disease causes gum recession, so a gum graft might be necessary to restore lost tissue around your teeth. Tissue is obtained from the roof of your mouth or a tissue bank and is sutured into the areas lacking gum tissue.
  • Guided tissue regeneration: A biocompatible membrane will be placed between your existing bone and tooth, keeping unwanted tissue from growing in the area and allowing bone to grow instead.
  • Platelet-rich plasma (PRP): This procedure helps regenerate bone or gum tissue. Platelet-rich plasma is taken from a sample of your blood, is then placed in a centrifuge to separate red and white blood cells, and finally the plasma is placed in areas lacking bone or tissue to encourage growth.

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Hours of Operation

Our Regular Schedule

Monday:

10:00 am-7:00 pm

Tuesday:

7:30 am-7:00 pm

Wednesday:

7:30 am-7:00 pm

Thursday:

7:30 am-7:00 pm

Friday:

9:00 am-3:00 pm

Saturday:

8:00 am-3:00 pm

Sunday:

Closed

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Testimonials

What Our Clients Say About Us

  • "The staff are always so accommodating and friendly, no waiting and very good and thorough dental work"
    Sherri W.
  • "I rated 10 on the question about referring a friend because I have done so. She went yesterday and I asked her about the experience and she was very pleased. No surprise here!! I have always felt that the people who help me, including Dr. Alpert, treat me and my dental health at a level of attention far above that required to simply do a job. They show a genuine concern about my welfare; I need their help; I am glad they are there. As Dr. Alpert said on my last visit about a potential issue, they will “keep an eye on it” for me. I find that vigilance genuinely re-assuring. Over the years I have have come to appreciate that re-assurance as a form of good medicine."
    Robert W.
  • "Very friendly staff! Dr. Alpert is a very good Dentist. I have been very happy with the quality work he has done on my teeth. I highly recommend him!"
    Martha L.
  • "I had a very good experience there, everyone was very friendly professional and good at what they do. I had a cleaning which was virtually pain free and 2 fillings done in one visit.
    I will be going back to this dentist and would recommend to anyone that I know."
    Harold H.
  • "I have been going to the Dental Care of Waterford for over 50 years. The receptionist(s) are eager to make you feel welcome and relaxed. Becky, the hygienist is caring and efficient.
    Dr. Lloyd Alpert does a thorough exam and addresses any concerns and asks if there is still problems.
    The staff is quick to respond to any concerns their patients have.
    I would highly recommend Dental Care of Waterford, MI."
    Barbara R.
  • "haven't had the ability to see a dentist in over 3 years due to Covid and loss of insurance. Now that i was able to seek dental care i was able to schedule an appointment within 3 days of calling to have a cracked filling taken care of... Staff is amazingly friendly and considerate of any needs and even asked if I had insurance just to make sure I could have X-rays done and not have to pay for my visit with one of my kidneys. Dr. Alpert is wonderful! Explained everything that he was about to do and how it might feel. completely painless and fast visit for a filling nonetheless. I definitely have found my new dental office and can actually say I look forward to my cleaning!"
    Kelly S.
  • "This was my first visit to Dr. Alpert's office. I was referred by a friend. Everyone was so nice and knowledgeable. I had the most thorough cleaning I think I've ever had. Everyone put you completely at ease. I highly recommend this dentist."
    Karen M.
  • "Ever been in a situation where you have a dental emergency and call about 20 dentist offices trying to get in? I have and Dr. Alpert's office was the only office to get me in within 24 hours. They were able to help me with my shattered tooth problem totally painlessly. Anytime I've been in for a cleaning, the wait has been minimal. The staff is friendly and professional. I'm in and out in no time. I would highly recommend Dr. Alpert to anyone in the area for last-minute needs and cleanings. His offer is a little hard to spot but it is right off M59 and there is ample parking"
    Alexandrea L.