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Periodontal health is a vital aspect of overall dental well-being. While general dentists play a crucial role in maintaining oral hygiene, there are times when specialized care is required. This is where a periodontist comes in. A periodontist is a dental professional who specializes in the diagnosis, prevention, and treatment of conditions affecting the gums, jawbone, and other supporting structures of the teeth. In this comprehensive guide, we will delve into the world of periodontics and explore the various conditions treated by periodontists, as well as the treatments they perform.

Understanding Periodontal Disease

Periodontal disease, commonly known as gum disease, is a progressive condition that affects the gums and the underlying jawbone. It is the leading cause of tooth loss among adults in the developed world. Periodontal disease occurs when bacteria in the mouth form plaque and tartar, leading to inflammation and infection of the gums. If left untreated, the infection can spread to the surrounding tissues and bone, causing significant damage.

Who Is a Periodontist?

A periodontist is a dentist who has undergone additional years of specialized training in periodontology after graduating from dental school. This additional training, usually three years, focuses on the surgical and non-surgical management of periodontal disease, as well as the placement of dental implants. To become a periodontist, dentists must complete a periodontology residency training program accredited by the relevant dental authorities.

Conditions Treated by Periodontists

Periodontists are experts in diagnosing and treating various conditions affecting the gums, jawbone, and overall oral health. Some of the most common conditions treated by periodontists include:

1. Gingivitis

Gingivitis is the mildest form of gum disease. It is characterized by inflammation of the gums, which may or may not be accompanied by pain and bleeding. If left untreated, gingivitis can progress to more severe forms of gum disease.

2. Mild/Moderate Periodontitis

When the pockets between the teeth and the gums measure between 4-6mm, it is classified as moderate periodontitis. Periodontitis is a more advanced form of gum disease characterized by the destruction of the supporting structures of the teeth, including the gums and jawbone.

3. Advanced Periodontitis

Advanced periodontitis occurs when the pockets between the teeth and the gums exceed 6mm in depth. At this stage, significant bone loss may occur, leading to tooth mobility or even tooth loss.

4. Missing Teeth

Periodontists are also skilled in the placement of dental implants, which are prosthetic teeth anchored to the jawbone. Dental implants are an excellent option for individuals with missing teeth due to periodontal disease or other causes.

Treatments Provided by Periodontists

Periodontists offer a wide range of treatments aimed at halting the progression of gum disease, replacing missing teeth, and enhancing the overall aesthetics of the smile. Some of the common treatments performed by periodontists include:

1. Dental Implant Placement

Dental implants are considered the gold standard for replacing missing teeth. A periodontist is trained to surgically place dental implants, which serve as artificial tooth roots. These implants provide a strong foundation for prosthetic teeth, restoring both functionality and aesthetics to the mouth.

2. Osteoplasty (Hard Tissue Recontouring)

After treating periodontitis, a periodontist may perform osteoplasty, a procedure that involves recontouring the hard tissues of the jawbone. Osteoplasty helps restore a natural-looking smile while improving overall oral health.

3. Gingivoplasty (Soft Tissue Recontouring)

Gingivoplasty is a procedure performed by a periodontist to correct gum recession caused by periodontitis. By removing excess gum tissue or reshaping the gum line, a periodontist can create a more harmonious and aesthetically pleasing smile.

4. Bone Grafting

Bone grafting is a procedure used to augment the jawbone when there is insufficient bone to support a dental implant. A periodontist can perform bone grafting to add or regenerate bone in areas where bone loss has occurred.

5. Deep Pocket Cleanings

As gum disease progresses, it becomes increasingly challenging to clean the deep pockets between the teeth and gums. Periodontists are skilled in performing deep cleanings, also known as scaling and root planing, to remove plaque, tartar, and bacteria from these pockets.

6. Crown Lengthening

Crown lengthening is a procedure that involves removing excess gum tissue to expose more of the natural tooth. This is often performed by a periodontist to prepare the tooth for restorative treatments such as dental crowns.

Why Choose a Periodontist?

Choosing a periodontist for your gum and periodontal needs offers several advantages. Periodontists have specialized training and expertise in diagnosing and treating gum disease and other periodontal conditions. They stay up-to-date with the latest advancements in periodontics and use state-of-the-art techniques and equipment to provide the best possible care. Furthermore, periodontists often work closely with general dentists and other dental specialists to develop comprehensive treatment plans tailored to each patient’s unique needs.

Frequently Asked Questions

Q: What diseases do periodontists treat?

A: Periodontists are dental specialists who primarily diagnose, prevent, and treat diseases that affect the gums and supporting structures of the teeth. They specialize in treating periodontal diseases, such as gingivitis and periodontitis. These diseases involve inflammation and infection of the gums, which can lead to damage to the bone and tooth loss if left untreated.

Q: When should a patient be referred to a periodontist?

A: Patients should be referred to a periodontist when they exhibit signs of gum disease or require specialized treatment for their gums and supporting structures. Common indications for referral include persistent gum inflammation, deep gum pockets, gum recession, loose teeth, and a history of gum disease or tooth loss. A general dentist may refer a patient to a periodontist to ensure they receive specialized care for their gum health.

Q: Why would someone need a periodontist?

A: Someone may need a periodontist if they have advanced gum disease, periodontal pockets, gum recession, loose teeth, or a history of gum disease and tooth loss. Periodontists have specialized training and expertise in diagnosing and treating these conditions. They can provide advanced treatments, such as scaling and root planing, gum grafting, dental implants, and bone regeneration procedures to restore and maintain optimal gum health.

Q: What are the 4 signs of periodontal disease?

A: The four signs of periodontal disease are:

1. Red, swollen, or tender gums: Inflammation and irritation of the gums are common symptoms of gum disease.

2. Bleeding gums: Gums that bleed easily, especially during brushing or flossing, may indicate gum disease.

3. Receding gums: As gum disease progresses, the gums may start to pull away from the teeth, exposing the tooth roots.

4. Persistent bad breath: Gum disease can cause persistent bad breath that doesn’t go away even with proper oral hygiene.

Q: What is the most common periodontal disease?

A: The most common periodontal disease is called periodontitis. Periodontitis is a more advanced stage of gum disease that occurs when the inflammation and infection of the gums spreads to the supporting structures of the teeth, including the bone. If left untreated, periodontitis can lead to tooth loss. Regular dental check-ups and good oral hygiene habits can help prevent and detect periodontitis early.

Q: What exactly does a periodontist do?

A: A periodontist is a dental specialist who specializes in the prevention, diagnosis, and treatment of diseases that affect the gums and supporting structures of the teeth. They perform procedures such as deep cleanings (scaling and root planing), gum surgery, gum grafting, dental implant placement, and bone regeneration. Periodontists work closely with general dentists to ensure comprehensive oral health care for their patients.

Q: What are examples of periodontics?

A: Examples of periodontics include:

1. Scaling and root planing: A deep cleaning procedure to remove plaque and tartar from below the gumline.

2. Gum surgery: Surgical procedures to treat advanced gum disease, recontour the gums, or repair gum recession.

3. Gum grafting: A procedure to restore gum tissue lost due to gum recession, using tissue from another part of the mouth or a donor source.

4. Dental implants: Placement of artificial tooth roots in the jawbone to support dental restorations like crowns or dentures.

5. Bone regeneration: Procedures to restore lost bone tissue in the jaw, often done in preparation for dental implant placement.


Periodontists play a crucial role in maintaining optimal periodontal health. From diagnosing and treating gum disease to performing complex implant surgeries, periodontists are highly skilled dental professionals dedicated to preserving the health and aesthetics of your smile. If you are experiencing symptoms of gum disease or are in need of dental implant placement, it is essential to consult with a qualified periodontist. Contact Capital Dentistry, your trusted dental clinic in the Ottawa and Gatineau regions, to schedule an appointment with our experienced periodontists and take the first step towards a healthier smile.

Call to Action: If you have any questions or concerns regarding your periodontal health, don’t hesitate to contact us at Capital Dentistry. Our team of skilled periodontists is here to provide you with the highest quality care and guide you on your journey to a healthier smile.