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Periodontics – Gum Disease Treatments

At Designed Smiles in Brea, CA, Dr. Moran, DMD is a diplomat of the American Board of Periodontology, meaning, she is an expert in the field of periodontics. Periodontics is the treatment of periodontal disease or gum disease. Periodontal disease occurs when excess plaque and tartar build up along the gum line. If left untreated, it can lead to your gums pulling away from the teeth and forming pockets that become infected and start breaking down the connective tissue and bone that holds your teeth in place. Periodontal disease, or periodontitis, can be prevented by brushing and flossing daily and visiting us for a cleaning every six months. Symptoms of gum disease include bleeding and swollen gums. Visit us at Designed Smiles in Brea for an appointment with our Periodontist for periodontal treatment.

Soft Tissue Graft

If you are experiencing a significant amountperiodontal treatment gum grafting of gum recession, a soft tissue graft can help restore your gums. If you let your receding gum problem persist without treatment, you risk the chance that your tooth roots will become exposed. This can result in pain, sensitivity, and vulnerability to plaque and bacteria that can cause tooth loss. This procedure consists of removing soft tissue from the roof of the mouth and attaching it to the affected area. The other option is connecting healthy gums from adjacent teeth to the affected area.

Scaling and Root Planing

When your gums first start showing signs of periodontal disease, it’s known as gingivitis. Gingivitis is the early stage of periodontal disease that gives you swollen and bleeding gums. The treatment for this is a simple procedure known as scaling and root planing, or others know it as a deep cleaning. Depending on the severity of your case and your comfort level, you may or may not be numbed up with local anesthetic for the procedure. Planing includes removing tartar from the tooth’s surface. Root planing includes smoothing out the root surfaces and removing any infected tooth structure.

Cosmetic Periodontal Surgery

cosmetic gum graftingIf you were born with a gummy smile, experience an unproportioned gum line, or elongated teeth, cosmetic periodontal surgery might be for you. Cosmetic Periodontal Surgery shapes the gum line to create an even and proportioned gum line. This also helps cover receded gums, thus reducing the likelihood that gum pockets appear. This procedure helps create a more beautiful and healthy smile.


The frenulum is a piece of tissue that prevents another organ from moving. In your mouth, there is a frenulum connecting your gums to your upper lip and another than connects your gums to your lower lip. If your frenulum is too short or too thick, it can cause speech problems, misaligned teeth, disrupted movement, growth and even development. A frenectomy is the removal of the obstructive frenulum. It’s a fast 15-minute procedure performed with local anesthesia with either a laser or scalpel. The procedure has been found to be very successful and effective.

Occlusal Adjustment

Occlusal adjustments are good for patientsperiodontal treatment who wake up with sore jaws or experience a lopsided feeling when they bite. The cause of a lopsided bite is usually from shifting, loose, crowded, or missing teeth that will force you to apply unnecessary pressure to one side of your mouth. This can also be caused from teeth grinding, or clenching to create uneven surfaces. With the occlusal adjustment procedure, adjustments will be made to your teeth with the use of a dental drill and a filing stone. This will result in a better bite and less pressure and sensitivity on your teeth.

Periodontal Splinting

Loose teeth can make chewing and eating uncomfortable because you can feel them popping out of place while you chew. Depending on your condition, the loose tooth will either fall out, be extracted or get stronger so it’s no longer a problem. There is a solution though, periodontal splinting. The splint attaches the weak tooth to the adjacent strong teeth using composite tooth colored material. This fairly easy procedure can help save your tooth.

Crown Lengthening

periodontal treatmentCrown lengthening is a good procedure for candidates who have a gummy smile or for patients who have a broken tooth below the gum line which gives access for the dentist to work with it. This procedure contours the gum line to create the appearance that teeth are longer, when it fact, your gums have just been shortened. This is a simple procedure done using local anesthesia. Gum tissue is cut and pulled away from your teeth and removed. The roots of your tooth will be washed with saline water and gums stitched back together.

Bone Grafting

Bone grafting is a procedure done to build up bone mass in your jaw in order for dental implants to be placed. This is done by taking bone fragments from other places in the patient’s mouth or body and are then grafted into the jaw bone. You can also use bone donors from bone banks. The bone grafts enable patients to have enough bone mass for dental implants to be inserted.

Osseous Surgery and Osseous Graftingperiodontal treatment

Osseous surgery is a treatment that is performed when an infected tooth pocket will not respond to treatment. This procedure includes a thorough and deep cleaning of the root’s surface. This helps prevent the bacteria from growing back and assists the body with repairing itself. The tooth root will become exposed and will make it easy for the dentist to clean it out so it can begin the healing process. Once the gum heals, it’s important for daily brushing and flossing and frequent dentist visits to ensure the health of the gums persists. The goal is for there to be a large enough space for daily cleaning of the area, but small enough so that bacteria and plaque don’t grow.

After the osseous surgery, sometimes osseous grafting is needed. Osseous grafting removes any defects in the bone and gums around the teeth caused from osseous surgery. Any deformed bone is removed and then the gums are shaped to a more sightly appearance. If defects are too large for reshaping, bone grafting is necessary to restore appearance. The grafting is completed with stitching and has a high success rate.


Arestin is an antibiotic that is placed directly on the infected area to kill bacteria on the spot as a means of treatment for periodontitis. This treatment is in powder form and is placed on the infected area after a scaling and root planing procedure. This antibiotic tends to be more effective than a pill because it’s going directly on the source.

Contact Us

Visit us at Designed Smiles for periodontal treatment from our periodontist, Dr. Moran, DMD. Rejuvenate your gums and oral health, contact our Brea dentist office by calling 714-529-0100 or by filling out the contact form on our contact us page.