Sandra Calleros, DDS


Laser Assisted Periodontal Therapy

Dr. Calleros or Dr. Raymer has diagnosed you with periodontal disease or gum disease.  This is an infection of bone and supporting structures or your teeth.  Before 30 years of age, decay is the major reason for tooth loss, and after 30 years of age, gum disease is the major reason for tooth loss.  It is estimated that over 80 percent of the adult population has gum disease to one degree or another.

Periodontal bacteria can cause an inflammatory reaction which leads to destruction of the fibers that connect teeth to bone and can create a space that dentists and hygienists call a periodontal pocket.  While everyone has some amount of pocketing the normal depths are 1-3 mm.  You can keep 3 mm of less pockets clean by yourself with routine brushing, flossing, and rinsing.  However in your situation you have pockets that are deeper than 3mm and it is impossible for you to clean and maintain them.  As a result you have debris and bacteria living at the bottom of these pockets which has led to chronic gum infection, you may have noticed a bad taste or odor in your mouth at times from these infection.  As we age we become more succeptible to periodontal disease.  Without treatment your teeth will lose enough support to become loose and painful and will eventually be lost.

Dr. Calleros or Dr. Raymer recommend a conservative non-surgical treatment for your periodontal disease.  With proper homecare and your participation, this procedure can often alleviate the problem.  Your dentist or hygienist will go around each involved tooth to remove any debris and calcified deposits that are adhering to your teeth in a process called scaling and root planning.  A good analogy to this part of the cleaning is like removing barnacles off a pier.  Scaling and root planning will remove the mechanical irritants to your gums and supporting bone and also removes a major reservoir of periodontal bacteria.

After removing the tartar and calculus a laser is used to selectively remove diseased or infected tissues lining the pockets around your teeth.  At the same time the laser will kill the bacteria that cause your gum disease and promote healing of your gums around your teeth.  Some lasers can help increase circulation and collagen formation at the bottom of your periodontal pockets and help revive or rejuvenate attachment.  This specialized treatment is usually performed multiple times over a period of a few weeks. 

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