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Conditions

GingivitisGingivitis is inflammation of the gums caused by plaque at the gumline.
Wikidata Q673083
PeriodontitisPeriodontitis is a chronic infection that destroys the ligament and bone holding the teeth.
Wikidata Q520127
Bleeding gumsBleeding gums are the most common early sign of gum disease.
Wikidata Q143607
Gum painGum pain most often comes from inflamed gums, food or debris trapped under the gum, a periodontal abscess, or brushing too hard.
No Wikidata item
Receding gumsGum recession is the gum pulling back from the tooth and exposing the root.
Wikidata Q964920
Loose teethAn adult tooth that moves has lost support.
No Wikidata item
Bad breathMost chronic bad breath (halitosis) starts in the mouth: bacteria on the back of the tongue, in gum pockets and under old dental work release sulfur compounds.
Wikidata Q16408
Gum disease and your healthPeriodontitis is a chronic inflammatory disease, and its effects reach beyond the mouth.
Wikidata Q520127
Bone loss around teethBone loss around teeth is the loss of the jawbone that anchors the roots, most often caused by periodontitis.
Wikidata Q520127
Swollen gumsSwollen gums are inflamed gums.
No Wikidata item
Tooth sensitivity at the gumlineSharp sensitivity to cold at the gumline usually means an exposed root.
No Wikidata item

Treatments

LANAP laser gum surgeryLANAP (Laser-Assisted New Attachment Procedure) treats periodontitis with the PerioLase MVP-7, a 1064 nm Nd:YAG laser made by Millennium Dental Technologies.
Wikidata Q17156558
Laser gum surgeryLaser gum surgery uses light energy in place of a scalpel to remove diseased gum tissue, reduce bacteria and reshape gums.
No Wikidata item
Scaling and root planingScaling and root planing (SRP) is a deep cleaning that removes tartar and bacteria from the tooth roots below the gumline, under local anesthetic.
Wikidata Q15139949
Gum graftingA gum graft places new tissue over an exposed root or thin gum to stop recession, cover the root and reduce sensitivity.
Wikidata Q85763540
Pinhole gum rejuvenationThe Pinhole Surgical Technique treats receding gums through a small opening in the gum.
No Wikidata item
Osseous surgeryOsseous surgery, also called pocket reduction or flap surgery, folds back the gum to clean the roots directly and reshape or regenerate the bone around them.
No Wikidata item
Dental implantsA dental implant is a titanium or zirconia post placed in the jawbone to replace a tooth root.
Wikidata Q143680
Bone graftingA dental bone graft adds bone or a bone substitute where the jaw is too thin or short for an implant, or fills a socket after extraction to keep its shape.
Wikidata Q3814234
Sinus liftA sinus lift raises the membrane of the maxillary sinus and places bone graft beneath it, adding height to the upper back jaw so implants can be placed.
Wikidata Q2289694
Crown lengtheningCrown lengthening removes gum, and often a small amount of bone, to expose more of a tooth.
Wikidata Q5189495
Peri-implantitisPeri-implantitis is an infection of the gum and bone around a dental implant.
Wikidata Q601168
Periodontal maintenancePeriodontal maintenance is a cleaning every three to four months for patients treated for periodontitis.
No Wikidata item
Bone graft materialsBone graft materials come from four sources: the patient's own bone (autograft), processed human donor bone (allograft), cattle or pig bone mineral (xenograft) and lab-made minerals (alloplast).
No Wikidata item
Socket preservation after extractionSocket preservation places bone graft material in a tooth socket at the extraction visit, usually under a collagen membrane or sponge, to limit shrinking of the jaw ridge as it heals.
Wikidata Q7553019
Ridge augmentationRidge augmentation rebuilds a jaw ridge that is too thin or too short for an implant, adding width (horizontal) or height (vertical) with particulate grafts under a membrane, bone blocks, ridge splitting or tenting screws.
Wikidata Q73354901
Guided bone regeneration (GBR)Guided bone regeneration (GBR) covers a bone graft with a barrier membrane that keeps soft tissue cells out of the defect, so bone-forming cells from the surrounding jaw can fill it.
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Sinus lift types: lateral window and crestalA lateral window sinus lift reaches the sinus floor through a small window in the side of the upper jaw, and a crestal (osteotome) lift raises the floor through the implant hole from below.
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PRF and growth factorsPRF and PRP are concentrates spun from the patient's own blood, and Emdogain, rhPDGF-BB (GEM 21S) and rhBMP-2 (INFUSE) are FDA-approved biologics added to periodontal or bone grafts.
No Wikidata item
Bone graft recovery day by dayRecovery from a dental bone graft comes in stages: the gum heals over 1 to 3 weeks, and the graft then matures into bone over months before an implant.
No Wikidata item
Periodontal regenerationPeriodontal regeneration regrows the bone, ligament and root cementum that hold a tooth, in deep bone defects beside a root (intrabony defects) and between the roots of molars (furcations).
No Wikidata item
Bone graft failureA dental bone graft fails when infection, exposure through the gum or poor healing leaves too little new bone for an implant.
No Wikidata item
Dental implant process and timelineThe dental implant process runs from a consultation and 3D CBCT scan, through implant surgery and bone healing, to the abutment and final crown.
No Wikidata item
Immediate implants and same-day teethImmediate implants go into the socket on the day a tooth is removed, and immediate loading attaches a tooth to an implant within a week of surgery.
Wikidata Q73220283
Full-arch implants and implant denturesFull-arch implants replace every tooth in a jaw with either a bridge fixed to implants or a denture that snaps onto them.
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Zirconia vs titanium implantsTitanium and zirconia implants both bond to the jawbone; titanium has the longer research record and zirconia is the ceramic option.
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Who can get dental implantsMost adults with healthy gums, enough jawbone and controlled medical conditions can get dental implants.
No Wikidata item
Guided implant surgeryGuided implant surgery plans each implant on a 3D CBCT scan and transfers the plan to the mouth with a printed guide, live navigation or a robot arm.
No Wikidata item
How long dental implants lastDental implants usually last decades when the gum and bone around them stay healthy.
No Wikidata item
Implant vs bridge vs dentureDental implants, bridges and dentures all replace missing teeth; they differ in surgery, effect on the neighboring teeth, upkeep and time to finish.
No Wikidata item
Recovery after dental implant surgeryRecovery after dental implant surgery takes about a week for the gum and several months for the bone.
No Wikidata item
Mini dental implantsMini dental implants are narrow implants, usually in one piece, used mostly to hold a denture in place when the jaw is too thin for standard implants.
Wikidata Q123146143

The specialty

What is a periodontistA periodontist is a dentist who has completed three additional years of accredited residency in periodontics.
Wikidata Q1957982
Training and schoolsPeriodontists train in three-year residencies accredited by the Commission on Dental Accreditation.
No Wikidata item
AssociationsPeriodontists in Florida belong to national, regional and state bodies.
No Wikidata item
ResearchThe newest research comes first.
No Wikidata item
Board certificationA board-certified periodontist is a diplomate of the American Board of Periodontology (ABP).
Wikidata Q4743214
History of periodonticsPeriodontics grew from Pierre Fauchard's 1728 description of gum disease, through John Riggs's 19th-century therapy and the founding of the American Academy of Periodontology in 1914, to the science of the late 20th century: plaque as the cause (1965), osseointegrated implants (1965), and regeneration of lost attachment (1982 onward)..
No Wikidata item
Modern periodontal techniquesModern periodontics rebuilds as well as removes disease.
No Wikidata item
Periodontists and dental implantsPeriodontists place dental implants and manage the bone and gum that hold them.
No Wikidata item

Organizations And schools

American Academy of PeriodontologyNational. The specialty society for periodontists.
Wikidata Q4742904
American Board of PeriodontologyNational. Certifies periodontists through a qualifying and an oral examination.
Wikidata Q4743214
Southern Academy of PeriodontologySoutheast. Regional periodontal society founded in 1920 for ten southeastern states..
Official site
Florida Association of PeriodontistsFlorida. The state society of Florida periodontists, with winter and summer meetings..
Official site
Florida Dental AssociationFlorida. The state dental association for Florida dentists of every specialty..
Official site
American Dental AssociationNational. Recognized periodontics as a dental specialty in 1947, one of the first five..
Official site
University of Florida College of DentistryGainesville, FL. Periodontics: 36 months, certificate and Master of Science in Dental Sciences.
Wikidata Q7895403
Nova Southeastern University College of Dental MedicineFort Lauderdale, FL. Periodontics: 36 months, certificate; Master of Science in Dentistry optional.
Wikidata Q1798499
UNC Adams School of DentistryChapel Hill, NC. Periodontics: 36 months.
Program page
Penn Dental MedicinePhiladelphia, PA. Periodontics.
Program page
Columbia University College of Dental MedicineNew York, NY. Periodontics: 36 months, certificate or MS (program since 1947).
Program page
Naval Postgraduate Dental SchoolBethesda, MD. Periodontics: 36 months.
Program page

Featured periodontist

Dr. Michael Pawlus, DDS, MSBoard-certified periodontist, Sarasota and Lakewood Ranch.
NPI 1134344963

Places Florida

Boca RatonPalm Beach County
Wikidata Q29422
MiamiMiami-Dade County
Wikidata Q8652
TampaHillsborough County
Wikidata Q49255
AventuraMiami-Dade County
Wikidata Q790541
BrandonHillsborough County
Wikidata Q898109
DavieBroward County
Wikidata Q985438
HialeahMiami-Dade County
Wikidata Q49276
JupiterPalm Beach County
Wikidata Q986329
LargoPinellas County
Wikidata Q932577
RiverviewHillsborough County
Wikidata Q1828539
VeniceSarasota County
Wikidata Q57325
Vero BeachIndian River County
Wikidata Q969026