Periodontal Disease Treatment Tuckahoe, NY

At Crestwood Dental, we strive to empower our patients with knowledge about their oral health and the importance of maintaining a healthy smile. A common issue that we encounter is gum disease. This is a prevalent condition that affects millions of people worldwide. It is an inflammatory condition that primarily affects the tissues surrounding and supporting the teeth. 

Our goal is to give our patients the information and tools to prevent gum disease in the first place. However, we also have treatment options to stop gum disease in its tracks. Dr. Gorsky will thoroughly evaluate the condition of your gums during routine visits to look for the developing signs of gum disease. Prompt treatment can help patients avoid advanced diseases that can ultimately affect many aspects of their oral health. 

Periodontal Disease Treatment in Tuckahoe, NY

What Is Periodontal Disease?

Gum disease is one of the leading causes of tooth loss. Gum disease has two primary stages. If diagnosed and treated in the first stage, the condition can be reversed, and tooth loss can usually be prevented. In order to prevent gum disease, practice good oral hygiene and visit your dentist for cleanings and check-ups twice a year.

If gum disease is detected during your visit, we will instruct you on steps regarding improved home care and recommend specialized treatment options in our office to eliminate the disease.

Gingivitis: Early Stage of Gum Disease

This stage only affects the soft tissue of the gums, and the patient may not experience any discomfort. Although the symptoms may be very mild, it is important to diagnose gum disease in this early stage before it progresses to periodontitis.

Symptoms of Gingivitis may include:

  • Swollen or bleeding gums
  • Bad breath or a metallic taste in the mouth
  • Receding gums
  • Increasing spaces between teeth

Periodontitis: Advanced Stages of Gum Disease

Periodontitis is the name for more advanced periodontal disease, and if permitted to progress to this point, not only the gums are affected, but the bone structures supporting the teeth will be compromised.

Without regular dental visits, symptoms may not be noticed until moderate periodontitis is present.

Healthy Gums

Firm, pink gums attached to the teeth and supported by firm, dense bone tissue are the indicators of healthy gums and teeth that have the strong support they need.


A build-up of bacteria causes Gingivitis. In its early stages, inflammation around the gums is observable, with gum tissues appearing red and swollen. Gums that are easily irritated or that bleed during tooth brushing indicate the presence of Gingivitis. Removal of the plaque buildup is necessary to prevent the development of gum disease.

Early Periodontitis

As the gums become more inflamed, they start to pull away from the teeth, forming spaces known as periodontal “pockets.” Food, bacteria, and plaque begin to collect in the pockets, leading to infection. The surrounding bone becomes damaged both by bacterial toxins and by the immune system’s response to infection.

Moderate Periodontitis

The symptoms of periodontitis become more severe as inflammation spreads, and some discomfort may occur. More supporting bone is lost, teeth loosen, and the gums recede further.

Advanced Periodontitis

A major cause of tooth loss in adults, advanced periodontitis is marked by painful abscesses that are the result of the infection spreading beneath the gums.

Gum Disease Treatment in Tuckahoe, NY

Untreated gum disease can have far-reaching consequences. As a result, it is crucial to seek treatment as soon as possible. Otherwise, you can experience worsening oral health and systemic health issues. 

Dental Cleaning

For early stages of gum disease, we can perform a professional dental cleaning. This will remove plaque and tartar buildup on the teeth and along the gum line. This preventive measure helps prevent gingivitis and can also help manage mild cases of gum disease. 

Scaling and Root Planing

Scaling and root planing is a type of deep cleaning to treat gum disease. During this process, a dental professional will remove plaque and tartar from the surfaces of the teeth, both above and below the gum line. This is crucial because plaque and tartar harbor harmful bacteria that can contribute to gum inflammation and infection. 
To make the most of your scaling and root planing treatment, do the following:
  • For the first 24 hours you may experience some cold and heat sensitivity.
  • Do not consume hot foods or beverages until the anesthesia and numbness have worn off.
  • Avoid vigorous physical exercise as well as extremely hot or spicy foods for the first 24 hours.
  • Do not consume alcoholic beverages or smoke for at least 48 hours following treatment.
  • Some bleeding following a deep cleaning is normal, but if you experience excessive bleeding, please call our office.
  • You can take ibuprofen or acetaminophen as needed according to the instructions on the label or those provided by your doctor.
  • A warm salt water rinse, approximately one teaspoon in an eight-ounce glass of water, three times a day can be helpful.
  • Brush and floss gently following a deep cleaning, resuming normal brushing and flossing when the soreness is gone.
  • Follow any other instructions provided by our office during your visit.
  • Please take all medications as prescribed.

Gum Grafting

We may recommend gum grafting to repair areas of gum recession and restore gum tissue lost due to gum disease. During this procedure, tissue from another area of the mouth or donor tissue covers exposed tooth roots and enhances the appearance and health of the gums. 

After a gum grafting procedure, keep these tips in mind:

  • Some pain, bleeding, swelling, and seeping are normal following oral surgery. Please do not try to view the site by pulling on your lip, and do not probe the area with your tongue or fingers.
  • Avoid forcefully rinsing or spitting, or drinking through a straw. Biting on a gauze pad placed directly on the wound for 30 minutes will help reduce bleeding. Some bleeding is normal for the first 24 hours. If bleeding continues please call our office.
  • Please take all medications, including mouth rinses, as prescribed.
  • After 24 hours, warm salt water rinses (one-half teaspoon of salt in a cup of warm water) can be used 4-5 times a day after meals.
  • After 24 hours, brush your teeth with a soft manual toothbrush. Be gentle with brushing the surgical areas.
  • Sutures may be placed after the surgery, and most sutures dissolve on their own.
  • Swelling and bruising may occur and may become more noticeable two to three days following surgery. Applying a cold compress to the face near the surgical site will help minimize swelling.
  • If using an ice pack, please do not apply ice directly to your skin but place a cloth between the ice and your skin at all times.  You may apply the cold compress for up to 20 minutes on and at least 20 minutes off as needed. After 36 hours the cold compress will have no further impact on swelling. After this period, the application of moist heat to the sides of the face can help reduce swelling.
  • Drink plenty of fluids. Stay away from spicy or acidic foods. Also, avoid sharp and crunchy foods like tacos, chips, and nuts. Tobacco and alcohol should not be used. Alcohol should not be used in combination with pain medications nor antibiotics.
  • Keep physical activities to a minimum immediately following surgery. Avoid strenuous activity for 2-3 days.
  • If a surgical bandage was used, it would ideally remain in place for 24 hours. There is no need for you to remove it; it will come off when ready. Once it does, you can begin cleaning the wound gently with a cotton swab dipped in a mouth rinse.