A periodontist is a dentist that has undergone specialized training often for an
additional 3 years. They specialize in treating various periodontal issues, including
gingivitis, periodontitis, necrosis, and periodontitis caused by systemic disease. These
days periodontists use advanced periodontal techniques such as LANAP surgery,
scaling and root planing, and pocket reduction.

In the treatment of these conditions they focus on the treatment and prevention of
periodontal diseases and related conditions. Additionally, they also perform cosmetic
procedures like gingival gum grafts and dental implants that will restore or attempt to
restore the patient to optimal oral health and aesthetics.

The most common type of periodontitis treated by periodontists is chronic periodontitis
and aggressive periodontitis. They also treat necrotizing periodontitis and periodontitis
that is caused by systemic disease.

Will my insurance company cover the cost?

Many insurance companies may cover the cost of periodontal work, but the coverage
will vary depending on the state and provider. Patients should consult their provider to
understand the potential out-of-pocket expenses. Once we examine you and decide on

what periodontal work you need we can contact your insurance company and see if you
have been approved.

How much does periodontal treatment cost?

In terms of cost, periodontal treatment can be expensive. In 2017 a survey showed
ranges from $3000 to $4500 on average, with factors such as severity of infection and
treatment type influencing the final cost. Procedures like DPT® and LANAP® surgery
may incur additional expenses. However the cost of these procedures is the cost of
preventive dentistry. The main aim of the periodontal treatment is to prevent a patient
from losing their teeth. If you lose your teeth the cost of replacing may be considerably
more than the dental treatment.

Can a periodontist place implants?

Periodontists, just like oral surgeons, are qualified to place dental implants as part of
comprehensive treatment plans. Their expertise is across many aspects of dentistry
and encompasses bone loss treatment, gum tissue repair, gingival grafts, sinus lifts,
ridge augmentation, and the management of periodontal diseases.

What is LANAP surgery and is it effective?

LANAP surgery can offer several advantages over traditional gum treatments, including
minimally invasive procedures, reduced bleeding, shorter surgery times, faster healing,
and less discomfort during the recovery period. It is also deemed a safe option for
patients on medications.

What is scaling and root planing?

Scaling and root planing, also known as deep cleaning, is performed by periodontists to
remove bacteria below the gumline, preventing bone loss associated with chronic gum
disease.

This procedure is essential for patients with inflamed gums and pocket formation. It can
help maintain oral health and prevent complications like tooth loss and systemic
diseases.

What diseases can periodontal disease exacerbate?

Patients with tooth loss and periodontal disease may be at risk for developing or
experiencing exacerbation of several systemic diseases. Some of these include:

Cardiovascular Disease: Research suggests a link between periodontal disease
and an increased risk of heart disease, stroke, and other cardiovascular
conditions. The inflammation associated with gum disease may contribute to the
development or progression of cardiovascular problems.
Diabetes: Periodontal disease can make it more challenging to control blood
sugar levels in individuals with diabetes. Conversely, uncontrolled diabetes can
increase the risk of developing gum disease. Managing both conditions is crucial
for overall health.

Respiratory Infections: Bacteria from the mouth, particularly in individuals with
gum disease, can be aspirated into the lungs, leading to respiratory infections such as pneumonia. Maintaining good oral hygiene is essential for reducing this risk.

Pregnancy Complications: Pregnant individuals with untreated gum disease may
have an increased risk of preterm birth and low birth weight babies. Hormonal
changes during pregnancy can make gums more susceptible to inflammation
and infection, emphasizing the importance of dental care during pregnancy.

Rheumatoid Arthritis: Some studies suggest a possible association between
periodontal disease and rheumatoid arthritis. Chronic inflammation in the gums
may contribute to the development or worsening of arthritis symptoms.

Alzheimer’s Disease: While the link is still being researched, some studies have
found an association between periodontal disease and cognitive decline in older
adults. Chronic inflammation and bacterial infections in the mouth may play a
role in the development or progression of Alzheimer’s disease.

Chronic Kidney Disease: Individuals with periodontal disease may have an
increased risk of developing chronic kidney disease. The inflammation
associated with gum disease may contribute to kidney damage over time.

It’s essential for patients at Shine Dentistry with tooth loss and periodontal disease to
maintain regular dental visits, practice good oral hygiene, and manage any underlying
health conditions to reduce the risk of systemic complications. Working closely with Dr.
Ursomanno can help individuals address both oral and systemic health needs
effectively.

If you are looking to speak to a periodontist and are worried about you teeth and gums or the onset of periodontal disease then there are a number of procedures available. Periodontal treatments at Shine Dentistry are performed by Dr. Ursomanno.

If you need an appointent or a consultation call us at  212-242-5344 and ask for Kelly.

She will schedule you for a consultation. We look forward to treating you as a patient.