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What Does a Periodontist Do?

close-up shot of teeth with the use of mouth prop

If you’ve ever wondered what a periodontist does, you're not alone. Most people visit the dentist regularly, but far fewer understand the specialized world of periodontics.

Periodontists—like the experienced professionals at Council Oak Perio—are the experts who step in when gum disease, bone loss, or complex dental issues require advanced care.

In this complete, reader-friendly guide, you’ll discover how these specialists protect your gum health, restore functionality, and enhance your smile.

What Is a Periodontist?

Definition of a Periodontal Specialist

A periodontist is a dental professional who focuses on diagnosing, preventing, and treating gum disease, as well as performing advanced procedures like gum surgery and dental implants. Think of them as “architects of oral stability,” ensuring the foundations of your teeth remain strong.

Additional Training Beyond General Dentistry

After dental school, periodontists undergo 3 additional years of intensive training in gum biology, inflammation, surgical techniques, and bone regeneration. This advanced education equips them to treat complex issues that general dentists may refer out.

Conditions Periodontists Are Qualified to Treat

Periodontists routinely treat:

  • Gum disease (all stages)
  • Gum recession
  • Bone loss
  • Loose or shifting teeth
  • Peri-implantitis
  • Chronic inflammation
  • Missing teeth requiring implants

The Importance of Periodontal Health

How Healthy Gums Support Healthy Teeth

Your gums serve as the foundation that anchors your teeth in place. Without strong gum tissue, teeth eventually loosen—much like a tree with weak soil support.

The Mouth-Body Connection

Inflammation in the mouth doesn’t stay in the mouth. Research shows strong connections between gum disease and:

  • Heart disease
  • Diabetes
  • Respiratory illness
  • Pregnancy complications

Healthy gums are essential for whole-body well-being.

Risks of Ignoring Gum Problems

Neglecting gum care can lead to:

  • Chronic infections
  • Painful abscesses
  • Bone deterioration
  • Tooth loss
  • Compromised medical health

Common Conditions Periodontists Treat

Gingivitis

The earliest stage of gum disease. Reversible, but only with timely care.

Periodontitis

When gingivitis progresses, bacteria attack deeper tissues and bone. Treatment becomes urgent.

Advanced Gum and Bone Disease

At this stage, bone loss and tooth mobility may require regenerative surgery or implants.

Diagnostic Services Provided by Periodontists

Periodontal Charting

This involves thoroughly mapping your gum health—one tooth at a time.

Measuring Pocket Depths

Deep pockets around teeth signify hidden bacterial infection. Specialists measure these areas with precision tools.

X-Rays and 3D Imaging for Bone Assessment

CBCT scans provide a full view of bone density, infection, and implant suitability.

Deep Cleaning Treatments

Council Oak Perio is highly trusted for these advanced cleaning treatments...

Scaling

Removes hardened plaque from above and below the gumline.

Root Planing

Smooths tooth roots so the gums can reattach naturally.

Laser-Assisted Gum Therapy

Laser techniques promote healing, reduce bacteria, and minimize discomfort.

Periodontal Surgery Options

Flap Surgery

The gums are gently lifted to clean infection hiding deep beneath the surface.

Bone and Tissue Regeneration

Special membranes, grafts, or advanced biologics help regrow lost tissue.

Pocket Reduction Treatments

Shrinking deep pockets prevents future bacterial invasion.

Gum Grafting Treatments

Treating Gum Recession

Recession exposes roots and leads to sensitivity. Grafting covers and protects the area.

Connective Tissue Grafts

A small section of your tissue is used to rebuild lost gum structure.

Free Gingival Grafts and Alternative Techniques

Used to increase gum thickness and prevent further recession.

Dental Implant Expertise

Implant Placement and Planning

Periodontists excel at placing stable, natural-looking implants.

Bone Grafting for Implant Success

Bone grafting ensures strong support for long-term implant stability.

Treating Peri-Implantitis

This is gum disease around implants—requiring specialized treatment.

Cosmetic Periodontal Services

Crown Lengthening

Corrects short or “hidden” teeth by reshaping the gumline.

Gum Contouring

Creates a more symmetrical and aesthetically pleasing smile.

Smile Aesthetic Enhancements

Perfect for patients seeking confidence-boosting improvements.

Managing Complex Medical and Dental Conditions

Diabetes and Gum Health

People with diabetes face higher gum disease risks—periodontists play a vital management role.

Cardiovascular Concerns

Heart patients benefit from reduced gum inflammation and infection control.

Systemic Inflammation and Oral Health

Managing gum disease helps lower whole-body inflammation.

Periodontists and Dental Restorations

Evaluating Bone Support for Crowns and Bridges

Strong gums and bone ensure cosmetic restorations last.

Restoring Gum Health Before Cosmetic Work

Healthy gums provide the perfect foundation for smile improvements.

Supporting Long-Term Stability of Restorations

Specialists prevent complications that undermine restorative dental work.

Non-Surgical Periodontal Treatments

Antibiotic Therapy

Local or systemic antibiotics help treat stubborn infections.

Antimicrobial Rinses

These rinses support healing between dental visits.

Localized Drug Delivery

Small packets of medicine are placed directly into deep pockets.

Early Detection of Periodontal Disease

At Council Oak Perio, early detection is a cornerstone of patient care…

Warning Signs Patients Often Miss

  • Bleeding gums
  • Bad breath
  • Gum recession
  • Loose teeth
  • Swelling

How Specialists Identify Early-Stage Problems

Using advanced imaging and precise measurements, issues are caught before symptoms worsen.

Preventive Care to Stop Disease Progression

Routine periodontal checkups, lifestyle guidance, and early intervention protect your long-term oral health.

Periodontal Maintenance

Deep Cleaning Maintenance Schedules

Patients with gum disease often require advanced cleanings more frequently.

Specialized Cleanings Every 3–4 Months

This schedule stops bacteria from causing reinfection.

Monitoring Pocket Depths and Bone Levels

Regular evaluations ensure stable oral health.

Technology Used in Modern Periodontics

Soft Tissue Lasers

Reduce discomfort, shorten healing, and increase precision.

Cone Beam CT Scanning

Provides 3D views of bone, roots, and sinus structures.

Digital Treatment Planning Tools

Ensures accuracy for surgeries and implant placement.

Pediatric Periodontal Concerns

Early-Onset Gum Disease

Some children show signs earlier—early treatment is vital.

Genetic or Developmental Gum Issues

Specialists diagnose and manage these unique conditions.

Preventive Treatment for Younger Patients

Education and tailored care build lifelong oral health habits.

Lifestyle and Habits That Affect Gum Health

Smoking and Vaping

These habits dramatically increase gum disease risk.

Diet and Oral Hygiene Practices

Nutrition and consistent brushing make a world of difference.

Stress and Immune Response

High stress weakens your body’s ability to fight infection.

The Periodontist's Role in Full-Mouth Rehabilitation

Coordinating With Restorative Dentists

Periodontists work closely with cosmetic and restorative providers.

Treating Severe Bone and Gum Loss

Advanced techniques rebuild tissue and restore structural integrity.

Designing Treatment Plans for Long-Term Oral Function

A comprehensive approach ensures lasting results.

Periodontal Emergencies

Acute Gum Infections

These require immediate care to prevent the spread of bacteria.

Sudden Swelling or Abscess

Abscesses can be painful and dangerous if untreated.

Painful Gum Recession or Bleeding

Urgent intervention protects your teeth from further damage.

How to Know When You Need a Periodontist

Symptoms That Require Specialist Attention

  • Persistent bleeding
  • Loose teeth
  • Recession
  • Chronic bad breath
  • Pain

When General Dentists Refer Patients

Dentists refer when issues go beyond routine care.

Benefits of Getting Specialized Care Early

Early intervention preserves natural teeth and reduces treatment complexity.

Council Oak Perio: Expert Periodontal Care and Implant Dentistry

If you're seeking advanced gum or implant care, Council Oak Perio provides unmatched expertise for you. Located at 2152 Village Park Ave #100, Twin Falls, ID 83301, our practice is open Monday through Thursday from 7:30 AM – 3:30 PM.

Led by Dr. Christopher Bingham, a board-certified periodontist with 20 years of experience, our team helps you with complex issues like gum disease, bone loss, gum recession, gummy smiles, dental implants, and broken or missing teeth.

Whether you’re struggling to chew, worried about bone loss, or confused about treatment options, Council Oak Perio guides you with compassion, clarity, and world-class periodontal expertise. Call us now.

Conclusion

close-up shot of a person's complete teeth

Now that you know what a periodontist does, it's clear that these specialists play an essential role in maintaining gum health, restoring oral function, and enhancing smiles. From treating early gum disease to performing advanced surgeries, periodontists are the guardians of the structures that support your teeth.

If you're experiencing gum issues, dental implant needs, or cosmetic concerns—don’t wait. Expert help, like that offered by Council Oak Perio, ensures you receive comprehensive, compassionate, and advanced periodontal care.

Frequently Asked Questions

Do I need a referral to see a periodontist?

No—most periodontists accept patients directly, though many come from dentist referrals.

Are periodontal treatments painful?

Modern techniques, sedation options, and lasers greatly minimize discomfort.

How long does gum graft healing take?

Most patients heal within 2–4 weeks, depending on the graft type.

What makes Council Oak Perio different from general practices?

We offer specialized training, advanced technology, complex case expertise, and decades of periodontal experience.

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