What is a Periodontist?

A periodontist is a dentist who specializes in the soft tissues of the mouth and the underlying jawbone which supports the teeth.  A dentist must first graduate from an accredited dental school before undertaking an additional three years of study within a periodontology residency training program, in order to qualify as a periodontist.

The primary focus of this residency training is on both surgical and non surgical management of periodontal disease and the placement of dental implants.

Conditions Treated by a Periodontist

The periodontist is mainly concerned with: preventing the onset of gum disease (periodontal disease); diagnosing conditions affecting the gums and jawbone; and treating gingivitis, periodontitis, and bone loss.  Periodontal disease is a progressive condition and the leading cause of tooth loss among adults in the developed world.

The periodontist is able to treat mild, moderate and advanced gum disease by first addressing the bacterial infection at the root of the problem, providing periodontal treatment, then providing information and education on good oral hygiene and the effective cleaning of the teeth.

The most common conditions treated by a periodontist are:

  • Gingivitis – This is the mild inflammation of the gums which may or may not be signified by pain and bleeding.

  • Mild/moderate periodontitis – When the pockets between the teeth and the soft tissues are measured to be between 4-6mm it is classified as moderate periodontitis (gum disease).

  • Advanced periodontitis – When the pockets between the teeth and the soft tissues in general exceed 6mm in depth, significant bone loss may occur; causing shifting or loss of teeth.

  • Missing teeth – When teeth are missing as a result of bone loss, the periodontist can implant prosthetic teeth.  These teeth are anchored to the jawbone and restore functionality to the mouth.

Treatments Performed by a Periodontist

The periodontist is able to perform a wide range of treatments to halt the progression of gum disease, replace missing teeth and make the appearance of the smile more aesthetically pleasing.

Here are some of the treatments commonly performed by the periodontist:

  • Implant placement – When a tooth or several teeth are missing, the periodontist is able to create a natural-looking replacement by anchoring a prosthetic tooth to the jawbone.

  • Osteoplasty (hard tissue recontouring) – Once periodontitis has been treated, the periodontist can recontour the hard tissue to make the smile both natural-looking and aesthetically pleasing.

  • Gingivoplasty (soft tissue recontouring) – As gums recede due to periodontitis, the teeth may appear longer; causing a “toothy" smile.  The periodontist can remove tissues or straighten the gum line to make the teeth look more even.

  • Bone grafting – Dental implants can only be positioned if there is sufficient bone to attach the prosthetic tooth to.  If bone loss has occurred, bone grafting is an excellent way to add or “grow” bone so that an implant may be properly secured.

  • Deep pocket cleanings – As gingivitis and periodontitis progress, it becomes more difficult to cleanse the pockets between the soft tissues and the teeth.  The periodontist can scale and root plane the teeth (sometimes under local anesthetic) to remove debris and infection-causing bacteria.

  • Crown lengthening – In order to expose more of the natural tooth, the periodontist can remove some of the surrounding gingival tissue.

The periodontist is a highly skilled dental health professional who is able to diagnose and treat many commonly occurring soft tissue and bone problems in the oral cavity.

Please contact our office if you have any questions or concerns.

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Testimonials

I love Dr. Asai! He's been my dentist for probably 20 years now, (since I started losing my teeth)! He is very good at explaining dental procedures, how to prevent decay, how to clean teeth, etc. He gives excellent referrals (to oral surgeons to get my wisdome teeth out, to pediatric dentists for my 4 year old--Young Smiles in Fremont, which I will also review). I drive all the way from San Jose to still see him. Well worth the drive.

The hygenist can be kind of rough, (could have been due to my LONG OVERDUE cleaning), but she did offer some numbing gel.

The rest of the staff is courteous too. They set up your next appointment there or have you fill out a reminder card which they mail so you can set it up around that time.

Highly recommended.

Rita F.

I have been a patient of Dr. Asai's for 24 years. When he took over my old dentist's practice I was scared to death. I have very sensitive teeth. After my first visit I knew I was in good hands. Dr. Asai is very conscious of the comfort of his patients and goes out of his way to make everything is as painless as possible. Dr. Asai is up to date with the latest equipment and practices in dentistry. He has exceptional hygienists also. One, after examining my gums, suggested I get my sugar level checked and saved me from consequences of undiagnosed diabetes. When I have needed periodontal or endodontal care Dr. Asai has provided space for the specialists in his office so I was not inconvenienced. I highly recommend this dentist with his excellent dental and office staff.

Doris A.

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