A periodontist is a dentist who has completed a minimum of an extra 3 years of extensive specialized training beyond dental school. They are specialists in the prevention, diagnosis and treatment of periodontal disease, inflammation that affects the gums and bone surrounding your teeth. Periodontists are also specialists in the placement of dental implants, and in the diagnosis and management of disease and problems that may affect dental implants. They are also trained in cosmetic periodontal procedures such as gum grafting. Periodontists must take a certain amount of specialty-specific continuing education courses ever year to stay abreast the current research-based knowledge and techniques, in order to keep their specialty designation.

Periodontal disease is an inflammatory disease that effects the gums and bone that supports your teeth. It is how your body may respond to bacteria in your mouth. Some people are more susceptible than others for a variety of reasons that will be discussed with you at our office. We always start with education about your specific diagnosis. We will guide you through an oral care regimen, tailored to your specific needs. Then, depending on the severity and extent of gum disease that you may be diagnosed with, most patients will have scaling and root planing. Root planning is a deep cleaning that focuses on removing plaque and calculus (tarter) from your roots that harbour the bacteria. On a case by case basis, some patients require surgical management of their disease, by way of either cleaning off roots in an open manner or regenerating lost bone and gums. Almost all patient require more frequent maintenance cleanings, which is determined by your risks factors and response to your initial treatment. Untreated, progressive periodontal disease, can lead to tooth loss, and can also affect your overall health.

Some common signs of periodontal disease include:

• unexplained bleeding when brushing or flossing
• bad breath
• gum recession
• pain, redness, or swelling of the gum tissue
• loose teeth or a change in bite pattern

Periodontal disease can begin with bleeding gums (gingivitis), yet if the inflammation progresses to affect the bone (periodontitis), you may begin to notice that your gums are receding, as the bone supporting your teeth is destroyed. At more advanced stages of severe disease, teeth may become loose and eventually be lost. HOWEVER, in many cases, patients diagnosed with periodontal disease have not had any pain, and have not noticed any changes in their mouth. This is why, it is very important that your dentist does a thorough periodontal examination to see if you are at risk or are affected. If you or your dentist are concerned, we are here to help.

Many patients are referred by their general dentist, however you do not need a referral. If you are concerned about the health of your gums or teeth, or would like a second opinion, please give us a call to arrange a consultation appointment.

What will happen on my first visit?

At your first appointment, we will discuss the reason for your visit, and review your medical and dental history.

Dr. Stasko will complete a comprehensive periodontal examination and review all of her findings with you. Afterwards, we will discuss the recommended course of treatment, and answer any of your questions.

What should I bring?

On the day of your first visit, please bring the following:

• If referred by your general dentist, please bring your referral slip and x-rays (if they have not been sent to us electronically)
• A list of medications you are currently taking
• Any dental insurance information or cards.

To save yourself time in our offices, take a moment at home to fill out the downloadable new patient medical history form found on our website.

Please call our office for more details.