Periodontal Health

During your dental exam, Dr. Drew will obtain measurements between your teeth and gums. These will also be compared against x-rays taken that day and your periodontal diagnosis will follow.

There are many forms of periodontal disease (gum disease). One of the more common is gingivitis, which is a localized or generalized inflammation of the gums. This can present with red, puffy, irritated gums that can bleed when brush flossing or even chewing food. A more severe type of periodontal disease can involve the loss of bone around your teeth- this disease is called periodontitis.

Think of your teeth as a house and your gums supporting bone are the foundation. If the foundation has any problems they should be addressed, or the house won’t last. The same holds true with your teeth. Periodontitis most commonly presents as a chronic disease of the gums and supporting structures of your teeth. While the occurrence of moderate and severe generalized chronic periodontitis in the US seems to affect only 5% - 15% of the adult population, slight generalized chronic periodontitis affects roughly 35% of the adult population.¹ If left untreated chronic periodontitis can end in tooth loss. This type of gum disease can require multiple treatments, as well as adjunctive therapies. If these treatments don’t help stabilize the disease assessment and treatment from a periodontal specialist may be required.

Primary Treatment of Periodontitis

  • Scaling and Root Planing (D4341 or D4342) (Deep Cleaning) – If Dr. Drew has diagnosed localized or generalized mild, moderate or severe periodontitis the type of cleaning you will need is called Scaling and Root planing.  This type of cleaning is done under local anesthetic and removes tartar from the root surface of your teeth.  While the name doesn’t sound pretty it’s necessary to stop the progression of this disease and prevent further bone loss around your teeth.
    • A 6 to 8 week follow-up evaluation is required to assess the response of your gum tissue after treatment and determine the next step.
      • If your gingival tissues respond positively it is recommended that you will complete periodontal maintenance procedures every 3 months indefinitely.  Please refer to Periodontal Maintenance (D4910)
      • If your tissues do not respond positively, additional generalized or localized scaling and root planing, and/or adjunctive periodontal therapies are indicated. After a second 6 to 8 week follow-up, if improvement is not significant a referral to a periodontal specialist will be recommended. 
  • Periodontal Maintenance (D4910) – “Follows the completion of active therapy to treat periodontal infection every 3 months for the lifetime of the dentition or implant replacements and includes removal of plaque biofilm and calculus from supra and subgingival surfaces. It is intended to keep periodontal diseases under control; therefore, a patient may move from active therapy to periodontal maintenance and back to active therapy and/or referral during the lifetime of the dentition or implant replacements.”¹

Adjunctive Periodontal Therapies

These therapies are to be performed in addition to another round of scaling and root planing

  • Laser-Assisted Periodontal Therapy (D4999) – Laser energy selectively targets only darker, necrotic tissue and leaves healthy tissue alone, allowing for better healing and results.
  • Localized Delivery of Antimicrobial Agents via a Controlled Release Vehicle (D4381) – The title is self-explanatory.  A 1mg minocycline microsphere is placed in the periodontal pocket and re-evaluated for success.  Contraindicated in patients with a known allergy to minocycline or tetracycline.

 References:

  1.     Sweeting, L. A., Davis, K., & Cobb, C. M. (2008). Periodontal treatment protocol (PTP) for the general dental practice. American Dental Hygienists’ Association, 82(suppl 2), 16-26.

Our SERVICES

At St. Johns Smile Care, we provide our patients with high-quality care in a friendly, supportive environment. Our services range from preventative screening and exams to restorative and surgical care. We offer the best care for your oral health and we want you satisfied!

Comprehensive Dentistry
Cosmetic Dentistry
Dental Implants
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Dr. Drew's Past Patient Reviews

Melissa Lopez
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Let me start out my saying that I have incredible anxiety about dentists/dental work but the staff and Dr.Drew were very kind and patient with me. I had a tooth extraction and filling done in one sitting with no pain and his dental assistant Kristy was very welcoming and polite to me and my sister who joined me for support during the procedure. For people who do not struggle with anxiety about dental work it doesn’t seem like a big deal, but to me it was a really fantastic experience being made to feel calm and relaxed while also being able to get the treatment I need for my dental health. I highly recommend Dr.Drew and his staff. They are always in constant communication with their patients and truly provide great service. 10/10 best dentist I have ever been to. And they will continue to have my business.
Beth Rife
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Very pleasant ppl that work there and very informative also
Lathesa Stephens
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Loving atmosphere and patience hearing the needs and also doing whatever it is necessary to keeping your mouth clean and healthy
Sharon Hulsey
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New patient, called because of a partial filling falling out Saturday night. They got me right in at 9 AM, this after me calling and waiting for my dentist of 20 + years to call me back from 7 AM. Thought just a simple repair of the filling, but NOT. Turns out I had a crack in the tooth which created the loss of my tooth when filing out the old filling. So, I ended up with my first crown, and I'm very please with the work done. Dr drew was very patient with me, and talked me through the complete procedure.(thank you). Staff was very professional and just all around awesome. Looking for a new dentist office - would highly recommend this one!
Debbie Koser
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I had a wonderful experience with this practice. Dr. Drew explains everything clearly. The staff is friendly and very patient with me as I am a new client.
Mary Elizabeth Bradley
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I haven't been to the dentist in quite a few years because of a bad experience. Just walking into a dentist office, I would start to have a panic attack., but the office personnel at Debary Dentistry have changed my outlook. They put me at ease from day one. I highly recommend them!!
Irene Flynn
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My husband and I moved to Debary last year. We made appointments here because the office was close to our home!!! Even if this office was not close we’d be patients!!!!! Love the office!!! Dr. Drew and staff are fantastic!!! Very happy patients!!!! Highly recommended!!!!!!😀👍
Marc Tuell
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All around excellent service and care. I would highly recommended your dental care be entrusted to DeBary Dentistry.
Christopher Francis Graybosch
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Every one is nice and polite and Dr Drew is awesome. I’ve been to several dentist in the past and he’s the best!
Kerry Anderson Lebo
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What a great staff! I had a broken crown and they fit me in before my vacation. One of the best dental experiences from the phone conversations all the way until I was leaving.
Sally McCauley
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I can’t say enough good things about my visit today to DeBary Dentistry. Dr. Drew & his assistant Kristy took the time to explain, step-by-step, my crown replacement procedure. I used to be a skeptic about this group but my opinion has changed.
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