What Is a Periodontist? Definition & Types of Periodontics

Dr. Thomas R. Lambert, DMD, MAGD • January 20, 2025

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Oral health is a crucial component of your overall well-being. While regular dental cleanings and exams by a family dentist are key to maintaining healthy teeth, there are advanced stages of gum disease and other oral health issues that require the specialized care of a dental specialist. This is where a periodontist comes into play, offering targeted treatments to ensure a healthy smile.

Understanding Periodontology

Periodontology is the dental branch dedicated to preventing, diagnosing, and treating diseases impacting the supporting structures of the tooth, including the gums, alveolar bone, and periodontal ligament. As a specialist, a periodontist manages and treats gum disease and gingivitis.

Types of Periodontics

The field of periodontics encompasses several specialties focused on maintaining and restoring gum health, addressing the supporting structures of the teeth:

  • Preventive Periodontics. Focuses on stopping gum disease onset through regular oral exams, dental cleanings, and scaling, reducing plaque buildup and inflammation to keep gum tissues healthy.
  • Surgical Periodontics. Involves surgical treatments like pocket reduction surgery and gum grafting to regenerate lost tissue and address bone loss.
  • Non-Surgical Periodontics. Employs deep pocket cleanings and root planing to control bacterial infection and halt disease progression without surgery.
  • Cosmetic Periodontics. Enhances the aesthetic aspect of the smile with gum contouring and crown lengthening.
  • Laser Periodontics. Uses laser technology for precise gum disease treatments, promoting efficient healing and minimizing tissue damage.

What Is a Periodontist?

A periodontist is a dental specialist who focuses on the prevention, diagnosis, and treatment of periodontal disease and the structures supporting the teeth, including the gums, alveolar bone, and periodontal ligament.

They are experts in maintaining the health of these essential structures and perform procedures such as scaling, root planing, and more advanced surgeries like dental implant placements.

Education, Training, and Certifications

  • Education. Periodontists first complete dental school to earn a Doctor of Dental Surgery (DDS) or Doctor of Dental Medicine (DMD) degree.
  • Specialized Training. After obtaining their dental degree, they undergo an additional three years of specialized residency training in periodontics, which includes both clinical practice and research in the field of periodontal disease and treatment.
  • Certifications. Many periodontists become board-certified by the American Board of Periodontology, which requires passing a comprehensive examination and demonstrating expertise in the specialty.

This extensive education and training equip periodontists with the skills necessary to effectively treat periodontal disease and perform related procedures, ensuring optimal oral health for their patients.

What Do Periodontists Do?

A periodontist or gum dentist specialist plays a key role in diagnosing gum diseases using advanced techniques like digital imaging and diagnostic tests. They provide treatments such as scaling and root planing, which removes plaque and tartar, and periodontal surgery to regenerate lost tissue and bone in severe cases.

When to See a Periodontist?

Recognizing the right time to consult a periodontist is crucial for maintaining optimal oral health. While general dentists handle routine care, periodontists specialize in treating gum disease and other conditions affecting the supporting structures of your teeth.

Common warning signs include:

  • Bleeding, red, or swollen gums, especially during brushing or flossing
  • Persistent bad breath (halitosis) that doesn’t improve with regular oral hygiene
  • Gum recession, where the gums pull away from the teeth, making them appear longer
  • Loose or shifting teeth, particularly in adults
  • Changes in how your teeth fit together when biting
  • Pus between teeth and gums
  • Increased tooth sensitivity, especially to hot and cold temperatures
  • Tender or painful gums that make eating uncomfortable

Risk Factors That May Warrant a Visit

  • Family history of gum disease
  • Smoking or tobacco use
  • Diabetes or other systemic health conditions
  • Pregnancy, which can affect gum health due to hormonal changes
  • Certain medications that cause dry mouth or gum enlargement
  • Previous gum disease treatment that requires monitoring

Preventive Reasons to Consult a Periodontist

  • Before getting dental implants or other major dental work
  • When planning orthodontic treatment, especially in adults
  • If you’re considering cosmetic procedures that involve the gums
  • Regular monitoring if you have a history of periodontal disease

Your general dentist may refer you to a periodontist if:

  • Your gum disease isn’t responding to standard treatments
  • You have complex medical conditions affecting your oral health
  • Advanced periodontal procedures are needed
  • Specialized surgical intervention is required

Do Periodontists Do Implants?

Yes, periodontists perform dental implant procedures. Their expertise in the gums and supporting bone structures makes them well-equipped to assess and prepare the jawbone for implant placement, ensuring successful tooth replacement with optimal functionality and aesthetics.

What Are the Differences Between Dentists and Periodontists

Aspect Dentist Periodontist
Primary Focus Routine oral care and common dental issues Severe gum issues and supporting structures of teeth
Education Four-year dental school curriculum Additional postgraduate education in Periodontics
Specialization General dentistry practices like cleaning, fillings, and extractions Treating complex gum issues like gum recession and bone loss
Common Treatments
  • Regular cleanings
  • Cavity fillings
  • Basic tooth extractions
  • Deep cleanings through scaling and root planing
  • Gum surgery, such as pocket reduction
  • Dental implants for tooth replacement
Role in Dental Care Routine check-ups and maintenance Specialized treatments for advanced gum disease

Consistent visits to both a general dentist and a periodontist are vital for long-term oral health. While general dentists address basic dental health, periodontists delve into more complex issues that affect overall well-being. Gum disease has links to systemic issues such as heart disease and diabetes, highlighting the need for specialized care.

Experience Expert Care for Your Dental Health: Contact Us Today!

A periodontist plays a pivotal role in preventing and treating gum disease, managing dental implants, and performing cosmetic procedures. Leveraging their expertise ensures optimal oral health, safeguarding against future complications. Consistent check-ups with both a general dentist and a periodontist lead to a healthier mouth and a brighter smile. Concerns about gum health? Reach out to experienced dental professionals who understand the intricacies of periodontal care.

At Always About Smiles, Dr. Lambert is a general dentist. Non-surgical gum treatment, including scaling and root planing, is done in our office, and when gum surgery or grafting is needed, we refer you to a periodontist and stay involved in your care. Schedule an appointment today for expert guidance and support in taking the next step towards a radiant smile!

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