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Reflections Dental Spa
Family & Cosmetic Dentistry

Frequently Asked Questions (FAQs): Periodontal Treatment

How can we help you?

We know that there is a lot to think about when it comes to your dental care. That’s why the team at Reflections Dental Spa encourages your questions. When you have all the information you need, you can feel confident when you need to make a decision about your treatment. No question or problem is too small because if it matters to you, it matters to us.

Here are a few of the questions we hear most often, but you probably have some of your own. If so, please don’t hesitate to call our office or fill out our convenient online contact form. We look forward to hearing from you!

Periodontal Treatment

Bleeding gums are usually a sign of gum infection that occur when plaque and tartar build up below the gum line. If not effectively removed every day, the buildup causes gum irritation and micro ulcers resulting in bleeding gums while flossing as well as during your hygiene visits. It is important to control or correct factor that leads to this irritation.

Bleeding gums can be caused by other medical conditions like pregnancy, hormonal changes, and medications you take, like aspirin. But in the majority of cases, these changes are a sign of unhealthy gums. It is a common finding, but it is not normal. 

If you are noticing any increase or change in bleeding, that is usually a good time to schedule a dental visit so we can evaluate and take care of any issues. If you notice your hand or your head start bleeding for no reason, you would run to the emergency room. Your mouth is part of your body, and proper care should be taken to maintain them in a healthy state.

We recommend daily brushing and flossing as well as routine appointments, the interval of which we will recommend based on your individual needs. 
Contact us at our San Ramon office to learn about how to keep your gums healthy.

Periodontal disease (gum disease) is an inflammation and infection of the gums and supporting bone structure. If left untreated, gum disease can ultimately lead to permanent deterioration of the jaw bone and possible tooth loss.

Preventing gum disease doesn’t just benefit your oral health. Untreated periodontal disease has been linked to an increased risk for conditions such as heart disease, stroke, lung disease, and pregnancy complications.

One of the reasons that gum disease is so prevalent is that it can often develop and damage your teeth before you even notice any symptoms. Preventing gum disease with proper oral hygiene and regular professional cleanings should be a priority for everyone. But it’s good to know the signs of periodontal disease so you can get treatment as quickly as possible.

Some indications that gum disease is present are:

  • Bleeding gums when you brush
  • Gums that are tender when touched
  • Red or swollen gums
  • Bad breath, even after you use mouthwash

If you notice signs that you might have gum disease, please give us a call. At Reflections Dental Spa, we are passionate about helping you with early detection, treatment, and maintenance. In most cases, gum disease can be controlled, reduced, or eliminated with proper care. 

Teeth sensitivity can be caused by many factors. A sudden increase in sensitivity to hot and cold temperatures, or discomfort when you bite down can be a sign of nerve involvement due to decay or fracture.

 However, one of the common reasons for sensitivity is aggressive brushing habits. People use abrasive toothpaste and tend to apply a lot of pressure with their toothbrush in the mistaken belief that this will get their teeth whiter and cleaner. 

Unfortunately, the tooth enamel gets eroded, exposing the dentin beneath. This leads to increased sensitivity and a higher risk of decay. You may also notice that your teeth are darker since the enamel which is lighter and brighter has thinned down or is missing.

Habitual grinding or bruxism usually happens with an increase in stress, but also results in significant wear and enamel loss causing increased sensitivity. Extensive use and misuse of whitening products can also increase the risk of sensitivity.

Teeth can also be sensitive right after restorations or after your cleaning visits due to the exposed dentinal surfaces or transient nerve irritation.

Fluoride varnish is recommended right after your hygiene visits to help minimize sensitivity. We also prescribe desensitizing toothpaste if we see a need, an occlusal guard to protect from grinding-related issues, and composite resin material to seal some of the areas of deep abrasion and sensitivity. 

We at Reflections Dental Spa are focused on getting your teeth to an optimal healthy state with minimal symptoms. Ask us how we can help with your sensitivity. 

Deep cleaning is not a one-time cure. Periodontal disease has no known cure but it can be controlled with regular visits to our San Ramon dental office and diligent oral hygiene practices.

When you have gum disease, the deeper the pockets, the more buildup occurs in between appointments due to variations in the crown and root anatomy and access. Research has found that periodontal bacteria colonize in 3 to 4 months time, and so we recommend 3 to 4-month periodontal maintenance visits till adequate improvement is seen.

Depending on the extent of disease progression and buildup we might recommend additional rounds of deep cleanings. Lasers, antibiotic treatment, or periodontal referral may all be recommended depending on individual tissue response and healing.

Ultimately, without your compliance and cooperation, no matter how effective our hygiene measures, it will be an uphill battle. We don’t want your quality of life to be affected by diseased or infected teeth and are happy to support you in any way needed.

Please call our San Ramon dental office to arrange your next cleaning so we can discuss your needs and how we can help. We hope that you will Let us be team players in improving your oral health!

We at Reflections Dental Spa know that this is one of the most exciting and precious periods in your life. We want to be part of this incredible journey that you are on and keep you at optimum dental health.

Pregnancy comes with a lot of hormonal changes, causing normal healthy gums to become irritated and swollen. This irritation is often referred to as “Pregnancy Gingivitis” and is exaggerated by plaque and tartar (calculus), so meticulous hygiene measures, as well as increased frequency of cleaning visits with us, is recommended to prevent progression.

We also want to make sure that we don’t miss any dental infections or other issues, which can lead to complications down the road. Any treatment like fillings are usually completed during the second trimester, where you are most comfortable, as well as after all the initial organ development of your precious baby is completed.  We defer any treatment that is not absolutely necessary till your pregnancy is completed even though any emergency issues will be dealt with right away taking all necessary precautions.

If you have any further questions or concerns, please feel free to call our San Ramon office. We promise to take good care of you and your little bundle of joy!

Brushing is very important, and the correct technique is critical for removing plaque. But even the most effective brushing is not going to dislodge the plaque and bacteria that are trapped in between your teeth below your gum line.

Flossing removes a lot of plaque, which is soft when initially formed. If you do not floss, or if it’s not effective, plaque hardens into calcified deposits called tartar, or calculus. As calculus sits on your teeth, it helps breed more aggressive bacteria. Over time, these bacteria cause continued destruction of the supporting tissues of your teeth. 

Once calcified, calculus cannot be removed with floss. You will need to come to our San Ramon dental office for a professional deep cleaning procedure called scaling and root planing. 

Flossing is critical if you want to maintain healthy gums. Choose a convenient time to floss and stick to it. Developing a daily routine for flossing and sticking to it will make it easy to fit flossing into your schedule. Effective flossing will help you enjoy the benefits of a healthier mouth and less incidence of decay and gum disease. 

If it’s time for your next cleaning, please call Reflections Dental Spa to arrange an appointment!

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We are moving! On November 1st, we'll be moving into our new location at 2202 Camino Ramon, San Ramon, CA 94583. We look forward to sharing our new space with our patients! Please contact our office at (925) 830-9800 if you have any questions.