Periodontal (Gum) - Gingivitis and Periodontitis / Periolase ®
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There are many forms of periodontitis. The most common ones include the following.

Aggressive periodontitis occurs in patients who are otherwise clinically healthy. Common features include rapid attachment loss and bone destruction and familial aggregation.
Chronic periodontitis results in inflammation within the supporting tissues of the teeth, progressive attachment and bone loss. This is the most frequently occurring form of periodontitis and is characterized by pocket formation and/or recession of the gingiva. It is prevalent in adults, but can occur at any age. Progression of attachment loss usually occurs slowly, but periods of rapid progression can occur.
Periodontitis as a manifestation of systemic diseases often begins at a young age. Systemic conditions such as heart disease, respiratory disease, and diabetes are associated with this form of periodontitis.
Necrotizing periodontal disease is an infection characterized by necrosis of gingival tissues, periodontal ligament and alveolar bone. These lesions are most commonly observed in individuals with systemic conditions such as HIV infection, malnutrition and immunosuppression.
Periodontal (gum) diseases, including gingivitis and periodontitis, are serious infections that, left untreated, can lead to tooth loss. The word periodontal literally means "around the tooth." Periodontal disease is a chronic bacterial infection that affects the gums and bone supporting the teeth. Periodontal disease can affect one tooth or many teeth. It begins when the bacteria in plaque (the sticky, colorless film that constantly forms on your teeth) causes the gums to become inflamed.
Gingivitis
Gingivitis is the mildest form of periodontal disease. It causes the gums to become red, swollen, and bleed easily. There is usually little or no discomfort at this stage. Gingivitis is often caused by inadequate oral hygiene. Gingivitis is reversible with professional treatment and good oral home care.

Periodontitis
Untreated gingivitis can advance to periodontitis. With time, plaque can spread and grow below the gum line. Toxins produced by the bacteria in plaque irritate the gums. The toxins stimulate a chronic inflammatory response in which the body in essence turns on itself, and the tissues and bone that support the teeth are broken down and destroyed. Gums separate from the teeth, forming pockets (spaces between the teeth and gums) that become infected. As the disease progresses, the pockets deepen and more gum tissue and bone are destroyed. Often, this destructive process has very mild symptoms. Eventually, teeth can become loose and may have to be removed.
Smile in The Woodlands
Randy McClernon DDS
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Warning signs of Periodontal Disease

Bleeding gums
Bad Breath
Red, Swollen, or tender gums
Loose teeth
Tooth drifting/migration, or a
   change in the bite
Pus that appears between the
   teeth and gums when the gums
   are compressed
Change in the fit of dentures
Receding gum line which has pulled
   away from the teeth
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26107 I-45
The Woodlands TX
77380
281-217-8626
Randy McClernon DDS
We offer Laser Assisted New Attachment Procedure (LANAP ®). LANAP is performed with the Periolase laser ®, is an alternative to traditional painful periodontal surgery. Neither scalpel and nor stitches are used.
Periodontal disease is a bacterial infection of your gums. Newly published research has cited a link between periodontal disease and heart disease, respiratory disease, and premature low birth-weight babies. The question is, with all that is available to prevent gum disease, "Why do approximately 80% of American adults have it?" The answer is that many people do not realize they have gum disease because it doesn't hurt in the early to moderate disease phases.

Traditional treatment involves using sharp instruments to scrape the tartar from the root surfaces (scaling and root planing), allowing the gum tissue to reattach to the roots. However, when the disease progresses to a point where scaling and root planing would not be effective, gum surgery is indicated. With traditional periodontal surgery, the gum tissue is cut with a scalpel and pushed aside. The roots and bone are cleared of deposits and smoothed. Then the gum tissue is replaced and stitches are used while the gum heals, often resulting in long exposed roots that are sensitive, unsightly, and vulnerable to decay.

We use a new procedure to treat gum disease without cutting your gums and using stitches. It is called Laser Assisted New Attachment Procedure or LANAP for short. LANAP can accomplish the healing of your diseased periodontal tissue by using the only FDA approved laser treatment protocol.

How LANAP with the Periolase works.

After your teeth and gums are totally numb (and do not forget that Medicated Relaxation is available at our office for those that are anxious in a dental chair) a small laser fiber approximately the diameter of a paper clip is inserted into the space between your tooth and gums. The energy from this laser light kills the bacteria that are causing your gum disease and selectively removes just the diseased tissue, leaving behind the healthy gum tissue. Then an ultrasonic cleaning instrument is used to remove the tartar from the root and tooth surfaces, washing away the debris with a steady flow of medicated solution. Finally, the laser is again passed around the gum tissue to form a natural bandage around the necks of the teeth sealing them from re infection.

Sound simple? It is!

With the gum tissue completely numb, the treatment is essentially pain free as is the recovery period. In contrast, traditional periodontal surgery with the use of scalpels and sutures can often lead to a recovery period that can be quite uncomfortable. Where traditional gum surgery was indicated in just the very recent past, Periolase laser therapy is now available with less pain, quicker recovery and less scarring. In addition, 98% of laser-treated patients do not have further disease progression after five years while it is estimated only 5% reportedly do not have further disease progression after traditional gum surgery.

For more information on Laser Periodontal Therapy, call US today. If you are concerned that you might have gum disease or your dentist has told you that you need to have gum surgery, let us show you how you can regain your oral health without the pain of traditional surgery.

Laser FAQ's

Q: I have heard of other dentists using lasers to treat periodontal (gum) disease. A laser is a laser right?
A: Lasers are powerful tools that when used properly in the hands of a highly trained doctor can produce some amazing results. All lasers are different and have different functions. It’s important to know what laser can perform which procedures the best. The Periolase is a specific type of laser that targets the diseased tissue and bacteria that cause gum disease while leaving the healthy tissue intact. It is also the only laser with a FDA APPROVED patented procedure for treating periodontal (gum) disease backed by university based research proving the results. No other laser can make these claims. Would you want to get Lasik surgery on your eyes done with a laser without FDA approved clearance and university backed research showing it works and is safe?

Q: What is the patented procedure and why is it important?
A: The patented procedure is called LANAP (Laser Assisted New Attachment Protocol). When you have periodontal disease the attachment that holds your tooth to the bone is lost. LANAP can actually reattach the tooth to the bone and gums where it has been lost. It is important to know because the periolase and LANAP is the ONLY laser and procedure that has been proven to accomplish this.

Q: Is there any specific training needed to operate a laser?
A: Most lasers have little to no required mandatory training needed before a dentist or hygienist begins to use them. The Periolase laser is different. It requires many hours of mandatory hands-on training by a US before it is used in private practice. This makes the laser very safe and effective in the hands of an educated and skilled doctor.

We have been using lasers since 2001 and maintains an active membership in the Academy of Laser Dentistry. We have gone through extensive education, training, including hands –on supervised and testing in the proper use of lasers. This training allows you the most comfortable and safest experience possible.

What questions should I ask if they recommend laser treatment?

Ask US:
1) Is the recommended procedure approved by the FDA?
2) Is the procedure backed by university based research showing results?
3) How much training is mandatory before operating the laser?
4) Are you a member of any dental laser specific organizations?
5) Will the doctor be performing the procedure or a hygienist?
6) Is there research that shows new attachment from the procedure
      being recommended?
Our LANAP - PerioLase® 'LASER PERIODONTAL THERAPY ®' for GUM DISEASE. The laser fiber is only about as wide as a couple of human hairs and inserted between the gum tissue and your tooth. It painlessly removes the noxious elements that cause gum disease. You don't have to worry about
bleeding, stitches or post-treatment infection, because your gums haven't been cut.
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The Official Website of:
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