When Should You See a Periodontist?

You should see a periodontist if you have bleeding, swollen, or receding gums, persistent bad breath, or loose teeth, if your dentist has found deep gum pockets or bone loss, or if you are planning dental implants. Periodontists specialize in gum disease and the tissues that support your teeth, and seeing one early can help protect your smile. At Avanti Dentistry, our periodontist is part of the same team as your general dentist and other specialists, so your care stays coordinated.

What Does a Periodontist Do?

A periodontist is a dental specialist who prevents, diagnoses, and treats conditions of the gums and the bone that holds your teeth in place. Periodontists treat gum disease, correct gum recession, rebuild lost gum and bone tissue, and plan and place dental implants. Your general dentist handles routine care, and a periodontist steps in when your gums or the structures beneath them need specialized attention.

What Are the Signs You Should See a Periodontist?

Gum disease often develops without pain, so the early signs are easy to overlook. Consider scheduling an evaluation if you notice:

• Gums that bleed when you brush or floss
• Red, swollen, or tender gums
• Persistent bad breath or a bad taste that does not go away
• Gums that are pulling away from your teeth, or teeth that look longer than before
• Loose or shifting teeth
• Pain or discomfort when chewing
• Pus between your teeth and gums
• Deep gum pockets or bone loss noted at a checkup

If your dentist has suggested a periodontal evaluation, it is worth scheduling it promptly, since treating gum disease earlier is generally simpler.

Do I Need a Referral to See a Periodontist?

No. You can schedule directly with Avanti Dentistry for a gum health evaluation. If you are already an Avanti patient, your dentist and periodontist work together, so your records and history are already in one place.

What Treatments Might a Periodontist Recommend?

The right treatment depends on what your evaluation shows. Options may include:

• Scaling and root planing: a deep cleaning that removes plaque and tartar from below the gumline
• LANAP laser gum treatment: a minimally invasive laser option for moderate to severe gum disease
• Pinhole gum treatment: a minimally invasive option for correcting gum recession
• Soft tissue grafting: rebuilding gum tissue in cases of more advanced recession
• Guided tissue regeneration: supporting the regrowth of lost bone and tissue
• Dental implants: replacing missing teeth with a long-term solution

Your periodontist will explain your options and recommend the approach that fits your case.

When Should You See a Periodontist for Dental Implants?

Dental implants rely on healthy gums and enough supporting bone. If you are missing teeth, a periodontist can evaluate your gum and bone health, plan your implant placement, and treat any gum disease or bone loss before implants are placed. Learn how the two specialists work together in our article on prosthodontists versus periodontists for dental implants.

What Happens at a Periodontal Evaluation?

A periodontal evaluation is a thorough check of your gum health. You can expect:

• A review of your health history and concerns
• An exam of your gums, including measuring the small spaces, or pockets, between your teeth and gums
• X-rays to check the bone supporting your teeth, as part of our exams and X-rays
• A clear explanation of what we find and your treatment options

Can Gum Disease Be Prevented?

In many cases, yes. Daily brushing and flossing, routine dental cleanings, and regular checkups help catch problems early. Avoiding tobacco and managing conditions such as diabetes also support healthy gums.

Who Is the Periodontist at Avanti?

Avanti's periodontist, Dr. Christopher Drennen, provides gum disease treatment, LANAP, pinhole gum treatment, and implant planning and placement from our Tysons office. As an established, family-owned practice, Avanti offers the personal attention of a team that knows you, with your periodontist, dentist, and other specialists working together in one office for your treatment and your ongoing maintenance.

Frequently Asked Questions

Can gum disease be reversed?

Early gum disease, called gingivitis, can often be reversed with professional cleaning and good home care. More advanced gum disease, called periodontitis, can usually be treated and controlled, but bone that has already been lost may not fully return. This is why early evaluation matters.

Is periodontal treatment painful?

Most treatments are well tolerated, and we use local anesthetic and offer sedation options for patients who prefer extra comfort. Your periodontist will explain what to expect for your treatment.

How often should I see a periodontist?

It depends on your gum health. After treatment, many patients return for regular maintenance visits, and your periodontist will recommend a schedule that fits your needs.

Does insurance cover periodontal treatment?

Coverage varies by plan, and our team can help you understand your benefits. We also offer flexible financing. Learn more about our insurance and financing options.

Can I get a second opinion on a gum treatment plan?

Yes. Bring your plan, and we will review it with you and answer your questions.