Periodontal disease is caused by an excessive buildup of bacterial plaque on the teeth. Plaque is a sticky film of food debris, saliva, and bacteria. As the plaque hardens, toxins are released from the bacteria causing the gums (soft tissue) to become irritated. The soft tissues around the teeth become increasingly damaged with the progression of the disease, as does the hard tissue or bone that supports the teeth.
A significant portion of the adult population have periodontal disease and don't know it! Most people are not aware of it because the disease is usually painless in the early stages. Periodontal diseases range from simple gum inflammation to serious disease that results in major damage to the soft tissue and bone that support the teeth. Whether your gum disease is stopped, slowed, or gets worse depends a great deal on how well you care for your teeth and gums every day, from this point forward.
Nearly 70% of adult tooth loss can be attributed to gum disease. Research suggests that there may be a link between periodontal disease and other diseases such as stroke, bacterial pneumonia, diabetes, and cardiovascular disease. Good oral hygiene and regular dental visits can help reduce your risk of developing periodontal disease or stopping it if you are already suffering from some of the following symptoms:
- Pus around the teeth and gums
- Receding gums
- Loose teeth
- New spacing between teeth
If you've developed signs of periodontal (gum) disease, a normal cleaning may not be adequate enough. The first stage of periodontal disease, gingivitis, is typically corrected with scaling and root planing (SRP). This is a simple procedure performed by Dr. Troy Gombert to help eliminate periodontal disease by removing built-up tartar and plaque from the below the gumline. With specific instruments, a scaling and root planing treatment cleans under the gumline, then smoothes the surface of your teeth to avoid further buildup. If you're worried about your gums, ask about SRP by Dr. Gombert in Chandler, AZ.
"After living 45+ years with an imperfect smile, I knew it was time for a change. After weeks of research and then another couple of months of consulting with various dentists throughout the valley , I chose Dr. Gombert to perfect my smile. Well, the research paid off!!! Dr. Gombert took an old, imperfect smile and added his magic touch. His knowledge, experience, artistry, craftsmanship, attention to detail, "white glove" patient approach and expertise have given me not only an amazing smile (dare I say, a "celebrity smile"?), but a boosted jolt of confidence as well. Dr. Gombert and his staff are incredible and I can't thank them enough. I am a Dr. G patient for life!!!"- K.P. / Yelp / Jan 22, 2018
"Troy is the best. Since moving to Arizona I just couldn't find a dentist I felt confident in or comfortable with; to say I'm picky is an understatement. I was in need of a CEREC crown and Dr. Gombert was able to accommodate me in short order; I knew exactly what to expect upfront and he did a great job on my crown! Troy gets it. His staff is friendly and they make you feel at ease. I'm so happy I found him!"- T.V. / Yelp / Jul 05, 2017
"If I could design my dream dental office, it would be Parkside Dental Health. They just don't get any better than this! Great staff, wonderful technicians who care about your comfort, a doctor who IMHO is an artist, and the fact that I always leave with a smile on my face - knowing that I have just had the best dental care anywhere in the valley... Thank you Dr. Gombert and staff for doing what I never thought was possible: making my dental visits a pleasurable experience! RayB"- R.B. / Yelp / Jul 28, 2016
"Amazing, truly talented and an artist in his field. I recently had 10 upper veneers placed and this was my first experience with Dr. Gombert and his team. After months of research and multiple consultations, I chose Dr. Gombert for the procedure. His fees for the service were on the upper end (not outrageous and definitely inline with top board certified dentists) but, when it comes to my teeth and smile money wasn't my primary deciding factor. I confirmed he does use top of the line products and they are AZ local. I felt extremely comfortable with him from our first visit. He was honest about the results and, since it was strictly for cosmetic reasons, did offer other options that would be more cost effective if timing wasn't a concern. He gave me all the disclaimers up front as far as preparation, treatment, timeline, pain factor and answered every question and concern I had very truthfully. After both procedures, he called me to see how I was feeling, both on Friday night and Saturday. He is just all around a very nice and caring man. In addition, his staff was beyond warm and welcoming. On my first visit to the office, the front desk ladies greeted in a friendly manner, almost as if I was a client for years. Lori was very lively and put me at ease when signing off on thousands of dollars for cosmetic work. Most of his staff have also had work done by Dr. Gombert and they all look beautiful. The office is very clean and inviting with a waiting room stocked with Keurig coffee and bottle water. The experience was just a bonus, my results were way beyond my expectations. I'm truly grateful to Dr. Gombert for his amazing work on my smile. I will be a client now for life!"- M.P. / Yelp / Apr 19, 2016
"Troy Gombert is outstanding. He works with great finesse and a delicate touch, and the quality of work is second to none. If you've ever had a dentist who is rough with your teeth then you'll appreciate this. His staff are also first rate, friendly and highly skilled. He's had the same hygienists for the 5 years or so that I've been going there, and they do a wonderful job. You can't go wrong with Troy."- B.W. / Yelp / Jan 07, 2016
At your dental examination, Dr. Gombert will assess how deep your gum pockets are. In the event your gum pockets (also called sulcus) are more than three millimeters, then a scaling and root planing therapy could be recommended. SRP can help to decrease the size of the gum pockets so bacteria and plaque cannot accumulate in this region, which contributes to the very first phase of periodontal disease (gingivitis). A number of the early signs of periodontal disease are loose teeth, in addition to gums that are are tender, swollen, bleed easily, look red, or have begun to recede. When periodontal disease is diagnosed at the onset, one or more scaling and root planing therapies can improve signs, but when periodontal disease has reached later phases (regular or advanced periodontitis), then you might need more comprehensive therapies.
What To Expect
SRP is a deep cleaning that may be carried out in our office using local anesthesia on the areas of your mouth being addressed. We might also suggest sedation methods if you are feeling stressed about having SRP. Dr. Gombert will utilize a scaling tool to clean the tartar and plaque below the gumline. He will subsequently plane or smooth the outside of the enamel to decrease the number of regions where tartar and plaque may collect to avoid future problems.
Following your SRP therapy, you might have greater tooth and gum sensitivity, in addition to some tingling from the local anesthesia. Dr. Gombert can write a prescription for antibiotics that will help remove any residual bacteria from the gums. You should adhere to a good oral hygiene regimen in your home, such as daily flossing and brushing, to keep your gums and teeth healthy and clean. You also ought to schedule yearly dental examinations so Dr. Gombert can evaluate the health of your teeth and gums, as well as bi-annual visits to get your teeth cleaned. Based upon the initial state of your mouth and your own home care following an SRP therapy, you might need several more scaling and root planing procedures to totally restore your gums.
SRP is a very common procedure for treating gum disease that's generally paid for in part by dental insurance. Our team will get in touch with your provider to find out your policy and individual expenses. If you don't have dental insurance, Dr. Troy Gombert takes numerous payments, including low-interest financing, which may be explained in your appointment.
Scaling and Root Planing
Periodontal disease may become dangerous and painful for your health, so if you're showing symptoms, then please schedule an appointment with Dr. Gombert at his office in Chandler, AZ. The first stage of periodontal disease, gingivitis, is normally corrected using a very simple SRP process at our facility. Please contact us to make an appointment or to receive more details.