When To See a Portland ME Periodontist

A Portland ME periodontist is a dental specialist focused on the prevention, diagnosis, and treatment of gum disease, as well as the placement of dental implants and other procedures involving the supporting structures of the teeth. Unlike general dentists, periodontists receive an additional three years of advanced training after dental school, allowing them to manage complex cases involving the gums, jawbone, and connective tissue.

These specialists don’t just treat infection—they restore the foundation of your smile. From treating early-stage gingivitis to performing surgical bone grafting and cosmetic gum contouring, periodontists combine precision care with cutting-edge technology to improve both function and aesthetics.

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Understanding Periodontal Disease: Causes and Symptoms in Portland ME

Periodontal disease, also known as gum disease, begins when plaque—a sticky film of bacteria—accumulates along and beneath the gumline. If left untreated, this bacterium triggers inflammation and infection in the soft tissues around the teeth. Over time, the infection burrows deeper, forming periodontal pockets between the teeth and gums. As your immune system responds, it may destroy gum tissue and even bone, leading to gum recession, tooth instability, or tooth loss.

Here are common signs and symptoms of periodontal disease that should never be ignored:

• Bleeding gums when brushing, flossing, or eating
• Persistent bad breath despite regular oral hygiene
• Loose teeth or noticeable shifting of your bite
• Gum recession or teeth that appear longer than before
• Pus or swelling around the gumline

A history of chronic conditions like diabetes or heart disease, which are often linked to periodontal inflammation

If you're experiencing any of these issues, it's time to see a periodontist—no referral is required.

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When to See a Periodontist: Referral or Self-Referral

While many patients are referred by their general dentist after signs of gum disease are discovered during routine cleanings, you can schedule a periodontal evaluation on your own. Early diagnosis is key. The sooner we intervene, the less invasive and more affordable your treatment is likely to be.

Our periodontist will perform a thorough exam using advanced imaging and periodontal charting to assess your gum pocket depth, bone health, and tooth stability. From there, they’ll develop a personalized treatment plan based on the stage of your condition.

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Diagnosis and Treatment Options for Gum Disease in Portland ME

Periodontal treatment is tailored to the severity of the infection and the extent of tissue or bone damage. Your periodontist may recommend one or more of the following solutions:

1. Gingivitis and Early Periodontal Disease
   If periodontal pockets measure 4mm or less, the condition can often be reversed with scaling and root planing—a deep cleaning that removes bacteria and tartar from below the gumline. Patients also receive guidance on home care routines and preventive strategies to support healing.
2. Moderate Periodontal Disease
   For pockets measuring 4–6mm, a more intensive deep cleaning may be required, often performed under local anesthesia. Follow-up visits help monitor healing and ensure the infection is under control.
3. Advanced Periodontal Disease
   When pockets exceed 6mm and bone loss is present, surgical treatment may be necessary. This can include pocket reduction surgery, guided tissue regeneration, or bone grafting to rebuild support around the teeth.
4. Tooth Loss Due to Periodontal Disease
   Missing teeth don’t just affect your smile—they also impact your bite and jawbone health. Dental implants are a durable, natural-looking option for replacing lost teeth. Your periodontist will evaluate the bone for implant support and, if needed, may perform bone grafting to prepare the site for successful implantation.

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Periodontal Disease and Systemic Health

What happens in your mouth doesn’t stay in your mouth. Research consistently links periodontal disease to a range of systemic health issues, including:

• Heart disease
• Type 2 diabetes
• Respiratory infections
• Osteopenia and osteoporosis
• Pregnancy complications

Because bacteria from gum infections can enter the bloodstream, untreated gum disease poses risks beyond oral health. That’s why early treatment isn’t just about saving your teeth—it’s about protecting your overall well-being.

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Your Partner in Periodontal Health

If you’re dealing with gum sensitivity, tooth mobility, or have been told you need specialized care, don’t wait. Our Portland Center for Dentistry periodontist is uniquely equipped to restore gum and bone health, stabilize your bite, and help prevent future problems.

Whether you need deep cleaning, regenerative surgery, or a long-term implant solution, our goal is to deliver lasting results with expert care. At Portland Center for Dentistry we use the latest techniques, patient-focused treatment plans, and compassionate communication to guide you every step of the way.

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Questions about gum disease, periodontal procedures, or dental implants?

Contact our office today to schedule a consultation. We’re here to help you protect your oral health and reclaim your smile from the foundation up.