Periodontal Disease Treatment (Gum Disease)
Periodontal Disease (Gum Disease)
Periodontal disease is a chronic inflammatory condition that attacks the soft tissues and bone that support the teeth. It’s far more than just gum irritation — it’s one of the primary causes of adult tooth loss worldwide and a major reason patients ultimately require a full-mouth restoration
How It Begins
The disease typically starts with plaque accumulation on the teeth. If not removed by brushing, flossing, and professional cleanings, this sticky biofilm hardens into tartar, which harbors harmful bacteria. These bacteria release toxins that inflame the gums, leading to gingivitis — the earliest stage, which is still reversible.
If gingivitis is not treated, it progresses to periodontitis, a more serious stage where:
- The gums begin to pull away from the teeth.
- Deep periodontal “pockets” form.
- The underlying bone starts to deteriorate.
- Teeth become loose, shift, or eventually fall out.
Signs You May Have Periodontal Disease
- Bleeding gums during brushing or flossing
- Chronic bad breath (halitosis)
- Swollen, tender, or receding gums
- Loose or shifting teeth
- Changes in your bite or the way dentures fit
- Pus between gums and teeth
Why It Often Goes Undetected
Periodontal disease is often painless in early and moderate stages, which means many patients are unaware they have it until irreversible damage has already occurred. Without x-rays and probing during a dental exam, the disease can silently progress for years.
When Full-Mouth Restoration Becomes Necessary
In advanced cases, periodontal disease causes extensive bone and soft tissue loss, affecting most or all teeth. When the foundation holding your teeth is no longer viable, simple treatments like scaling and root planing or isolated dental work are no longer enough.
A full-mouth restoration may be necessary to:
- Extract remaining damaged or mobile teeth
- Eliminate chronic infection
- Rebuild lost bone with grafts or regenerative therapies
- Place titanium implants to stabilize the jaw
- Replace all teeth with fixed bridges or full-arch prosthetics
- Restore facial aesthetics and prevent further bone collapse
Periodontal Treatments
For mild cases, it would be best for you to remove tartar and plaque in the early stages. Some treatments may be performed during the initial phases, such as scaling and root planing.
Root planing can be done by removing all the tartar accumulated below the gum line using manual and ultrasonic instruments. This procedure is performed under local anesthesia for better pain control.
Bone Grafting Performed by Dr. Moguel
When X-rays reveal significant bone loss due to advanced periodontal disease, Dr. José Moguel employs specialized bone grafting techniques to reconstruct the structure and density of the maxillary or mandibular bone.
This procedure is essential to restore the foundational support needed for both the remaining natural teeth and future rehabilitations, such as dental implants, fixed bridges, or full prosthetics. By regenerating lost bone, not only is bite functionality recovered, but also facial harmony and the long-term stability of the treatment.
Dr. Moguel uses highly biocompatible grafting materials — including synthetic, bovine, or autologous bone — combined with advanced regenerative therapies such as PRF (Platelet-Rich Fibrin), platelet-rich plasma, and stem cells, which accelerate healing and promote natural bone integration.
Thanks to his expertise in advanced oral surgery, Dr. Moguel consistently delivers safe, predictable outcomes — making implant treatments possible even for patients with severe bone resorption.
Clinical Management of the Progressive Active Stage of Periodontal Disease
In the progressive active stage of periodontitis, the formation of periodontal pockets is commonly observed due to the accumulation of bacterial plaque and subgingival calculus, along with the onset of bone loss. These pockets represent an active site of infection that, if left untreated, can seriously compromise the patient’s oral health.
Dr. José Moguel’s clinical team applies an advanced protocol of non-surgical periodontal therapy focused on the deep removal of tartar and bacteria attached to the root surfaces. This procedure, known as scaling and root planing, is performed under local anesthesia to ensure maximum patient comfort and minimize bleeding or discomfort during the treatment.
To optimize outcomes, topical antibiotics in gel form may also be applied directly into the periodontal pockets, allowing for more effective localized disinfection. In some cases, the treatment may be supplemented with therapeutic rinses or systemic antibiotics, depending on the patient’s individual clinical evaluation.
This multidisciplinary approach helps stop the progression of periodontal disease, preserve the natural teeth, and restore periodontal health—creating a stable foundation for future implant placement or other dental restorations.
Surgical Extraction of Periodontal Tissue by Dr. Moguel
In cases of advanced periodontal disease, where deep periodontal pockets no longer respond to conventional treatments such as scaling and root planing, a specialized surgical intervention is required to fully eliminate the infection and preserve any remaining viable dental structures.
Access periodontal surgery, performed by Dr. José Moguel, is a clinical procedure that allows for the removal of inflamed, infected, or damaged tissue within the periodontal pockets, while directly accessing the tooth roots and underlying bone for a thorough and controlled cleaning.
What does the procedure involve?
Under local anesthesia, Dr. Moguel makes a precise incision in the gum tissue to gently retract it and expose the affected area. This direct access allows him to:
- Precisely remove hardened tartar embedded on the roots
- Completely disinfect the area using sterile irrigation and antimicrobial agents
- Remove granulation tissue (damaged tissue caused by chronic infection)
- Evaluate the degree of bone loss and, if needed, place bone grafts or apply regenerative therapies such as PRF (Platelet-Rich Fibrin)
Benefits of the procedure:
- Halts the progression of periodontitis
- Reduces pocket depth, making daily oral hygiene easier
- Preserves at-risk natural teeth
- Prepares a stable foundation for restorative treatments like dental implants or full-mouth rehabilitation
After the procedure, the gum tissue is sutured and personalized post-operative instructions are provided, including medications, therapeutic rinses, and specialized clinical follow-up.
Surgical Expertise and Precision
With over 35 years of professional experience and thousands of successful procedures, Dr. José Moguel performs this technique with surgical precision and a focus on preserving healthy tissue and promoting periodontal regeneration. This intervention restores both functional and aesthetic oral health—even in the most complex clinical cases.
Soft Tissue Grafts Performed by Dr. Moguel
In cases of severe gum recession, Dr. José Moguel performs a specialized procedure in which delicate portions of tissue are transplanted from the palate to the areas where the tooth roots have become exposed. This technique not only improves periodontal health but also restores the natural gum line, delivering an aesthetically pleasing and functional result.