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Periodontal Services

Expert Periodontal Services in Simi Valley

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Periodontal care is essential to your oral health, especially when unhealthy bacteria goes beyond what your home hygiene care alone can manage. The increased bacteria causes gum disease and far-reaching dental issues that require attention from dedicated professionals. At Simi Valley Periodontics, Dr. Yashar and Dr. Kaminsky provide this attention using innovative technology and expert care to restore optimal oral health.

Since 2018 our expert team has been helping Thousand Oaks, Moorpark, and Simi Valley residents to treat the many health problems caused by gum disease and its advanced form, periodontitis. We are conveniently located at Sycamore and Alamo, and offer our services English, Spanish, and Farsi.


What is Periodontitis?

Periodontitis, commonly known as gum disease, is one of the most prevalent dental conditions in adults. It is caused by the accumulation of bacteria on your teeth and gums, resulting in infection and inflammation of your gums and periodontal structures. There are four different stages of this condition:

Inflammation or Gingivitis

The primary sign of periodontitis is the bleeding of gums during brushing or flossing. Another sign that you may notice is the discoloration of your teeth, commonly referred to as plaque, which is caused by a buildup of food debris and bacteria on your teeth. Although your mouth always has bacteria, they only become harmful when conditions allow them to multiply uncontrollably. This buildup can happen if you don’t floss, brush, or have regular exams and cleanings.

Early Periodontal Disease

During the early stages of periodontal disease, your gums will pull away or recede from your teeth, causing small pockets to develop between your gums and teeth. The pockets harbor harmful bacteria that eventually cause infection. At this stage, you will experience bleeding and possibly some bone loss.

Moderate Periodontal Disease

If the condition is not addressed at the earliest, it progresses to the moderate stage where pain, bleeding, and gum recession becomes more pronounced. Your teeth will also begin to lose some bone support and become loose. At this stage, the infection can cause an inflammatory response in your body.

Advanced Periodontal Disease

At this advanced stage, the connective tissue that holds your teeth in place will begin to deteriorate. If the disease is left to progress to this stage, you will experience severe bad breath, pain, especially when chewing, and you are also likely to lose your teeth.

What are the Factors That Place You at Risk for Developing Periodontitis?

  • Genetics
  • Smoking
  • Obesity
  • Type 2 diabetes
  • Poor nutrition
  • Vitamin C deficiency
  • Medications that reduce the flow of saliva
  • Conditions that lower your immunity like HIV
  • Hormonal changes in women that make the gums more sensitive

What Causes Periodontitis?

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You have hundreds of different types of bacteria in your mouth. Most are harmless, but if you don’t floss and brush your teeth regularly and adequately, this bacteria builds up on your gums and teeth. The primary cause of periodontitis is poor dental hygiene. If plaque is not removed either by brushing or professional cleaning, it will deposit minerals within the plaque. This mineral deposit is referred to as tartar, and it encourages bacterial growth towards the root. Your body’s immune response to this increased bacterial growth is what leads to the inflammation of your gums.

Over time the attachment of the gum to the root gets disrupted, and as the disease progresses, a pocket of infection develops between the gum and the tooth root. Harmful bacteria multiply and colonize the pockets, releasing toxins that damage the bone, gums, teeth, and tissue.

Symptoms of periodontitis include:

  • Red, tender or swollen gums
  • Change in teeth position
  • Pain when chewing
  • Plaque buildup
  • Bleeding gums
  • Bad breath
  • Receding gums
  • Inflammatory response
  • Foul taste
  • Tooth loss

Periodontal Exams and Cleanings

Periodontal exams are vital to your oral health because our experienced team can assess the health of your teeth and gums and provide effective intervention. This exam is followed by a professional dental cleaning, where we employ specialized hand instruments, ultrasonic scalers, and lasers to remove plaque and tartar. Teeth polishing helps to remove stains and any remaining plaque, and then we follow that up with an application of fluoride to strengthen your teeth.

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During your exam we will check for a variety of indicators, including:

  • Lumps and other abnormalities in your mouth
  • Missing or loose teeth
  • Color, texture, shape, and size of your gums
  • Plaque and tartar on your teeth
  • Depth of the space between your teeth and gums
  • Crowns, fillings, dentures, bridges, and implants

Non-Surgical Periodontal Treatment Options

If periodontal disease is in the early stages, our non-invasive treatment options are the best way to stop the progression of the disease and help your body repair any damage. These options include:

Scaling and Root Planing

This is a procedure where the root surface is carefully cleaned to remove plaque and tartar from tissue pockets and smooth the tooth exterior. This procedure is sometimes followed by antibiotic therapy if needed. You may not need any further treatment after scaling and root planing, but most of the time, ongoing maintenance therapy is required.

Antibiotic Treatment

This treatment uses a custom-fit tray to deliver prescribed medication to reduce inflammation and block collagenase (a protein that can destroy connective tissue). They are similar to the fluoride trays used to prevent tooth decay. They are considered a safe and effective means of treating gum disease.

Periodontal Surgical Procedures

In some cases, periodontal disease can disfigure your natural appearance, reducing your confidence and your ability to eat healthy foods. At Simi Valley Periodontics, we offer a variety of surgical treatments to correct these problems and restore the natural beauty of your smile. Some treatments include:

  1. Uneven Gum Line: You may feel that your teeth are too short, making your smile too gummy. Your gums may also cover too much of some of your teeth, causing you to have an uneven gum line. If you are in such a situation, or if we need to expose more tooth to place a crown, dental crown lengthening may be the solution for you. During this procedure, our dentist will remove the excess gum tissue to expose more of the crown of your tooth. We then proceed to sculpt your gum line to give you just the right look.
  2. Long Teeth and Exposed Roots: Sometimes, gum recession caused by periodontal disease causes the root of your tooth to become exposed, which makes your teeth to look abnormally long. Gum graft surgery and similar root coverage procedures are designed to conceal exposed roots. This prevents further gum recession and protects the roots of your teeth from decay.
  3. Ridge Augmentation: Tooth loss can result in diminished gum and jawbone where the tooth used to be. This loss happens when your jawbone recedes and is no longer holding the tooth in place. Ridge augmentation can rectify this defect by recapturing the natural contour of the gums and jaw. A new natural-looking tooth can then be created to replace the lost tooth.

Periodontal Pocket Reduction Procedures

Your bone and gum tissue should ideally fit firmly around your teeth. If you are suffering from periodontal disease, the supporting bone and tissue may deteriorate and leave hollow pockets around your teeth. Over time these pockets become larger, collecting more bacteria, which causes more tissue and bone loss.

A pocket reduction procedure, also called osseous surgery, is recommended when you have areas that are too deep to clean even with a professional procedure. During the treatment, our dentist will extract disease-causing bacteria to prevent further damage and progression of the disease.

Restoring Oral Health with Dental Implants

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A dental implant is a biocompatible titanium post that is surgically placed into your jaw to support a custom crown or bridge. Dental implants are a standard treatment option for people suffering from tooth loss due to periodontal disease.

To be a candidate for dental implants, you need to establish optimal oral health. Healthy tissue and bone are required to support the implant, and our team can help you recover from gum disease so your new restoration will last. Whether you need single tooth replacement or comprehensive smile restoration with full-arch implants, our team is here to help. Our implant surgery options cover the gamut of treatment planning, preparation, and placement of implants.

Gum and Bone Graft Surgery

Periodontal disease can cause gum recession that results in exposed roots. Gum graft surgery repairs the defect and prevents further bone loss and receding gums. Gum grafts are used to conceal exposed roots or to develop gum tissue where there may be none. Our experienced team can extract tissue from your palate or another donor source and place it to cover the exposed root. This procedure can be done for one tooth or several to make your gum line even and decrease sensitivity.

Gum and bone graft surgery can repair damage from recession and bone loss. It prevents further decay by covering exposed roots. This treatment can reduce tooth sensitivity and improves the aesthetics of your smile.

What You Can do to Stop Periodontal Disease

Gum disease can be stopped or slowed with proper plaque control through regular flossing, brushing, and professional cleaning, as recommended by our team. Some lifestyle choices you can make to encourage periodontal health include:

  • Stop smoking: Tobacco use is a key risk factor in the development of periodontitis. Smoking can make your gums more susceptible to disease, and it also lowers your chances of successful dental implant treatment.
  • Reduce stress: Stress makes it more difficult for your body’s immune system to fight off the infection.
  • Maintain a well-balanced diet: Proper nutrition strengthens your immune system to ward off the infection. Fruits and vegetables are rich in antioxidants that help you heal faster. Protein and calcium are critical in rebuilding tissue and bones.
  • Avoid clenching and grinding of teeth: Clenching and grinding exert excess pressure on your teeth and gums. This can slow down the healing process.

How Periodontal Health Affects Overall Health

White teeth model and dental instruments on white background.

If you are suffering from periodontitis, bacteria from the diseased pockets between your gums and teeth can enter your bloodstream, triggering inflammation in the body. This can increase your risk of heart disease, diabetes, respiratory problems, and even cancer.

If you are suffering from periodontitis, regular dental appointments are essential to treat the disease effectively. If you follow the dental hygiene regimen we suggest, you can improve your oral health significantly and regain a confident, beautiful smile. For a comprehensive periodontal exam, contact our Simi Valley team today!


Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.

Office Location

  • Simi Valley
  • 2796 Sycamore Drive Suite 202
  • Simi Valley, California
  • 93065
  • Map & Directions
  • Call: (805) 584-6225

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