4420 Conlin Street, Suite 204, Metairie, LA 70006 | Phone (504) 456-0964

Gum and Periodontal Disease

Because the bacteria that causes periodontal disease are different from the normal bacteria in the mouth and because they invade the gum and the bone, many times conventional/routine cleaning is not enough.


The results of "cleaning and disinfecting" together have been shown to be much more effective than either one alone. Root Planing and Scaling is one of the best approaches for giving the body a fresh start at healing the gum and bone around the teeth. Periodontics has made great strides in the surgical and non-surgical management of periodontal problems. With innovative techniques many patients are able to reach periodontal health in a simple, effective, less invasive, and more affordable way.


Below are some of the ways we treat periodontal disease:


Root Planing and Scaling


The emphasis in our practice is on conservative periodontal therapy. Many times, early stages of periodontal disease are best treated with nonsurgical periodontal therapy. Treatment methods depend upon the type of disease and how far the condition has progressed. The first step is usually a thorough cleaning whereby plaque and tartar from above and below the gum line are scraped away (scaling) and rough spots on the tooth root are made smooth (planing). Root planing involves placing a fine ultrasonic tip in between the tooth and gum tissue to remove any plaque and calculus below the gum line. Four to six weeks later, periodontal pockets are eliminated due to gum shrinkage. Then the patient can personally maintain these areas with routine brushing and flossing.


Antibiotics or irrigation with antimicrobials (chemical agents or mouth rinses) may be recommended to help control the growth of bacteria that create toxins and cause periodontitis. In some cases, Dr. Simone may place antibiotic materials in the periodontal pockets after scaling. This may be done to control infection and to encourage normal healing.


Prophylaxis – Our professional hygienist performs maintenance cleanings, called a Prophylaxis, done every 6 months with a regular check-up. These will serve to keep the surfaces of your teeth clean and smooth while also keeping the gums healthy.  During these appointments the dentist and hygienist is able to check for problem areas and help educate our patients which area they need to improve.


ARESTIN® -  This is an effective antibiotic treatment that comes in powder form. This powder is easily placed inside infected periodontal pockets just after the dental professional finishes the scaling and root planing (SRP) procedure. ARESTIN® contains "Microspheres"-tiny, bead-like particles that are smaller than grains of sand and are not visible to the eye. The Microspheres are filled with the antibiotic minocycline, and they release the drug over time into the infected periodontal pocket, killing bacteria that live there for up to 21 days. ARESTIN® Microspheres continue to fight the infection for up to 21 days after scale and root plane is complete.  In clinical studies, ARESTIN® has been proven to be more effective than using SRP alone. ARESTIN® also significantly reduced the size of periodontal pockets compared to scale and root plane alone, killed the bacteria most commonly associated with periodontal disease, and reduced bleeding on probing of the gums.


 If these non surgical treatment methods are not successful Dr. Simone will refer the patient to a specialist for further treatment.