Slow but progressive, periodontal disease swells the gums (gingiva) and destroys the bone that supports your teeth. Once the bone is lost, it does not regenerate. The disease may be generalized, affecting all of your teeth, or localized to a single tooth.
Gum disease affects men and women of all ethnicities, from the teen years through adulthood. In its early stages you may be unaware of it — which is why regular exams matter.
Signs of Gum Disease
- Gums that bleed when you brush or floss
- Red, swollen or tender gums
- Persistent bad breath
- Gums pulling away from the teeth
- Loose or shifting teeth
What Raises Your Risk?
Dental hygiene habits, medications, smoking, alcohol, diet, general health and heredity can all play a role in how gum disease progresses. Conditions such as diabetes are also associated with gum disease.
Periodontal Treatments We Offer
Scaling & Root Planing
A deep cleaning that removes plaque and calculus from below the gumline and smooths the root surfaces so the gums can heal and reattach.
Periodontal Surgery
When deep cleaning isn’t enough, surgical treatment can help reach and clean deeper areas and reduce pockets around the teeth.
Gingival Medicament Placement
Medication placed directly into gum pockets to help control bacteria and support healing.
Gingivoplasty
Reshaping of the gum tissue to restore healthier contours that are easier to keep clean.
What to Expect
Gum measurements
We gently measure the pockets around each tooth to check for gum disease.
X-rays
Radiographs show the level of bone supporting your teeth.
Treatment plan
Dr. Holcombe explains the findings and recommends treatment.
Treatment
Deep cleaning or other therapy is completed, with the area numbed for comfort.
Maintenance
Regular follow-up cleanings help keep the disease under control.
Keeping Your Gums Healthy After Treatment
Gum disease can be controlled, but it needs ongoing care. Many patients need periodontal maintenance cleanings more often than twice a year. At home, brush twice daily, clean between your teeth every day and avoid tobacco.
Healthy gums are also important if you’re considering dental implants, since the tissue around implants can become inflamed too.
Why Patients Choose Dr. Holcombe for Gum Disease Treatment
- Doctor of Dental Medicine (DMD) from East Carolina University; undergraduate studies at North Carolina State University
- Active member of the American Dental Association, Academy of General Dentistry, North Carolina Dental Society and Buncombe County Dental Society
- A small, family-owned practice where you see the same dentist every visit, led by Dr. Holcombe since 2018
- Personal care and long-term relationships: we take the time to listen, answer questions and explain your options
Gum Disease Treatment: Frequently Asked Questions
Can gum disease be reversed?
Gingivitis, the earliest stage, can often be reversed with professional cleanings and good home care through preventive care. Periodontitis can be treated and controlled, but bone that has been lost does not grow back — so early treatment matters.
Is scaling and root planing painful?
The area is numbed so you stay comfortable during treatment. Your gums may be tender for a few days afterward.
How often will I need cleanings after treatment?
Many patients with a history of gum disease need maintenance cleanings more often than twice a year. Dr. Holcombe will recommend a schedule based on how your gums respond.
Is gum disease linked to other health problems?
Research has found associations between gum disease and conditions such as diabetes and heart disease. Keeping your gums healthy is part of caring for your overall health.