Periodontal care is the treatment of periodontal disease, more commonly known as gum disease. The stages of gum disease include gingivitis, periodontitis and advanced periodontitis. Although gingivitis can be treated with a more rigorous oral healthcare routine, periodontitis requires periodontal maintenance care, such as deep cleanings, or surgical methods from our professional Tigard dentist, Dr. Henderson.



Periodontal disease is chronic and incurable, but it can be controlled with maintenance care.

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What to expect at your deep cleaning appointment


First, your mouth will be numbed with a local anesthetic to keep you comfortable during your treatment. Deep cleanings may cause more sensitivity for patients than regular dental cleanings, but you’ll be comfortable throughout the procedure with local anesthetic.


In the next step of the process, your Tigard dentist will use special dental tools to “scale” tartar and plaque from between your teeth and below your gum line. The goal is to remove the harmful bacteria that causes gum disease.


Once your teeth and gums have been cleaned, your dentist will “plane” and smooth the roots of your teeth. This process eliminates the pockets and pits that form below the roots of your teeth which harbor bad bacteria.


Deep Cleanings

The first step in treating gum disease is a deep cleaning, also known as “scaling and root planing.” This treatment is used to remove the bacteria, plaque, and tartar that cause gum disease. 

Dr. Henderson will clean deeply between your teeth and gums, and will also smooth out the roots of your teeth to remove “pockets” that harbor the bacteria that cause gum disease. The process is minimally-invasive and is usually conducted under local anesthesia (a numbing agent). 

Typically, half of your mouth will be cleaned during each appointment in our Tigard dental office. Deep cleanings are usually enough to maintain most minor-to-moderate cases of gum disease. 

Gum Flap Or Pocket
Reduction Surgery

This type of surgery is typically required for more advanced cases of gum disease that cannot be treated with deep cleaning alone. In this procedure, your dentist will surgically pull your gums away from your teeth and fold them back to gain direct access to the roots.

The area is cleaned and inflamed tissue is removed. The underlying bone structure may also be adjusted to eliminate bone defects, if necessary.

Then, your gums will be reattached using sutures and given time to heal. A periodontal dressing may also be applied to help the gums heal properly.

Soft Tissue Grafts

Soft tissue grafts, also known as “gum grafts,” are used to help restore your gums after severe gum recession caused by gum disease. In this procedure, soft tissue is removed from the roof of the mouth, and is then sutured into place around the teeth. The tissue heals and bonds with the existing gum tissue, restoring your gum line and resolving negative effects of gum recession, such as tooth sensitivity. 

Bone Grafting

 Bone grafting may be required if advanced periodontal disease has damaged your underlying jaw tissue. In this procedure, bone is taken from elsewhere in your body or from a donor, usually in the form of powder or small granules. Then, this bone matter is packed into the damaged bone area, and your natural bone heals around it, restoring your jaw. 

Guided Tissue Regeneration

Guided Tissue Regeneration (GTR) is typically used alongside gum flap surgery. When this procedure is used, a specialized membrane is placed between the gum tissue and the bone before the gums are stitched and re-attached.

This membrane stops soft tissue (gum tissue) from growing into the gap between the teeth and gums. As it slowly dissolves, slower-growing bone tissue will grow into the area instead, which allows the jaw bone to regenerate itself.


Perio maintenance appointments occur every 3 MONTHS to keep bacteria at bay.

Do you need help to manage gum disease in Tigard?

Have questions about managing gum disease? Find answers here.


When caught early, gingivitis is entirely treatable and reversible. 

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