Periodontal Disease Treatment

Svetlana Yampolsky, D.D.S.

Cosmetic Dentistry located in Midtown West,
New York, NY​

Periodontal disease, commonly known as gum disease is incredibly common and can have a devastating effect on more than just oral health. Periodontal disease is the primary cause of adult tooth loss, which affects up to 50% of the USA adults. Dr. Svetlana Yampolsky understands the role that gum health plays in overall health and wellness and offers comprehensive periodontal disease treatment to men and women in Midtown West, NoMad, Kips Bay, Murray Hill, and throughout New York City. Don’t delay seeking care for painful, swollen, or bleeding gums. we treat complex periodontal cases with non-surgical laser protocols, customized to each individual patient’s needs. Book your visit today by calling the office or using the easy online scheduling tool.


All-On-4 Q & A


Healthy Gums and Teeth For Life

What is periodontal disease?

Periodontal disease, or gum disease, is an infection of the tissues supporting and surrounding the teeth (your gums and jaw bone.)It is an infection caused by a number of different bacteria (polymicrobial).  It is a chronic, contagious, inflammatory, polymicrobial disease with systemic and genetic expression.

How do I get infected with Gum Disease?

The bacteria are transmitted from one individual to another in saliva, through an intimate contact, food or drinks (contagious disease).

Is there a connection between Gum Disease and my overall health?

Infection of the gums triggers our natural immune response as a protective reaction against invading bacteria, which results in swollen, red and often bleeding and tender gums (inflammation or inflammatory response). The more bacteria grows in the mouth the more they penetrate into the body through broken capillaries (small blood vessels) in bleeding gums, spreading to all tissues and organs. The local inflammation in our gums soon becomes the generalized inflammation throughout our entire body (systemic inflammation). Some people who are genetically predisposed to increase and more pronounced immune response, develop more severe chronic systemic inflammation and, as a result, experience more damage to their own tissues (genetic predisposition and expression). As long as bacteria are present in the individual’s gums the problem remains and the process escalates.   The chronic inflammation can lead to developing systemic conditions such as diabetes, cardiovascular problems (heart attacks and strokes), infertility and other systemic complications.  The link between periodontal infection and chronic health condition is called the oral-systemic connection

What causes Gum Disease?

Gum disease is caused by the accumulation of harmful bacteria that forms a sticky plaque layer on the surfaces of the teeth and roots. When plaque is not removed from your teeth promptly, it begins to damage the surrounding tissues. Initially, the multiple bacteria found in the plaque will inflame the gingiva (gums). Eventually, this ongoing inflammation will cause the gums to swell and bleed. This is a result of bacteria-excreting endotoxins — a byproduct of their own metabolism. Untreated, the inflammation migrates from the teeth to the jaw-bone, causing bone reduction and eventually tooth loss.  Over time, the bacteria can enter the bloodstream through broken capillaries in the bleeding gum tissue.

Once in the bloodstream, the bacteria are free to travel to other areas of the body, causing chronic inflammation that may interfere with a with your overall health

Our mouth is a welcoming harbor for the largest community of different bacteria found in the human body. There are over 800 species of pathogens – harmful bacteria that create health problems – present in our oral cavity at any given time.

Of those, 11 species have been identified as the most aggressive and destructive for our body.

What are some signs and symptoms of Gum Disease?

If you notice any of the following symptoms of gum disease, you should schedule a dental exam with Dr. Yampolsky

  • Occasional Bleeding after brushing or flossing
  • Tender Gums
  • Occasional Redness and  swelling of the gums
  • Bad breath or unusual taste in your mouth
  • Pain while chewing
  • A visible separation between teeth and gums
  • Changes in your bite
  • The recession of gums resulting in longer teeth and exposed tooth necks
  • Loose, shaky, drifting teeth

A periodontal exam can get to the bottom of these symptoms. If gum disease is present, Dr. Yampolsky advises you on the best treatment plan.

Periodontal examination With Dr. Svetlana Yampolsky

We incorporate a thorough gum and periodontal evaluation into each visit. This includes:

  • Pocket depth measurement of the space between your gums and teeth; smaller is better
  • Evaluation of bone loss based on either X-Ray
  • Determination of tooth mobility
  • Measurement of gum recession (exposure of tooth necks)
  • OralDNA Perio Path (saliva test)- this test detects the presence of harmful bacteria which cause periodontal disease
  • ORAL DNA ID (saliva test)- This saliva test determines if the patient has a genetic predisposition to developing excessive inflammation when infected with periodontal bacteria.

How is Gum Disease treated?

Periodontal disease treatment aims to eliminate the causes of the disease and stop its evolution. The number and types of treatment will vary, depending on the extent of the gum disease.

One of the essential elements in the successful treatment of periodontal disease is the use of a low-energy, soft tissue laser. Because of its low power, the energy penetrates the infected gums only a few cell layers deep, killing the bacteria embedded in those tissue cells. It is also safe to use our specialized laser around the titanium dental implants, as this laser does not heat the metal and, therefore, does not affect the bonding formed between the implant and the surrounding bone.

While the emitted amount of energy does not cause damage to the human tissue, it is lethal to bacteria and other microorganisms. Besides eradicating pathogens causing periodontal disease, the laser vaporizes toxic debris and bacterial byproducts trapped deep in gum pockets (infected gums detached from adjacent teeth) and between teeth. The laser also generates an electromagnetic field, which stimulates healthy gum tissue regeneration, reduces gum pockets and provides rapid healing. The procedure is painless and the results are evident the very next day.

What we offer