Periodontal Therapy

What is Periodontal Disease?

The term “periodontal” means “around the tooth.”  Periodontal disease (also known as periodontitis and gum disease) is a common inflammatory condition that affects the supporting and surrounding soft tissues of the tooth, eventually affecting the jawbone itself in the disease’s most advanced stages. It is characterized by red, swollen, and bleeding gums.

Periodontal disease is most often preceded by gingivitis which is a bacterial infection of the gum tissue.  A bacterial infection affects the gums when the toxins contained in plaque begin to irritate and inflame the gum tissues.  Once this bacterial infection colonizes in the gum pockets between the teeth, it becomes much more difficult to remove and treat. It is a progressive condition that eventually leads to the destruction of the connective tissue and jawbone.  If left untreated, it can cause shifting teeth, loose teeth, and eventually tooth loss.

Four out of five people have periodontal disease and don’t know it!  Most people are not aware of it because the disease is usually painless in the early stages.

Not only is it the number one reason for tooth loss, research suggests that there may be a link between periodontal disease and other diseases such as, stroke, bacterial pneumonia, diabetes, cardiovascular disease, and increased risk during pregnancy.  Researchers are determining if inflammation and bacteria associated with periodontal disease affects these systemic diseases and conditions.  Smoking also increases the risk of periodontal disease.

Periodontal disease is the leading cause of tooth loss among adults in the developed world and should always be promptly treated. Good oral hygiene, a balanced diet, and regular dental visits can help reduce your risk of developing periodontal disease.

Types of Periodontal Disease

When left untreated, gingivitis (mild gum inflammation) can spread to below the gum line.  When the gums become irritated by the toxins contained in plaque, a chronic inflammatory response causes the body to break down and destroy its own bone and soft tissue.  There may be little or no symptoms as periodontal disease causes the teeth to separate from the infected gum tissue.  Deepening pockets between the gums and teeth are generally indicative that soft tissue and bone is being destroyed by periodontal disease.

Here are some of the most common types of periodontal disease:

  • Chronic periodontitis – Inflammation within supporting tissues cause deep pockets and gum recession.  It may appear the teeth are lengthening, but in actuality, the gums (gingiva) are receding.  This is the most common form of periodontal disease and is characterized by progressive loss of attachment, interspersed with periods of rapid progression.
  • Aggressive periodontitis – This form of gum disease occurs in an otherwise clinically healthy individual. It is characterized by rapid loss of gum attachment, chronic bone destruction and familial aggregation.
  • Necrotizing periodontitis – This form of periodontal disease most often occurs in individuals suffering from systemic conditions such as HIV, immunosuppression and malnutrition.  Necrosis (tissue death) occurs in the periodontal ligament, alveolar bone and gingival tissues.
  • Periodontitis caused by systemic disease – This form of gum disease often begins at an early age.  Medical condition such as respiratory disease, diabetes and heart disease are common cofactors.

Signs and symptoms of periodontal disease:

  • Bleeding gums – Gums should never bleed, even when you brush vigorously or use dental floss.
  • Loose teeth – Also caused by bone loss or weakened periodontal fibers (fibers that support the tooth to the bone).
  • New spacing between teeth – Caused by bone loss.
  • Persistent bad breath – Caused by bacteria in the mouth.
  • Pus around the teeth and gums – Sign that there is an infection present.
  • Receding gums – Loss of gum around a tooth.
  • Red and puffy gums – Gums should never be red or swollen.
  • Tenderness or Discomfort – Plaque, calculus, and bacteria irritate the gums and teeth.

Diagnosing Gum Disease

Periodontal disease is diagnosed by your dentist or dental hygienist during a periodontal examination. This type of exam should always be part of your regular dental check-up.

A periodontal probe (small dental instrument) is gently used to measure the sulcus (pocket or space) between the tooth and the gums. The depth of a healthy sulcus measures three millimeters or less and does not bleed. The periodontal probe helps indicate if pockets are deeper than three millimeters. As periodontal disease progresses, the pockets usually get deeper.

Your dentist or hygienist will use pocket depths, amount of bleeding, inflammation, tooth mobility, etc., to make a diagnosis that will fall into a category below:

Gingivitis
Gingivitis is the first stage of periodontal disease. Plaque and its toxin by-products irritate the gums, making them tender, inflamed, and likely to bleed.

Periodontitis
Plaque hardens into calculus (tartar). As calculus and plaque continue to build up, the gums begin to recede from the teeth. Deeper pockets form between the gums and teeth and become filled with bacteria and pus. The gums become very irritated, inflamed, and bleed easily. Slight to moderate bone loss may be present.

Advanced Periodontitis
The teeth lose more support as the gums, bone, and periodontal ligament continue to be destroyed. Unless treated, the affected teeth will become very loose and may be lost. Generalized moderate to severe bone loss may be present.

Treatment

Periodontal treatment methods depend upon the type and severity of the disease. Your dentist and dental hygienist will evaluate for periodontal disease and recommend the appropriate treatment.

Periodontal disease progresses as the sulcus (pocket or space) between the tooth and gums gets filled with bacteria, plaque, and tartar, causing irritation to the surrounding tissues. When these irritants remain in the pocket space, they can cause damage to the gums and eventually, the bone that supports the teeth!

There are many surgical and nonsurgical treatments the periodontist may choose to perform, depending upon the exact condition of the teeth, gums and jawbone. A complete periodontal exam of the mouth will be done before any treatment is performed or recommended.

Here are some of the more common treatments for periodontal disease:

  • Scaling and root planing – In order to preserve the health of the gum tissue, the bacteria and calculus (tartar) which initially caused the infection, must be removed. The gum pockets will be cleaned and treated with antibiotics as necessary to help alleviate the infection. A prescription mouthwash may be incorporated into daily cleaning routines.
  • Tissue regeneration – When the bone and gum tissues have been destroyed, regrowth can be actively encouraged using grafting procedures. A membrane may be inserted into the affected areas to assist in the regeneration process.
  • Pocket elimination surgery – Pocket elimination surgery (also known as flap surgery) is a surgical treatment which can be performed to reduce the pocket size between the teeth and gums. Surgery on the jawbone is another option which serves to eliminate indentations in the bone which foster the colonization of bacteria.
  • Dental implants – When teeth have been lost due to periodontal disease, the aesthetics and functionality of the mouth can be restored by implanting prosthetic teeth into the jawbone. Tissue regeneration procedures may be required prior to the placement of a dental implant in order to strengthen the bone.

If the disease is caught in the early stages of gingivitis, and no damage has been done, one to two regular cleanings will be recommended.  You will also be given instructions on improving your daily oral hygiene habits and having regular dental cleanings.

If the disease has progressed to more advanced stages, a special periodontal cleaning called scaling and root planing (deep cleaning) will be recommended. It is usually done one quadrant of the mouth at a time while the area is numb. In this procedure, tartar, plaque, and toxins are removed from above and below the gum line (scaling) and rough spots on root surfaces are made smooth (planing). This procedure helps gum tissue to heal and pockets to shrink. Medications, special medicated mouth rinses, and an electric tooth brush may be recommended to help control infection and healing.

If the pockets do not heal after scaling and root planing, periodontal surgery may be needed to reduce pocket depths, making teeth easier to clean. Your dentist may also recommend that you see a periodontist (specialist of the gums and supporting bone).

Cleaning and Evaluation for Gum Disease

It only takes twenty four hours for plaque that is not removed from your teeth to turn into calculus (tartar)! Daily home cleaning helps control plaque and tartar formation, but those hard to reach areas will always need special attention.

Once your periodontal treatment has been completed, your dentist and dental hygienist will recommend that you have regular maintenance cleanings (periodontal cleanings), usually four times a year.  At these cleaning appointments, the pocket depths will be carefully checked to ensure that they are healthy.  Plaque and calculus that is difficult for you to remove on a daily basis will be removed from above and below the gum line.

In addition to your periodontal cleaning and evaluation, your appointment will usually include:

  • Examination of diagnostic x-rays (radiographs): Essential for detection of decay, tumors, cysts, and bone loss.X-rays also help determine tooth and root positions.
  • Examination of existing restorations: Check current fillings, crowns, etc.
  • Examination of tooth decay: Check all tooth surfaces for decay.
  • Oral cancer screening: Check the face, neck, lips, tongue, throat, cheek tissues, and gums for any signs of oral cancer.
  • Oral hygiene recommendations: Review and recommend oral hygiene aids as needed. (Electric toothbrushes, special periodontal brushes, fluorides, rinses, etc.)
  • Teeth polishing: Remove stain and plaque that is not otherwise removed during tooth brushing and scaling.

Good oral hygiene practices and periodontal cleanings are essential in maintaining dental health and keeping periodontal disease under control!

Yelp Reviews

FeatherSound Smiles
5.0
Based on 8 Reviews
Ingrid R.
Ingrid R.
2017-12-27 18:08:52
Absolutely love this dental team! Was totally afraid of going to the dentist after multiple horrid experiences (drilling through tooth, left a particle...
Brandy R.
Brandy R.
2017-12-09 00:21:33
By far the BEST dental experience I've had in 38 years. The whole staff is just AMAZING! I made a first time appointment for myself and my son and I thought...
James T.
James T.
2017-12-08 12:05:44
Clean, polite staff, professional. Close to my home, too.
Laura R.
Laura R.
2017-08-16 15:02:09
This is my first review on yelp after being on here since the beginning. I went to Feathersound Smiles after an unfortunate encounter with a different...
Kenna E.
Kenna E.
2017-03-28 15:03:00
My Husband and I drive 45 minutes out of our way to see Dr. Amir and his staff because they are the best!!! Always a great experience and they are very...
Sheila C.
Sheila C.
2016-12-09 16:03:08
The staff is awesome. I enjoy going to their office because they make your experience worth it. I will tell all my friends and coworkers to come here.
Jessica R.
Jessica R.
2016-08-04 09:19:05
Best dentist in town! Staff cares about their patients. Dr. Daoud takes the time to explain your treatment plan and makes sure you're well-informed. Office...

Testimonials

Here’s what just some of our patients have said

Google Rating
4.9
Yelp Rating
5.0
Facebook Rating
5.0
As a prior dentist hater, I have to say FeatherSound Smiles has completely changed my mind - I no longer hate going to the dentist!! The service is great and the staff feels like a family! Appointments are always on time - no time wasted waiting. They speak to you and listen to your concerns in a way I haven't experienced at the prior dentist I went to. They helped me catch up on the fillings I needed, now maintaining a sparkling smile through painless cleanings with Emily and they accommodate my quirky requests to help with my anxiety. I couldn't ask for more.
Heather Rodgers
Heather Rodgers
19:51 28 Nov 18
The best Dentist I have ever been to. Very friendly environment, but what makes them stand out is their expertise, speed, and professionalism. Highly recommend anyone that need a one stop dental office to stop by and try - I think you will be pleasantly surprise 🙂
Ethan Lee
Ethan Lee
22:25 21 Nov 18
This office is amazing! It sounds strange, but I’ve never had a dentist care about my dental health as much as Dr. Dauod! I recently had to get two extractions. I was super nervous and had been putting it off but they encouraged me to get it done. He made the process quick and painless. I recovered faster than I thought and can’t thank the Dr. and his staff enough!
Morgan K Clay
Morgan K Clay
12:43 20 Nov 18
Fantastic Dentist, wonderful staff, great office, and absolutely top notch cutting edge dentistry. Dr. Daoud is easily one of the best dentists in the country! Highly recommended.
R M
R M
00:51 20 Nov 18
Everyone in this office is so friendly. They offer very good service. This is the best dentist office I have ever been.
Vivian L
Vivian L
16:00 23 Oct 18
Just had 2 fillings. It was lightning fast and painless. I fought this office through a google search and I'm very happy I did
Mark St. Louis
Mark St. Louis
18:41 25 Sep 18
Excellent, professional service from the entire staff. Dr. and assistant reviewed the entire process before and after the treatment. all very personable as well. Pleasure to deal with. Highly recommend.
David Itzkowitz
David Itzkowitz
22:07 27 Aug 18
I thought having my teeth cleaned was supposed to hurt. Turns out I was just getting bad service. Today I had my teeth cleaned Emily at Feather Sound Smiles. She was awesome, and may be the only person I ever let stick a pointed instrument in my mouth again. Dr. Amir is pretty cool too.
Lane Kent
Lane Kent
20:57 20 Aug 18
That was the greatest dentist experience in my life! I will recommend you guys to everyone! Amazing and very professional team! Thank you so much!
yana molchanova
yana molchanova
12:39 17 Aug 18
These guys are great! The facility is super clean, the technology they use is impressive, and the staff are friendly. I always feel like family when I go back for my check-ups. I definitely would recommend FeatherSound Smiles to anyone looking for a dentist in the North St. Pete/Clearwater area.
Tatianna Sobers
Tatianna Sobers
21:16 16 Jul 18
I have had a lot of dental work done over the years and always dread going to the dentist. This was the best dental visit I have ever had. Every staff member was professional and extremely friendly. They took their time, explained things thoroughly and answered all of my questions. Sarah is an amazing hygienist, Diana who did my initial x-rays was great, Lynda at the front desk was very helpful especially in setting up my initial appointment and answering questions about the practice. I can't say enough about Dr. Daoud . He is so friendly and easy to talk to. He answered my questions and eased a lot of my fears. I have definitely found my new dental home and I don't think I will ever dread another visit to the dentist. Thank you all for making my first visit so pleasant.
Kim Duarte
Kim Duarte
14:56 09 Jul 18
As a 62 year old, I've been to many dentist in my time. I can say without a doubt that the team at Feather Sound Smiles is the absolute best I've ever encountered. They use the most modern equipment in dentistry and use automation wherever possible. The entire staff are very courteous and kind. They have set the new standard in dentistry!
William Schuyler
William Schuyler
17:47 04 Jul 18
Dr Daoud and his staff are really good. I have been going to this place almost two years now, its a great place for all kind of dental issues.
Namrata Yadav
Namrata Yadav
00:20 03 Jul 18
Dr Daoud and his staff are great. Very professional care in a laid back atmosphere. I moved from St Pete to Odessa a year ago but still come here for my dental care.
Wil Price
Wil Price
01:58 20 Jun 18
These guys are amazing! Today was my first time going there and I got my exam, cleaning, fillings and invisiline scanning all in one. The cherry on top was Dr. Daoud putting on the world cup game as I was getting cavities filled. I didnt miss a second. I used to dread going to the dentists, but everyone there truly makes me want to go back every month. I might just go back tomorrow to watch the next game with him!
Philipp Karasch
Philipp Karasch
21:03 18 Jun 18
We have been going to FeatherSound for about 2 years. My son is almost done with the teen Invisalign and my daughter has had many fillings and caps. They are always honest, professional and caring. I don’t feel the wait has ever been unreasonable. Their prices are less than our previous dentist in Palm Harbor, let’s face it dental work is not cheap. My husband is having implants with Feathersound now, I will update this after he is done. We are very happy with FeatherSound.
Krista W
Krista W
16:29 28 May 18
Dr. Daoud and his staff are very professional. Dr. Daoud is knowledgeable and friendly. Most efficient Dentist office I’ve been at. Sarah the hygienist is awesome. She knows what she’s doing. She makes sure you are comfortable during the whole process and she is very informative about the process as well as your specific dental needs or issues. Lynda makes sure everything runs smoothly at office management wise, she has amazing customer service skills. I highly recommend them. Truly exceptional!!
Ricky Kureti
Ricky Kureti
21:54 24 May 18
Very accommodating, friendly and gave me a great cleaning. I actually enjoyed my dental visit. I have found my new dentist. I definitely recommend them to anyone looking.
Rodney Ondrus
Rodney Ondrus
22:15 18 Apr 18
So happy I found Dr. Amir and his wonderful staff. Excellent care in a warm and friendly,y environment. Everyone is so caring and kind. Couldn’t be happier.
Suzette Ungvarsky
Suzette Ungvarsky
00:37 10 Apr 18
Amazing dentist office. Dentist Amir is smart, funny and kind. In fact everyone there is extremely kind, from the front desk to Sarah the dental hygienist to everyone I've met there, but not like overly nice kind. More of a genuine kind attitude you don't find very often. You can tell they actually care about you/your teeth there and they don't push work you don't need. Equipment there is top notch and staff is extremely experienced. Keep up the fantastic work.
M Johnson
M Johnson
04:59 21 Mar 18
I love it here! Best dentist in the Bay area.I had a really bad experience with my previous dentist, which made my jaw issues 10X worse. Fast Forward 2 years, after 1 appointment with Feather Sound Smiles, I not only have beautiful clean teeth but my jaw pain is completely gone! I can't believe it. They taught me how to relax my jaw and not clench all day long. Highly recommended. In & out of a cleaning, under 30 minutes.
Mary D'Alesandro
Mary D'Alesandro
21:08 21 Feb 18
Highly Recommend! This place is clean, friendly, professional, and punctual! I interacted with Alex, Dr. Amir, and Sarah. Had genuine conversations with me, gentle with the cleaning process, and spoke about my concerns in depth. Any questions or concerns you may have, this place can guide you towards the right direction. It was my first visit at this dentist office and I will make it my only dentist practice. They don't rush you out, they make you feel comfortable. Great staffing. If you're looking for a professional dentists office, come here.
Sofia Sanchez
Sofia Sanchez
16:00 30 Jan 18
Being new to the area Feather Sound Smiles was recommended to me. My first visit went smoothly and I couldn’t say enough good things about Dr. Daoud and his staff. They were super nice, friendly and very professional. They have the latest technology on site and my root canal took only a couple of hours from start to finish. I walked out with my permanent crown in place. Phenomenal job!
nada mishrik
nada mishrik
17:53 09 Jan 18
Absolutely love this dental team! Was totally afraid of going to the dentist after multiple horrid experiences (drilling through tooth, left a particle under a filling, numbed my mouth, allergic reaction). But alas, teeth need to be cared for. Been coming to this office since 2011, absolutely love the team, especially Sarah! She is always so thorough and helpful. I especially like how they don't try to "sell" me anything new and provide me with a tooth care/maintenance plan to help my teeth get healthier between visits. Recommend them to all my friends and family!
Ingrid Rodriguez
Ingrid Rodriguez
02:07 28 Dec 17
This office is clean, comfortable and the staff is extremely friendly and caring! I had a great experience and won’t go anywhere else! I would recommend them to anyone. If you don’t like going to the dentist you should definitely try Feather Sound, they will make you feel right at home! Dr. Daoud was extremely knowledgeable and Emily the hygienist was a pleasure.
Rachel Fontana
Rachel Fontana
02:51 19 Dec 17
Fantastic service from everyone. Establishing as a new patient was an enjoyable process. I went in for a cleaning and was told my mouth was "boring." They gave great information and didn't offer anything I didn't need. Glad I found them.
Matt Schneller
Matt Schneller
16:16 29 Nov 17
Excellent experience on my first visit today.! Dr. Daoud was very knowledgeable, personable and up front about my dental needs. Every person I encountered was extremely friendly, warm, welcoming and knowledgeable. I have had an astounding number of dental/orthodontic treatments in my life and this was by far one of my best experiences all around.
Mandy Paige
Mandy Paige
02:52 22 Nov 17
I can't say enough nice things about Dr. Daoud and his dentistry practice. He and his his staff are excellent, always friendly and extremely professional. His practice epitomizes the next generation in general and cosmetic dentistry. His technology is far superior to any other dentist I've experienced. More impressive is his care and attention to each patient. That's why our entire family has switched and are now patients. I feel comfortable saying he's the best dentist in the Tampa Bay area.
vincent fabrizzi
vincent fabrizzi
23:17 23 Oct 17
We just moved back to the area and our son recommended Dr. Daoud. For those of you that actually read these...I too had a filling drilled out and refilled. After an accident in the early 70's, I've had copious amounts of dental work completed. Old work sometimes, has to be replaced and with the technology today, the filling replaced yesterday will probably be outlast the car I bought last year and cost a lot less. Lynda greeted me with an early morning smile, Alex led me through the procedures and assisted Dr. Daoud with my filling, and Sara made my cleaning, irrigation, fluoride treatment a dream. Thank you for my first appointment being so comfortable and professional!
tim miller
tim miller
14:04 18 Oct 17
Thank you for taking great care of our family! Invisalign was well worth it, Our smiles thank you.
Lauren Gavrelis
Lauren Gavrelis
02:16 21 Sep 17
A friend recommended this dentist. They were kind, thorough, detailed, and very welcoming. The best part they actually cared.
mary gill
mary gill
11:37 13 Jul 17
Great Dentist! Dr Daoud did a procedure to remove two teeth and place dental implants. He took the time and fully explained each step of the process. Very knowledgeable and I feel I received the best and most advanced care available for dental implants. He did a great job and I am very happy with the procedure and everyone in the office was very professional, friendly and did a great job.
Jeff Brunozzi
Jeff Brunozzi
22:48 22 Jun 17
Dr Amir Daoud is hands down one of the best dentists we have ever met. He treated my husband and we're very happy with his quality of work, his personable mannerism, and the lengths that he takes to make sure his patients are okay. We highly recommended him.
Yolanda Moayedi
Yolanda Moayedi
20:37 20 Jun 17
This practice truly stands out among all of the places I have been. From exceptional hygienists who go the extra mile to make sure your experience is a good one, to Dr. Dauod taking the time to explain the treatment options that are best for you. It is has been evident on numerous occasions that his advice to me had my best interest at heart. I have had bad experiences with other practices in the past who have tried to put their bottom line first, so it is refreshing to have finally found an establishment that I can truly trust. Thank you for everything!
Mark Stone
Mark Stone
19:20 21 May 17

Contact Us

Here’s a quick way to get in touch if you have any questions

OFFICE HOURS

Mon-Tue:  8am to 5pm
Wed-Thu:  10am to 7pm
Fri-Sun:  Closed

LOCATION

2325 Ulmerton Rd Ste 27
Clearwater FL 33762
DIRECTIONS

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