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A diagram of dental implant at Periodontal Associates. Dental implants are a highly effective solution for lost teeth. Crowns mimic natural teeth in their form and function and titanium posts bond with and stimulate your jaw bone, allowing the Dental Implants to act just like a natural tooth would.

Unfortunately, implants can occasionally fail, and if this happens we will need you to come in so we can repair or replace them.

The Structure of an Implant


Most dental implants are made of a titanium post that is embedded in the jaw bone, a ceramic crown that acts as a replacement tooth and an abutment that connects the post and the crown. If one of these parts loosens or breaks, all three can become compromised.

Titanium is usually chosen for implants because it bonds with the jaw bone in a process known as osseointegration. If this process doesn't occur properly then you'll end up with an implant that isn't firmly in place. This will lead to problems later on.

Signs that an Implant May Fail


If the bone doesn't grow around the implant in the right way, mobility is often the primary signal that the implant may fail. This mobility is often very slight at first and usually only a dentist can see it, but as time goes on an implant that hasn't integrated properly can shift when you chew or speak. Implants that have failed completely with frequently.

Other warnings signs of impending failure include pain, inflammation, and infection, but these do not always occur. If Dr. Eshraghi notices that your implant is moving, he may conduct an x-ray to make sure the bone is growing. If the implant is failing, the x-ray may reveal considerable bone loss around the metal area.

Repair and Replacement


In cases where the implant crown becomes cracked or detached, it is an easy matter for us to attach a new, or make any other repairs if necessary. However, if the damage to the implant is too severe, we will need to remove and replace it.

It is easy for us to remove a failed dental implant, but we will need to use a local anesthetic for this procedure. Once the implant is removed Dr. Eshraghi will carefully clean the area. Then we can begin the process of inserting a new implant, making careful note of what went wrong the first time. If there is enough healthy bone in the same area, we won't need a bone graft.

However, in cases of significant bone loss, we may need to place a bone graft to improve the site of the removed implant before placing a new one. Once the bone graft is complete, your mouth may need several months to heal before we can put in a new implant. During the healing period, Dr. Eshraghi may ask you to quit smoking, postpone cancer treatment or make other lifestyle adjustments that will reduce the risk of the next implant failing as well.

Always remember to take good care of your implants by brushing and flossing daily. Also take care to eat a balanced diet and abstain from using your teeth as tools, as this can chip them. If you experience any problems with your Dental Implants, contact us right away.

If you have any other questions or concerns, please give us a call at (503) 620-2807.
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Home Non-Surgical Periodontal Therapy

Non-Surgical Periodontal Therapy



A dentist showing a female patient her dental X-ray results on a screen, discussing treatment options during an exam.If you’re experiencing swollen gums, bleeding while brushing, or persistent bad breath, you may be showing early signs of gum disease. Non-surgical periodontal therapy offers an effective, minimally invasive solution to restore gum health and prevent the need for surgery. At Periodontal Associates, we specialize in treatment for gum disease without surgery through deep cleaning procedures like scaling and root planing.



What Is Non-Surgical Periodontal Therapy?



Non-surgical periodontal therapy refers to a collection of procedures designed to treat inflammation of the gums and early-to-moderate stages of periodontal disease without the need for surgical intervention.

Unlike traditional gum surgery, this non-invasive periodontal treatment focuses on eliminating the bacterial buildup that contributes to gingivitis and periodontitis. It’s typically recommended for patients with mild to moderate gum disease who want to halt disease progression while preserving their natural teeth.

These therapies are designed to reduce pocket depth around the teeth, control bacterial infection, and promote healing of the gum tissue—making it a critical first step in restoring oral health and avoiding more aggressive treatments down the road.



Signs You May Need Non-Surgical Periodontal Therapy



Recognizing the early warning signs of gum disease can help you act before the condition worsens.

•  Red, Swollen, or Tender Gums - Often the first indication of gingivitis or early periodontitis.

•  Bleeding When Brushing or Flossing - Persistent bleeding is a sign of gum irritation or infection.

•  Chronic Bad Breath - Caused by the presence of bacteria deep within the gum pockets.

•  Receding Gums - A sign that the disease is progressing below the gumline.

•  Loose or Shifting Teeth - Indicates that supporting bone may be deteriorating.

•  Risk Factors - Smoking, diabetes, and poor oral hygiene increase your risk for gum disease.

If these symptoms sound familiar, you may benefit from gum infection treatment without surgery to protect your oral and systemic health.



Deep Cleaning Explained – Scaling and Root Planing



The most common non-surgical gum disease treatment is a deep cleaning procedure known as scaling and root planing. This targeted approach focuses on removing plaque and tartar both above and below the gumline.

Scaling involves eliminating hardened deposits (calculus) from the tooth surface and periodontal pockets. Root planing smooths the root surfaces to discourage further bacterial buildup and helps gums reattach to the teeth.

These procedures are usually completed in quadrants over multiple visits to ensure thorough care and patient comfort. The dental deep cleaning procedure may be performed with local anesthesia and, in some cases, antimicrobial agents may be applied to enhance healing.

By addressing the root cause of gum inflammation, tooth scaling and root surface debridement play a key role in reversing the effects of early periodontal disease.



What to Expect During and After Treatment



During a periodontal deep cleaning, your dental team will numb the treatment area to minimize discomfort. The procedure is methodical, targeting each quadrant of the mouth to remove bacterial deposits and smooth root surfaces.

After treatment, it’s common to experience mild sensitivity, slight bleeding, or gum tenderness for a few days. Your dentist will provide specific instructions for oral health care at home, which may include medicated rinses, desensitizing toothpaste, and temporary dietary changes.

Follow-up visits are essential to monitor healing and assess whether additional care is needed. Maintaining excellent oral hygiene habits and attending all recommended visits are key to sustaining the improvements from your treatment.



Benefits of Non-Surgical Periodontal Therapy



Opting for non-invasive periodontal treatment offers many long-term advantages, especially for those aiming to avoid surgery.

•  Minimally Invasive - No cutting, stitching, or extended recovery time.

•  Preserves Natural Teeth - Prevents tooth loss by stabilizing gum and bone health.

•  Stops Disease Progression - Early treatment helps avoid the need for surgical interventions.

•  Improves Breath and Gum Appearance - Reduces inflammation and restores a healthy gumline.

•  Cost-Effective - More affordable than surgical treatments for many patients.

For many adults, gingivitis treatment through non-surgical therapy delivers significant health and aesthetic benefits.



Maintenance After Therapy – Keeping Your Gums Healthy



Once your gums have healed, ongoing maintenance is essential to prevent recurrence of disease.

Periodontal maintenance visits are more frequent than standard cleanings—typically every 3–4 months—and focus on managing any signs of re-infection. These appointments allow your dental team to monitor pocket depth, remove new plaque buildup, and maintain gum health.

At home, prioritize oral health care with effective brushing and flossing techniques. Electric toothbrushes and water flossers are often recommended for optimal cleaning below the gumline. Avoid smoking and control conditions like diabetes that can worsen periodontal disease.

With diligent care, many patients can enjoy lasting results and avoid further progression.



When Non-Surgical Therapy Isn’t Enough



In some cases, non-surgical gum disease treatment may not be sufficient—particularly when deep pockets, severe bone loss, or persistent infection remain after therapy.

•  Advanced Periodontal Disease - May require flap surgery to access deeper pocket areas.

•  Persistent Inflammation - Indicates that bacteria may still be present beneath the gums.

•  Bone Regeneration Needs - Some cases benefit from guided tissue regeneration or bone grafting.

•  Gum Recession or Tooth Mobility - May call for surgical support to stabilize teeth and restore tissue.

That’s why early intervention with periodontitis therapy is so crucial—it improves your chances of avoiding more invasive procedures.



Schedule a Consultation



If you're showing signs of gum disease or are looking for a non-surgical periodontal therapy appointment, it’s important to seek care as early as possible.

At Periodontal Associates, our team will evaluate your gum health and determine whether treatments like scaling and root planing are right for you. Insurance coverage can vary, so we recommend calling for details about your benefits and options.

Call (503) 620-2807 today to schedule a consultation and learn more about your options for non-surgical gum disease treatment.



FAQs



What is the difference between scaling and root planing?


Scaling removes plaque and tartar from the tooth surface and beneath the gumline, while root planing smooths the root surfaces to help gums reattach and prevent further buildup.


Is non-surgical periodontal therapy painful?


Most patients experience little to no pain during the procedure due to the use of local anesthetic. Some sensitivity or discomfort may occur afterward but typically resolves within a few days.


How do I maintain results after periodontal therapy?


Maintaining results involves regular periodontal maintenance visits, excellent at-home oral hygiene, and lifestyle habits such as not smoking and managing underlying health conditions like diabetes.


Can non-surgical therapy cure gum disease completely?


While it can’t "cure" gum disease, non-surgical periodontal therapy can effectively manage and halt its progression, especially when combined with diligent at-home care and professional maintenance.
Periodontal Associates in Beaverton, OR

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Non-Surgical Periodontal Therapy - Gum Disease Treatment
We provide non-surgical periodontal therapy to treat gum disease. Deep cleaning, scaling, and root planing options available to restore oral health.
Periodontal Associates, 17895 NW Evergreen Pkwy, #150, Beaverton, OR 97006 ~ (503) 620-2807 ~ portlandimplantdentistry.com ~ 1/14/2026 ~ Associated Words: dental implants Beaverton OR ~