Losing The Function Of Your Smile?
Don’t Wait To Treat Chronic Gum Disease
Occasional bleeding gums may be the first sign of chronic gum disease if you’re experiencing more than slight discomfort. Sometimes, there are no symptoms of chronic gum disease, but bleeding is not normal under any circumstances and maybe a sign of gum disease. Advanced gum disease, or periodontitis, makes everyday life embarrassing and painful. Swollen, bleeding gums, tooth sensitivity, severe bad breath and tooth loss can make it impossible to feel confident and comfortable. You may even be noticing that it’s more difficult to stay healthy or control pre-existing health conditions like diabetes or cardiovascular disease. If you have advanced and chronic gum disease in Miami, FL, don’t wait any longer to receive treatment from our periodontist. As the gum expert, our periodontist has unique training and specialization to treat your gum disease, along with replacing lost tissue, bone and teeth. We can help you establish better oral health and renew your quality of life!
Why Treat Periodontitis?
Periodontitis has more serious consequences than damaging your oral structures. The low-grade inflammation and infection characterized by gum disease have been linked to systemic health complications, making them more difficult to control and putting you at greater risk for more severe health issues. At this stage of gum disease, you’ve lost significant soft tissue and bone, and maybe even teeth, as bacteria from calculus buildup continues to destroy your oral structures. As pockets deepen around your teeth, more calculus and bacteria will accumulate, creating a dangerous and chronic cycle of infection and inflammation. Treatment for periodontitis, or any stage of chronic gum disease in Miami, FL, removes the bacteria from your mouth so it can no longer harm your oral structures or travel throughout your body.

Solutions For Advanced Gum Disease
Our periodontist in Miami, FL, has specialized education and training in both diagnosing and treating every stage of gum disease, including periodontitis. With targeted and effective treatment, we can help you overcome your gum disease so you can live a more comfortable and healthy life. We offer surgical and nonsurgical options for chronic gum disease, such as scaling and root planing, osseous surgery, LANAP, and periodontal maintenance. Beginning with a consultation at Garazi Periodontics & Dental Implants, our periodontist will complete a thorough evaluation and diagnostics to determine the best treatment for your condition. In most cases, advanced gum disease will require surgical intervention to restore proper oral health and function.
Scaling And Root Planing
Scaling and root planing is often the first step in advanced gum disease treatment. A non-surgical procedure it begins with removing plaque and calculus deposits from your teeth with a dental scaler. Next, the rough areas on your tooth and root surfaces are smoothed to discourage bacterial accumulation and help healthy gums reattach to form a tight seal around the teeth.
Traditional Osseous Surgery
Osseous “flap” surgery involves making small incisions in the gums so they can be pulled back to gain access to the tooth roots. This allows our periodontist to complete more effective dental scaling to remove calculus from the teeth and root planing to smooth the rough surfaces. For bone damage that has occurred, the bone can be recontoured before the gums are sutured around teeth. The purpose of osseous surgery is to eliminate calculus that’s causing chronic infection and gum inflammation, remove damaged soft tissues, and reduce the depth of the pockets around the teeth. If severe gum recession has occurred, our periodontist can also place soft tissue grafts to provide greater support for teeth and improve smile aesthetics.
LANAP® Laser Gum Surgery
Unlike traditional osseous surgery to treat gum disease, LANAP doesn’t require scalpels, incisions or sutures, so the risk of infection during recovery is minimal. After numbing the area with a local anesthetic, Dr. David Garazi uses the PerioLase MVP-7 laser over areas of your infected gum tissue to eliminate infection and harmful bacteria, then close the gap between your teeth and gums so bacteria can’t enter. Most patients at Garazi Periodontics & Dental Implants choose LANAP because it offers many advantages over traditional approaches. In fact, even patients who avoided dental treatment or experienced problems with traditional surgery in the past are willing to undergo LANAP gum surgery. Studies show that several months after LANAP treatment, most patients see a significant reduction in the depth of their periodontal pockets.
Periodontal Maintenance
Periodontitis can never fully be eradicated, but once chronic gum disease is actively treated, our periodontist will continue to provide specialized treatment. Periodontal maintenance is the recommended “deep” cleaning every three months that removes calculus buildup at and below the gum line. This will effectively clear out bacteria to minimize the risk of an infection developing again. Periodontal maintenance will replace some of your regularly scheduled hygiene appointments, often alternating with your regular cleaning appointments.

The Benefits Of Choosing A Periodontist
Periodontists are the only dental specialists who have focused education and training in treating soft tissue conditions like chronic gum disease. If you have periodontitis, it’s important that you seek treatment from a gum expert like our periodontist in Miami, FL. We not only have the expertise to provide personalized treatment, but we also have training in related procedures, including gum grafting, bone grafting, and tooth extractions. If left untreated, advanced gum disease frequently leads to tooth loss, which is why we also recommend the preferred tooth replacement solution today: dental implants.
Receiving custom gum disease treatment from Garazi Periodontics & Dental Implants not only ensures your gum disease will be treated but also that your mouth can be restored to its former level of function and esthetics. By continuing to complete periodontal maintenance with our periodontist and maintaining better at-home health and oral hygiene habits, you can effectively keep your chronic gum disease under control so you can live a better, healthier life!
Chronic Gum Disease FAQs
What is chronic gum disease, and how is it different from gingivitis?
Chronic gum disease, or periodontitis, is a severe, long-term condition that negatively impacts teeth-supporting tissues. It develops when gingivitis—early-stage gum inflammation—goes untreated. While gingivitis causes red, swollen gums and bleeding during brushing, it is usually reversible. Chronic gum disease involves deeper infection, gum recession, and loss of bone structure around the teeth, which is more difficult to manage and requires more advanced professional intervention.
What are the most common symptoms of chronic gum disease?
Symptoms of chronic gum disease include persistent bad breath, red or swollen gums, bleeding while brushing or flossing, gum recession, and formation of deep pockets between the teeth and gums. As the disease progresses, teeth may become loose or shift, and chewing can become painful. The disease progresses slowly and painlessly in many cases, making regular dental check-ups essential for early detection.
Can chronic gum disease lead to tooth loss or other serious health problems?
If left untreated, chronic gum disease can lead to tooth loss due to the destruction of the bone that holds the teeth in place. Additionally, ongoing inflammation can increase the risk of systemic health issues such as heart disease, diabetes complications, respiratory disease, and even pregnancy problems. The bacteria from infected gums can enter the bloodstream, affecting overall health.
How does a dentist diagnose chronic gum disease?
Dentists diagnose chronic gum disease through a combination of clinical examination and imaging. They check for signs such as gum recession, pocket depth measurements using a periodontal probe, bleeding, and loose teeth. Dental X-rays are used to assess the extent of bone loss. These assessments help determine the severity of the condition and guide the appropriate treatment plan.
What are the most effective treatments for managing chronic gum disease?
Treatment depends on the severity of the disease. Non-surgical options include scaling and root planing (deep cleaning) to remove plaque and tartar beneath the gum line. In more severe cases, surgical treatments like LANAP laser gum surgery, flap surgery, bone grafting, or guided tissue regeneration might be required to restore damaged gum and bone structures. In most cases, antibiotics or antimicrobial mouth rinses are used to help control infection. Long-term success depends on ongoing maintenance and home care.
How often should I visit the dentist if I have chronic gum disease?
Patients with chronic gum disease should visit the dentist at least every three months for periodontal maintenance. These visits help prevent further damage by removing plaque and tartar and monitoring the health of the gums. More frequent visits also allow for early intervention if the condition worsens.
What at-home care is recommended for people with chronic gum disease?
Daily home care is critical to managing chronic gum disease. This includes brushing at least twice a day with a soft-bristled toothbrush (ideally electric toothbrush), and flossing thoroughly once a day. An electric toothbrush and water flosser can also help reach deeper areas. Avoiding tobacco use and eating a balanced diet also support gum health.