Gum Disease Treatment in Central Pennsylvania

Dr. Greenberg delivers expert gum disease treatment and will explain your options.

State-of-the-Art Gum Disease Treatment

Throughout his nearly 30 years of practice, Dr. Greenberg has remained on the cutting-edge of gum disease treatment. He has always sought out the latest innovations that could possibly help speed treatment, make it more effective, and give the patient a more comfortable experience.

Stages of Gum Disease

Our Gum Disease Treatment

Gum disease causes the gums to detach from the tooth root. Proper gum disease treatment can restore the gums to full health.

Patients come to us for treatment of their moderate and severe gum disease, called periodontitis [bone level infection]. The mildest form of gum disease is known as gingivitis [gum level infection], which is easily reversible with good deep cleaning. In the next stage, periodontitis, the bacterial infection begins to cause destruction of the bone and connective tissue surrounding the tooth.

With periodontitis, the bacteria has spread to below the gumline, causing a chronic inflammatory response. The gum tissue and surrounding bone begin to break down and the gums separate from the teeth, forming “pockets.” As the disease progresses, teeth can become loose and may have to be removed.

Periodontitis is categorized into:

  • Mild periodontitis: Pocket depths 4-5 mm
  • Moderate periodontitis: Pocket depths 6-7 mm
  • Severe periodontitis: Pocket depths 8+ mm

Complimentary Gum Treatment ConsultationComplimentary Gum Treatment Consultation

  • Consultation with the doctor
  • Periodontal evaluation
  • Find out about our gum treatment options, including Laser Assisted Periodontal Therapy (LAPT)
  • Review your options
  • Get all your questions answered

To make an appointment, call (717) 775-7576 or click here to request an appointment online.

Periodontal Exam

Dr. Greenberg will give you a thorough analysis of your gums.

Your first step in treating your gum disease is a thorough exam and consultation with Dr. Greenberg. This includes a comprehensive analysis of your gums. He will gently probe the spaces between your teeth and gums (pockets) to measure their depth. He checks for loose teeth, bone loss and receding gums.

Once he has made his diagnosis, Dr. Greenberg prepares your treatment plan. He will explain the proposed treatment and answer any questions you have.

Expert Deep Cleaning—The first line of attack

In all cases of gingivitis and in some cases of mild periodontitis, Dr. Greenberg can get results with expert deep cleaning, that is, scaling and root planing. Scaling is the action of removing calculus (hardened plaque) from the surface of the tooth and root. Root planing is the action of removing infected tooth structure and smoothing the root. This allows the gum to reattach itself to the root.

In some cases, Dr. Greenberg uses a surgical microscope for magnified vision below the gum line to remove the maximum amount of calculus and plaque. He uses an ultrasonic scaler to gently dislodge the calculus, and hand instruments to remove the hard-to-get calculus deposits.

Minimally Invasive Laser-Assisted Periodontal Therapy (LAPT)

Where deep cleaning by itself doesn’t resolve the gum disease, or where the gum disease is already too advanced, Dr. Greenberg employs a laser to assist in the deep cleaning. This is a minimally invasive procedure that in most cases of gum disease can take the place of traditional periodontal “flap” surgery with the scalpel.

He uses a WaterLase laser, a special soft and hard tissue laser that combines the targeted energy of laser with a cooling spray of water. This cool laser is very gentle on the gums, and compared to other lasers, causes less trauma to tissue.

In the LAPT procedure, the laser removes diseased tissue leaving healthy tissue intact and bacteria free. During surgery the laser cauterizes blood vessels and nerve endings to reduce bleeding and pain. Dr. Greenberg uses his surgical microscope to make sure the root surface is completely clean. He also uses the laser to smooth the root surface to encourage the gum to reattach to the root.

Learn more about Laser-Assisted Periodontal Surgery (LAPT).

Laser flap surgery

In cases of very advanced periodontitis, Dr. Greenberg will create flaps in the gum tissue around the infected tooth so that he can have full access to the diseased area. He uses the WaterLase laser instead of a scalpel to make the incisions.

The laser is more precise, so less surrounding tissue is affected, and it seals the blood vessels and nerve endings as it cuts. This reduces post-treatment swelling and discomfort, as well as speeding healing.

Dr. Greenberg uses the laser and hand instruments to clean out the infected tissue, remove the calculus and smooth the tooth root so that the gum can once again attach to the root.

Patient Testimonial

Patient Testimonials - Allison“The entire procedure flowed exactly as described by Dr. Greenberg. I like his sense of humor and the way he takes time to explain the procedure being considered.

“The entire staff is friendly and professional. Dr. Greenberg was very thorough and even called following the procedure to see how I was feeling. My gums are no longer sensitive and don’t bleed when I brush and floss. I can – and have – recommended him to others.”

–Allison Wilkins

See more patient testimonials.

To make an appointment, call (717) 775-7576 or click here to request an appointment online.