Periodontal Services

Periodontal treatment is necessary when various conditions affect the health of your gums and the regions of your jawbone that hold your teeth in place.

Periodontal Services

Dr. Malek's Treatment Philosophy.

Dr. Malek’s practice, Malek Periodontics, provides a variety of surgical services for the treatment of periodontal issues.

We pride ourselves on the fact that we are very conservative in our treatment recommendations and limit surgery to the areas where it is absolutely necessary.

Many times, the early stages of periodontal disease are best treated with non-surgical periodontal therapy, such as scaling and root planing. Even in severe cases, non-surgical periodontal therapy often precedes surgical therapy. This is done to improve the overall tissue quality prior to surgery and also to help limit the areas requiring surgery.

Periodontal Maintenance

Supportive Periodontal Care

After Dr. Malek has completed the active phase of periodontal treatment, your periodontal disease will be under control. She will provide you with a personalized maintenance program of care to keep your gums healthy.

Maintenance therapy is an ongoing program designed to prevent disease in the gum tissues and bone supporting your teeth. Adherence to a program of conscientious home oral care and regularly scheduled maintenance therapy visits with your dentist and Dr. Malek will give you an excellent chance of keeping your teeth for your lifetime.

As you have learned, you are susceptible to gum disease. And, you have probably learned, too, that the main cause of gum disease is bacterial plaque, a sticky, colorless film that constantly forms on your teeth. The bacteria in this plaque produce toxins, or poisons, which constantly attack your gums and teeth. Unless plaque is removed, it hardens into a rough, porous deposit called calculus, or tartar. Daily brushing and flossing will help to minimize the formation of calculus, but it won’t completely prevent it. No matter how careful you are in cleaning your teeth and gums, bacterial plaque can cause a recurrence of gum disease from two to four months after your last professional cleaning. Therefore, a dental professional must check for hidden problems and remove the hardened plaque at time intervals appropriate for you so that your teeth and gums stay healthy.

The answer depends on you and the severity of your gum disease before treatment. Generally, the more severe your periodontal disease is initially, the more often Dr. Malek needs to oversee your care. Together, you, your general dentist and Dr. Malek will work out the most effective schedule for your supportive periodontal care.

  • Discussion of any changes in your health history
  • Examination of your mouth tissues for abnormal changes
  • Measurement of the depth of pockets around your teeth
  • Assessment of your oral hygiene habits and provision of instruction
  • Removal of bacterial plaque and tartar
  • X-ray film studies to evaluate your teeth and the bone supporting your teeth
  • Examination of your teeth for decay and other dental problems
  • Check-up on the way your teeth fit together when you bite
  • Application or prescription of medications to reduce tooth sensitivity or other problems you may have.

Your periodontal condition is the deciding factor. The interval between your supportive periodontal care (spc) visits might be as often as every twelve weeks or as frequent as every six months. Everyone’s situation is different. The frequency of your supportive care visits will be influenced by:

  • The type of periodontal disease you have
  • The type of periodontal treatment you have
  • Your response to treatment
  • Your rate of plaque growth
  • Your personal commitment to good oral care at home.

Your dentist and Dr. Malek work together as a team to provide you with the best possible care. They combine their experience to formulate the best maintenance plan for you. They keep each other informed about your progress. Although Dr. Malekzadeh may see you periodically for maintenance therapy, you will need to see your general dentist as well. Appointments for periodontal maintenance do not replace regular dental checkups. If Dr. Malekzadeh detects tooth decay during a maintenance visit, she will refer you to your general dentist for treatment. Your general dentist is primarily responsible for your overall dental health, including such dental needs as filling new or recurrent cavities or making changes in fillings, crowns or bridges.

To prevent periodontal disease, the major cause of tooth loss in adults — and keep your natural teeth for your lifetime — carefully and conscientiously follow the guidelines of the maintenance program that Dr. Malekzadeh recommends. Protecting your periodontal health through preventive maintenance has great benefits for you. You will be able to chew with more comfort, and you will be able to smile and speak with greater confidence. You will be able to keep dental costs down by preventing future problems. Your commitment to maintenance therapy is your commitment to your better oral health.

Teeth Cleaning

Dental Prophylaxis

A dental prophylaxis is a cleaning treatment performed to thoroughly clean the teeth and gums. Prophylaxis is an important dental treatment for stopping the progression of gingivitis and periodontal disease.

A dental prophylaxis is a cleaning treatment performed to thoroughly clean the teeth and gums. Prophylaxis is an important dental treatment for stopping the progression of gingivitis and periodontal disease.

Prophylaxis can be performed at our office or by your general dentist. It may be beneficial to have your regular cleanings done by Dr. Malek, who is more familiar with the full scope of your periodontal disease. We recommend that prophylaxis be performed twice annually as a preventative measure, but should be completed every 3-4 months for periodontitis sufferers. It should be noted that gum disease cannot be completely reversed, but prophylaxis is one of the tools Dr. Malek can use to effectively halt its progression.

Prophylaxis is an effective procedure in keeping the oral cavity in proper health and halting the progression of gum disease. The benefits include:

Plaque removal. Tartar (also referred to as calculus) and plaque buildup, both above and below the gum line, can result in serious periodontal problems. Unfortunately, even with a proper home brushing and flossing routine, it can be impossible to remove all debris, bacteria and deposits from gum pockets. The experienced eye of a dentist or hygienist using specialized dental equipment is necessary to catch potentially damaging buildup.

A healthier looking smile. Stained and yellowed teeth can dramatically decrease the esthetics of a smile. Prophylaxis is an effective treatment in ridding the teeth of these unsightly stains.

Fresher breath. Bad breath (or halitosis) is generally indicative of advancing periodontal disease. A combination of rotting food particles (possibly below the gum line) and potential gangrene stemming from gum infection, results in bad breath. The routine removal of plaque, calculus and bacteria at our facility can noticeably improve halitosis and reduce infection.

Periodontal Scaling and Root Planning

Dental Deep Cleaning

The initial stage of treatment for periodontal disease is usually a thorough cleaning that may include scaling or root planing. The objective of these non-surgical procedures is to remove etiologic agents such as dental plaque and tartar, or calculus, which cause gingival inflammation and disease. Scaling and root planing can be used as a stand-alone treatment, or a preventative measure. They are commonly performed on cases of gingivitis and moderate to severe periodontal disease.

Dr. Malek will only perform scaling and root planing after a thorough examination of the mouth, which may include taking x-rays and visually examining the mouth. Depending on the condition of the gums, the amount of tartar present, the depth of the pockets, and the progression of periodontitis, Dr. Malek may recommend scaling and root planing. In some cases, a local anesthesia may be used during the procedure.

When scaling is performed, calculus and plaque that attaches to the tooth surfaces is removed. The process especially targets the area below the gum line, along the root. Scaling is performed with a special dental tool called an ultrasonic scaling tool. The scaling tool usually includes an irrigation process that can be used to deliver an antimicrobial agent below the gums to help reduce oral bacteria.

Root planing is performed in order to remove cementum and surface dentin that is embedded with unwanted microorganisms, toxins and tartar. The root of the tooth is literally smoothed, which promotes healing, and also helps prevent bacteria from easily colonizing in the future. Antibiotics or irrigation with anti-microbials (chemical agents or mouth rinses) may be recommended to help control the growth of bacteria that create toxins and cause periodontitis. In some cases, Dr. Malek may place antibiotics in the periodontal pockets after scaling and planing. This may be done to control infection and to encourage normal healing.

f treatment is successful, scaling and planing may have many periodontal benefits. One is that it can help prevent disease. Research has proven that bacteria from periodontal infections can travel through the blood stream and affect other areas of the body, sometimes causing heart and respiratory diseases. Scaling and root planing remove bacteria that cause these conditions.

Another benefit of treatment is protecting teeth against tooth loss. When gum pockets exceed 3mm in depth, the risk for periodontal disease increases. As pockets deepen, more bacteria are able to colonize, eventually causing a chronic inflammatory response by the body to destroy gingival and bone tissue. This leads to tooth loss.

Finally, scaling and root planing may make the mouth more aesthetically pleasing, and should reduce bad breath caused from food particles and bacteria in the oral cavity. Superficial stains on the teeth will be removed during scaling and planing, adding an extra bonus to the procedures.

Bite Adjustment

Occlusal Equilibration

A bite is considered to be healthy when all or most of the teeth are present and not destroyed by normal daily usage.

Smiling Bite Adjustment

It is destructive when teeth show wear, looseness or when TMJ (jaw joint) damage is seen. Bite therapy helps restore a bite that can function without damage and destruction. The therapy may include:

Reshaping the biting surfaces of the teeth and eliminating spots of excessive pressures where the teeth are brought into contact. This is done by carefully dividing bite pressures evenly across all of the teeth.

Bite splint therapy using a custom-fitted and adjusted plastic bite guard to keep the teeth apart, worn during the day, at night, or both.

Braces to reposition mal-aligned or drifted teeth.

Replacement of old, worn out, or damaged fillings.

Reconstruction of badly worn and damaged teeth.

Guided Bone and Tissue Regeneration

Treating Gum Disease

Gum disease has traditionally been treated by eliminating the gum pockets by trimming away the infected gum tissue and by re-contouring the uneven bone tissue. Although this is still an effective way of treating gum disease, new and more sophisticated procedures are used routinely today.

Tissue Regeneration

As periodontal disease progresses, pockets of degenerated bone develop in the jaw. These pockets can promote the growth of bacteria and the spread of infection. To address these pockets, Dr. Malek may recommend tissue regeneration. During this surgical procedure, the pockets are cleaned thoroughly, and a membrane is installed between the soft tissue and the pocket in the bone. Some of these membranes are bio-absorbable and some require removal. The membrane covers the pocket so that fast-growing soft tissue is blocked, and slower-growing bone can begin to grow, or “regenerate” itself.

Guided Bone Regeneration

As periodontal disease progresses, pockets of degenerated bone develop in the jaw. These pockets can promote the growth of bacteria and the spread of infection. To address these pockets, Dr. Malek may recommend tissue regeneration. During this surgical procedure, the pockets are cleaned thoroughly, and a membrane is installed between the soft tissue and the pocket in the bone. Some of these membranes are bio-absorbable and some require removal. The membrane covers the pocket so that fast-growing soft tissue is blocked, and slower-growing bone can begin to grow, or “regenerate” itself.

Effectiveness

The effectiveness of the procedure generally depends on the patient’s willingness to follow a strict postoperative diet and careful oral care. Dr. Malek will help you determine if bone regeneration surgery is right for you.​

Periodontal Reduction Surgeries

Osseous Surgery | Gingivectomy | Frenectomy

Osseous Surgery

Sometimes referred to as pocket reduction surgery or gingivectomy, refers to a number of different surgeries aimed at gaining access to the tooth roots to remove tartar and disease-causing bacteria.

Osseous surgery is used to reshape deformities and remove pockets in the alveolar bone surrounding the teeth. It is a common necessity in effective treatment of more advanced periodontal diseases. The ultimate goal of osseous surgery is to reduce or eliminate the periodontal pockets that cause periodontal disease. Despite the word “surgery” the procedure is reported to feel more like a thorough cleaning. The specific goals of surgery include: As the gum pocket deepens, it can become nearly impossible to brush and floss adequately. Osseous surgery reduces pocket size, making it easier to brush and floss, and thereby prevent further periodontal disease.

Bacteria from the mouth can spread throughout the body and cause other life-threatening conditions such as heart disease and respiratory disease. Removing deep tartar and thereby bacteria can help reduce the risk of bacteria spreading.

The immune system’s inflammatory response prompted by periodontal bacteria can lead to bone loss in the jaw region, and cause teeth to fall out. Osseous surgery seeks to stop periodontal disease before it progresses to this level.

Mouths plagued with periodontal disease are often unsightly. Brown gums, rotting teeth, and ridge indentations can leave a person feeling depressed and too self-conscious to smile. Fortunately, osseous surgery can help reduce bacteria and disease and thereby restore your mouth to its former radiance, while restoring confidence at the same time.

As the gum pocket deepens, it can become nearly impossible to brush and floss adequately. Osseous surgery reduces pocket size, making it easier to brush and floss, and thereby prevent further periodontal disease.

A local anesthetic will be used to numb the area prior to surgery. First, Dr. Malek will cut around each tooth of the affected area to release the gum tissue from the bone. This allows access to the bone and roots of the teeth. After the roots have been thoroughly cleaned through scaling, a drill and hand tools will be used to reshape the bone around the teeth. Bone is removed in some areas to restore the normal rise and fall of the bone, but at a lower level. Bone grafting may also be necessary to fill in large defects. Next, the gums will be placed back over the remaining bone and suture them in place. Pain medicine and mouth rinses containing chlorhexidine are generally prescribed following the surgery.

Gingivectomy

The gum tissue can be very thick and large covering the tooth surface making the teeth look short. This can happen because of medications, bone that extends too close to the surface of the teeth, or inflammation due to gum disease.

A gingivectomy is a periodontal procedure that eliminates excess gum tissue. The term “gingivectomy” is derived from Latin:

– “gingiva” means gum tissue,
– “-ectomy” means to remove.

To make the teeth look normal in size when the gum is covering too much of it, making the teeth look longer and more proportional.

To remove excess gum tissue (gingival overgrowth) that has formed as a result of certain drugs such as anti-seizure and organ-transplant medications, and certain high blood pressure medications.

To shrink deep gum pockets. This procedure might require some bone work as well.

We first will anesthetize the area(s) to be treated. The excess of gum tissue is removed either with a scalpel blade or a laser. In most cases no sutures (stitches) are required. The surgical sites will be sore for 24-48 hours, and medication will be provided to alleviate any discomfort experienced. A week follow-up appointment is usually needed to ensure proper healing.

Frenectomy

When Orthodontic treatment is planned or initiated, the removal of an abnormal frenum, with or without a gingival graft, can increase stability and improve success of the final orthodontic result.

A frenum is a naturally occurring muscle attachment, normally seen between the front teeth (either upper or lower). It connects the inner aspect of the lip with the gum. A lack of attached gingiva, in conjunction with a high (closer to the biting surface) frenum attachment, which exaggerates the pull on the gum margin, can result in recession. Additionally, an excessively large frenum can prevent the teeth from coming together resulting in a gap between the front teeth. If pulling is seen or the frenum is too large to allow the teeth to come together, the frenum is surgically released from the gum with a frenectomy. A frenectomy is simply the surgical removal of a frenum.

If you had a positive experience at Malek Periodontics please leave us a review!

Leave us a review

Contact Malek
Periodontics today!

Discover what it means to have a healthy smile, healthy life.

Fill out the form and Dr. Malek's office will reach out within 24 hours to learn more about you and help get you scheduled!

Referring Doctors

You may refer patients to our office by filling out our secure online Referral Form.

Malek Periodontics

20100 N 51st Ave #F650
Glendale, AZ 85308

T: 623.362.8969
F: 623.362.8971

Office Hours 

M-F: 8-4

About Dr. Malek

Tannaz Malekzadeh, DMD

Serving Maricopa County and the West Valley area

Dr. Tannaz Malekzadeh your Glendale AZ Periodontist, provides Periodontal Services including Non-Surgical procedures, Bone Grafting, Dental Implants, Cosmetic Periodontal Surgery, Gum Grafting, Osseous Surgery, and Treatment for Gum Disease.

For more information about our practice or to schedule a consultation with Dr. Malek, call our office in Glendale, AZ.
623.362.8969

COPYRIGHT 2019 © Malek PeriOdontics | Disclaimer

Site designed and developed by Avintiv Media