What is a Periodontist?

A periodontist is a dentist who specializes in the soft tissues of the mouth and the underlying jawbone which supports the teeth.  A dentist must first graduate from an accredited dental school before undertaking an additional three years of study within a periodontology residency training program, in order to qualify as a periodontist.

The primary focus of this residency training is on both surgical and non surgical management of periodontal disease and the placement of dental implants.

Conditions Treated by a Periodontist

The periodontist is mainly concerned with preventing the onset of gum disease (periodontal disease), diagnosing conditions affecting the gums and jawbone, and treating gingivitis, periodontitis and bone loss.  Periodontal disease is a progressive condition and the leading cause of tooth loss among adults in the developed world.

The periodontist is able to treat mild, moderate and advanced gum disease by first addressing the bacterial infection at the root of the problem, providing periodontal treatment, then providing information and education on good oral hygiene and the effective cleaning of the teeth.

The most common conditions treated by the periodontist are:

  • Gingivitis – This is the mild inflammation of the gums which may or may not be signified by pain and bleeding.

  • Mild/moderate periodontitis – When the pockets between the teeth and the soft tissues are measured to be between 4-6mm it is classified as moderate periodontitis (gum disease).

  • Advanced periodontitis – When the pockets between the teeth and the soft tissues in general exceed 6mm in depth, significant bone loss may occur; causing shifting or loss of teeth.

  • Missing teeth – When teeth are missing as a result of bone loss, the periodontist can implant prosthetic teeth.  These teeth are anchored to the jawbone and restore functionality to the mouth.

Treatments Performed by a Periodontist

The periodontist is able to perform a wide range of treatments to halt the progression of gum disease, replace missing teeth and make the appearance of the smile more aesthetically pleasing.

Here are some of the treatments commonly performed by the periodontist:

  • Implant placement – When a tooth or several teeth are missing, the periodontist is able to create a natural-looking replacement by anchoring a prosthetic tooth to the jawbone.

  • Osteoplasty (hard tissue recontouring) – Once periodontitis has been treated, the periodontist can recontour the hard tissue to make the smile both natural-looking and aesthetically pleasing.

  • Gingivoplasty (soft tissue recontouring) – As gums recede due to periodontitis, the teeth may appear longer; causing a “toothy" smile.  The periodontist can remove tissues or straighten the gum line to make the teeth look more even.

  • Bone grafting – Dental implants can only be positioned if there is sufficient bone to attach the prosthetic tooth to.  If bone loss has occurred, bone grafting is an excellent way to add or “grow” bone so that an implant may be properly secured.

  • Deep pocket cleanings – As gingivitis and periodontitis progress, it becomes more difficult to cleanse the pockets between the soft tissues and the teeth.  The periodontist can scale and root plane the teeth (sometimes under local anesthetic) to remove debris and infection-causing bacteria.

  • Crown lengthening – In order to expose more of the natural tooth, the periodontist can remove some of the surrounding gingival tissue.

The periodontist is a highly skilled dental health professional who is able to diagnose and treat many commonly occurring soft tissue and bone problems in the oral cavity.

Be sure to ask your periodontist if you have any questions or concerns.

Testimonials.

Read what people are saying about us.

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Testimonials

I've had the privilege of going to Dr. Howard since young (decades). Now my entire family has chosen Dr. Howard and Dr. Alan Igasaki as our dentists. Both are calm, soothing, gentle and amazing dentists. Dr. Alan also specializes in periodontics which helped the extensive gum work we had to do over the years. The entire staff is super friendly and fun. There wasn't one visit I didn't leave laughing or encouraged by some one on the staff.

The doctors work well together and often seek each other's opinion. I appreciate that they're always educating themselves and using the latest technology. Dr. Alan used the laser on my son's gum procedure with no bleeding and minimal pain. They also allow you to bring your own music in and can play movies on a special eyeglass video screen. We often didn't want to leave since the "movie wasn't over." I get pretty anxious with any dental work. I watched a relaxing movie about Hawaii and the ocean. Both doctors are soothing and often talk to you a long time previous to treatment. It helps a lot. They're gentle also and will ask you for feedback if there's pain or discomfort. Very empathetic doctors as well as being brilliant clinically is rare. Highly recommended!!!

M D.

I cannot believe I am giving ANY dentist that I have personally seen any stars. But I must say Dr. Howard Igaskai, deserves every single one of them. I am not an easy person to get into a dental office let alone a dental chair! My fear of dentist started as a child & never went away. Dr. Howard aka Papa Howard, knew of my anxiety & went as far as unbuttoning his top collar & removing his coat just to make me feel at ease. I honestly have major trust issues w/dentist. I have horrible teeth due to the lack of dental care. I need a lot of work & it took a lot for me to even make this appointment. With that being said Dr. Howard took his time to explain & examine everything. I have to admit I didn't trust him from the get go & had a stink face but as the appointment went on he made me feel comfortable enough to make me want to return to his office. Yes, you read that right. I will go BACK....WILLINGLY! I'm still afraid & nervous as heck but from the front desk ladies, to the dental assistants & Dr. Howard....thank you! Thank you for NOT giving up on me. Thank you for making me feel comfortable enough to want to return. I'll see you again (still anxious) but I will be there.

Diana A.

I am SO honored to be able to rate and provide information on my dentist's office. In a world where people freak out about seeing the dentist, I LOVE mine! The front staff is great (very welcoming and informative), Elsie is my favorite hygienist (very inviting and great to talk to - even with tools in your mouth!), and Dr. Howard is da bomb! This is the one doctor I see religiously!

My parents were smart in taking me with them to the dentist (they are patients here, as well) when I was very young. I don't recall what age I was when Dr. Howard first started treating me, but I don't ever recall not knowing or feeling comfortable with him. And, now that I'm old, he still asks about my migraines, my family, and is just very pleasant to speak with any time I do.

I wanted to whiten my teeth and he told me no - that mine are naturally bright. He could have done it anyway, but that's just one way he is always looking out for me.

God willing, I will NEVER not have the wonderful folks here as my dental professionals! I always get compliments on my teeth!

Anika C.

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Contact Us.We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form.

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.
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