Do you need periodontal services in Rockville, Maryland? Our team at Crown Dental Care is here to provide affordable and quality dental care to all of our community.
Gum disease is usually painless until it is advanced, which is why so many Rockville patients are surprised to hear the diagnosis at a routine checkup. The early signs are easy to dismiss:
Bleeding gums are not normal. Healthy gums do not bleed from brushing, and bleeding is one of the earliest signals worth acting on. If you notice it, book a checkup through our general dentistry team.
Periodontal disease is a chronic bacterial infection of the tissues that hold the teeth in place. Untreated, it destroys the ligament and bone around the roots, and it is a cause of tooth loss in adults. The CDC reports that about 4 in 10 U.S. adults aged 30 or older had periodontitis in 2009–2014. There is also a well-documented association between periodontal inflammation and conditions such as diabetes and heart disease, which is one more reason we take bleeding gum seriously rather than waiting for it to hurt.
Here at Crown Dental Care, we always remain committed to proving the Rockville community with affordable dental care. For affordable gum disease treatment, we are the dentists you can trust.
We have financing options available to those patients that need it, and we also proudly accept all PPO insurance plans. For more detailed information about the cost of our periodontal services, as well as your payment options, call us today.
Gum disease progresses in three stages of severity. It is very important that you get treated as soon as you find out that you have gingivitis. The longer that gum disease is left untreated, the less likely it is that your natural teeth can be saved.
Gingivitis is the first stage when plaque builds up at your gum line and releases toxins that cause inflammation. Gingivitis is easy to treat with professional cleaning, causing no lasting damage.
Periodontitis will develop if gingivitis is left untreated. At this stage, the fibers and bone that support your teeth can become damaged.
If you seek treatment immediately, our dentist can prevent worse damage.
Advanced periodontitis is the worst form of gum disease. The impacts on your oral health are irreversible, often resulting in the loss of teeth and jawbone tissue. At this stage, the fibers and bone supporting teeth become destroyed, and teeth loosen to the point that extraction is necessary.
Dr. Thy Nguyen and the Crown Dental Care team have treated gum disease at every stage in the Rockville, Bethesda and Gaithersburg area for years, and the office at 1900 Chapman Avenue, Suite 100 accepts most PPO plans. If dental anxiety has kept you away, sedation dentistry is available for periodontal appointments.
Treatment is matched to the stage. We do not send a gingivitis patient for surgery, and we do not try to manage advanced bone loss with a cleaning alone.
| Stage | What we see | Treatment at Crown Dental Care |
|---|---|---|
| Gingivitis | Red, bleeding gums; no bone loss | Professional cleaning, home care coaching, recheck in a few months |
| Early periodontitis | Pockets forming; first bone loss on X-ray | Scaling and root planing (deep cleaning), sometimes with antibiotic therapy |
| Moderate periodontitis | Deeper pockets, more bone loss, some recession | Deep cleaning plus LANAP laser therapy or pocket reduction; maintenance every three to four months |
| Advanced periodontitis | Loose teeth, significant bone loss | Regenerative procedures, bone or gum grafting, osseous surgery; extraction and replacement with dental implants where a tooth cannot be saved |
A deep cleaning below the gum line. The hygienist removes hardened deposits from the root surfaces and smooths them so the gum can reattach. It is done with local anesthetic, usually across two visits by quadrant, and it is the foundation of almost every periodontal plan.
Laser-assisted therapy that targets diseased tissue in the pocket and stimulates reattachment without cutting or stitches. For many moderate cases, it is the alternative to conventional flap surgery, with less downtime.
Where bone has been lost, we offer pocket reduction, osseous surgery, bone grafting, ridge preservation and augmentation, sinus lift, gum graft surgery and the pinhole technique for recession. Which one applies depends on what the X-rays and pocket measurements show, and we explain the choice before anything is scheduled.
After active treatment, cleanings move from every six months to every three or four. That interval is not a sales device; it is the period in which bacteria repopulate a treated pocket to a level that causes new damage. Maintenance is what keeps the result.
Your treatment plan is tailored to your gum measurements, X-rays and health history.
When you need affordable periodontal services in Rockville, call us at Crown Dental Care right away. Contact us at (301)591-3888. We are here to care for all of our community and help you get back your confident smiles.
Yes, at every stage. Deep cleanings, antibiotic therapy, LANAP laser treatment, surgical and regenerative procedures, and ongoing periodontal maintenance are all provided in our Rockville office.
Bleeding when brushing or flossing, red or swollen gums, persistent bad breath, receding gums, loose teeth, or a change in your bite. Contact us promptly if you notice any of these; early gum disease is reversible, later stages are not.
Scaling and root planing and surgical procedures are done with local anesthetic, so you are comfortable during treatment. Mild soreness for a day or two afterwards is normal. Sedation is available if you are anxious.
Gingivitis, the earliest stage, is fully reversible with professional cleaning and better home care. Periodontitis is not reversible, because lost bone does not grow back on its own, but it can be stopped and managed so no further damage occurs.
Usually every three to four months after active treatment, rather than the standard six. More frequent professional cleaning keeps bacteria below the level that causes new bone loss.
Yes. Most dental plans with periodontal benefits cover scaling and root planing and maintenance visits. We accept most PPO plans and verify your benefit before treatment.
No. A regular cleaning removes plaque and tartar above the gum line. Scaling and root planing cleans the root surfaces below the gum line where periodontal bacteria live, and it is done with anesthetic.
Treatment can often help preserve teeth, but the outlook depends on the amount of damage and other health factors. Your dentist can explain which teeth can be saved and what ongoing care is needed.
Yes, if maintenance visits and daily home care lapse. The bacteria are always present in the mouth; treatment and maintenance keep them below the level that causes damage.
