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 Periodontist in Encinitas, CA

What is a Periodontist?

A periodontist is a dentist who has had extensive training in the treatment of periodontal disease. This specialized course of education takes a minimum of two years beyond dental school and includes surgical training, literature reviews, and periodontally focused patient treatment.

Periodontics is one of the eight specialties recognized by the American Dental Association.

In addition to his periodontal training
Dr. Koltun brings his years of clinical and teaching experience as well as the knowledge gained from his advanced degrees to help in planning and treating each periodontal and implant case.

The primary focus of this 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 place dental implants after developing new bone which can then be restored  with prosthetic teeth restoring 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, as well as create a  more aesthetically pleasing smile.

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 first placing an implant  which will provide a platform for a prosthetic tooth.  
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  • Osteoplasty (hard tissue recontouring) – Once periodontitis has been treated, the periodontist can recontour the hard tissue to make the gingival form both natural-looking and aesthetically pleasing.
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  • 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 and or recontouring both the underlying bone and soft 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 Dr. Koltun if you have any questions or concerns.



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