When Should You See a Periodontist Instead of a Dentist?

Your general dentist is your primary care doctor for your mouth. They handle cleanings, fillings, and basic gum care. But just as your family doctor might refer you to a cardiologist for heart issues, there are times when your gums need a specialist: a periodontist.

Periodontists receive three additional years of training specifically in the soft tissues and bone that support your teeth. Here is how to know if you need one.

If your dentist has diagnosed you with moderate to severe periodontitis (gum disease with bone loss), you need a specialist. General dentists can treat early gingivitis, but periodontists have the surgical tools and expertise to halt bone loss and regenerate tissue.

If your teeth look 'long' or you feel a notch near the gumline, your gums are receding. This exposes the sensitive root and can lead to tooth loss. A periodontist can perform gum grafting surgery to cover the exposed roots and thicken the gum tissue to prevent further recession.

While some general dentists place implants, periodontists are the experts in the supporting structures (bone and gum). If you have low bone density or need a complex placement in the 'aesthetic zone' (front teeth), a periodontist's specialized training ensures a stable, long-lasting result.

If you have had a deep cleaning (scaling and root planing) with your general dentist but your gums are still red, swollen, or bleeding, the infection may be deeper than standard tools can reach. A periodontist can perform advanced procedures to access and clean these deep pockets.