Periodontal Treatment

Periodontal Treatment in Miami, FL

Have you noticed a strange odor coming from your husband or wife’s mouth when he or she sleeps? Have you experienced bad breath or a bad taste in your own mouth? You or your loved one may be suffering from periodontal disease or periodontitis. The fact is that Periodontitis affects 50% of U.S adults over the age of 30! This is an alarming statistic and a serious concern for overall health. Untreated periodontal disease can require periodontal surgeries or even worse, lead to tooth loss.

What is Periodontal Disease

Periodontal disease is an inflammatory and infectious disease which destroys the gums and the bone that support the teeth. Periodontal disease is considered a gum and bone disease. Periodontal disease affects 3 out of 4 adults.   The greatest cause of adult tooth loss is periodontal disease caused by a large colony of bacteria called plaque.

The early stages of periodontal disease cause little, if any, pain. You may notice some puffiness and occasional bleeding, especially when brushing. The plaque on the teeth release toxins which cause the disease process to continue. Periodontal disease, when left untreated, eventually results in extensive bone loss and possible tooth loss.

When periodontal disease is detected in the early stages, it can be treated and controlled. Therefore, the timely diagnosis and treatment of the signs and symptoms of periodontal disease by Dr. Julio Hernandez and is team in Miami is crucial to the long-term prognosis of the teeth. This perio treatment is called Soft Tissue Management®.”

Causes of Periodontal Disease

Plaque is a sticky film of bacteria that forms on teeth. This sticky plaque is usually the cause of periodontal disease. When plaque is not removed thoroughly with daily brushing and cleaning, the gums become irritated and inflamed. This irritated gum tissue begins to separate from the teeth and form spaces called gum pockets. Bacteria move into these enlarged gum pockets where they cause irritation and eventual bone loss. When bone loss is excessive, it can lead to eventual tooth loss. It is important to understand that there is no cure for periodontal disease. However, the periodontal team at Biscayne Wellness Center in Miami can help keep the condition controlled. Those patients that are susceptible to periodontal disease can have a relapse of the condition if regular maintenance is not done.

Treatment of Periodontal Disease in Miami

What is Soft Tissue Management?

At Biscayne Wellness Center in Miami, our highly skilled dental hygienist, Stephanie Sommer will help manage the periodontal disease by implementing the Soft Tissue Management (STM) Program. STM is a customized plan made for each patient to help eliminate infection of the gums and root surfaces. Stephanie, our hygienist, will perform the treatments to help eliminate infection. She will also make recommendations to help improve your daily oral hygiene, and she’ll guide you, every step of the way, to achieve and maintain oral health.

What is Periodontal Scaling and Root Planing?

Periodontal scaling and root planing is the treatment of infected root surfaces below the gum line. A regular prophy (cleaning) focuses cleaning the teeth above the gum line in a generally healthy mouth. Scaling and root planning however, focuses on eliminating tartar build up and plaque below the gum. This helps detoxify the root surfaces where the disease occurs. Our goal at Biscayne Wellness Center in Miami is to obtain smooth roots and flush the toxins out the pockets allowing for the healthy reattachment of the gums to the root surfaces.

Goals of Periodontal Scaling and Root Planning

  • Healthy gums that do not bleed
  • Fresh breath and taste
  • Gums that are not red, swollen, or tender
  • Reduced gum pockets
  • Control of periodontal disease
  • Thorough understanding of home maintenance

Patient Instructions After Scaling and Root Planning

Following scaling and root planing, you can expect to notice less redness, less bleeding and less swelling of your gum tissue. Your mouth will taste better and feel better. Your gum health can then be maintained with proper homecare and regular professional care.


Discomfort or pain should not be acute and should subside in a few hours, if not, definitely within a few days. Discomfort immediately after treatment is usually associated with slight throbbing or aching and occasionally may be uncomfortable. This discomfort usually subsides in about four hours.


Teeth may be sensitive to temperature changes and/or sweets. The sensitivity to temperature may be noticeable the first several days and usually diminishes quickly. Application of a desensitizing fluoride may be recommended.


Some slight bleeding may occur during the next several brushings but the bleeding should steadily decrease.


As the gums heal they may change their shape around the teeth. This is normal as they tighten.

Gum Treatment After Care Instructions


If extensive root planing was performed, chewing hard foods, such as meat or raw vegetables may be uncomfortable; this should last no longer than a few days. A diet of a softer consistency would be advised until chewing becomes more uncomfortable.


If a local anesthetic was used to avoid chewing foods until feelings returns to avoid injury to the tongue or cheeks. Acetaminophen or a non-aspirin analgesic should be taken as recommended to reduce discomfort. If tooth sensitivity persists, use a desensitizing toothpaste containing potassium nitrate. If the sensitivity is severe and prolonged, professional application of a desensitizing agent may be required.


If gum tissues are tender, brush your teeth gently but thoroughly; this may take a little more time than normal. By the third to fourth day, normal oral hygiene techniques may be resumed. Mouth rinsing is recommended with either of the following solutions: 1) an anti-microbial rinse, 2) a warm salt-water rinse. Use of either of these rinses should be limited to one to two consecutive weeks.

Successful Gum Treatment Requires Patients to:

  1. Complete of the periodontal treatment prescribed by Dr. Julio
  2. Thorough home maintenance of all tooth surfaces two times a day
  3. Regular recare maintenance visits- usually every 3 months

Importance of 3-month Periodontal Maintenance Therapy

Our Soft Tissue Management Program is a non-surgical approach specifically tailored to you to help control periodontal disease. Unfortunately, there is NO CURE for periodontal disease; it can only be managed or controlled.

The bacteria that causes periodontal disease can return in as short as three months after treatment. A 3-month RECARE visit is purposely timed to disrupt these bacteria that breed in pockets greater than four millimeters. Beyond three months, the bacteria and their poisons do the most harm to the supporting structures, namely, the periodontal attachment.

For patients with adult periodontitis, supportive 3-month recare is not an option—but a requirement for successful therapy.

Patients that wait longer than three months for their maintenance visits can have advanced inflammation and may require anesthesia to eliminate discomfort when treating. Following your periodontal treatment, Dr. Julio and Stephanie will determine the ideal recall interval to best manage your oral health.

Procedures Performed by Periodontist in Miami

At Biscayne Wellness Center in Miami, more advanced periodontal procedures are performed by Dr. Derek Haber. Dr. Haber graduated with a certificate of specialization from the University of Florida Post Graduate Periodontology Department.  Dr. Haber feels that “The key to successful dental treatment is based on a collaborative team effort between the Patient, General Practitioner, and Periodontist.” Dr. Haber is available to perform any of the following procedures.

  • Dental Implants
  • Osseous Surgery
  • Crown Lengthening
  • Gingival Grafting
  • Sinus Augmentation
  • Extractions
  • Peri-implantitis treatment
  • Frenectomy
  • Bone grafting

For the best gum treatments in Miami contact our periodontal team! Biscayne Wellness Center has the best deep cleaning treatment in Miami to help prevent gum disease! For your Free Consultation on Gum Disease and for the cost of a deep cleaning in Miami or for answers to your questions about gum disease in Miami call us today (305) 572-1600!

Patient Treatment Videos: Perio Disease