Periodontal (gum) disease is a major threat to oral health. This condition is incredibly common, too. It is estimated that roughly 80% of the population will develop a form of gum disease during adulthood. Since periodontal disease is a common and serious oral health issue, Tyler Dental Care has treatment solutions to improve gum health and overall wellness.

The Dangers of Untreated Gum Disease

Untreated gum disease can destroy your oral health. Advanced periodontal disease can rob you of your teeth, gums, and bone. In fact, gum disease is the culprit behind the majority of tooth loss among adults. A wealth of research has been devoted to reviewing the link between gum disease and other health conditions. The findings of many studies have shown a connection between issues like cardiovascular disease and diabetes coinciding with periodontal disease.

Scaling and Root Planing

Scaling and root planing is a treatment for gum disease that deeply cleans the gingiva and removes debris. This treatment is used to address the effect gum disease has had on the gingiva and the roots of teeth. As tartar accumulates, the gums will recede from teeth. This recession creates new room for tartar to develop. Eventually, tartar will accumulate along the roots of teeth because so much tooth structure has been exposed. Scaling involves using handheld dental instruments to gently scrape away tartar and clean the gingiva. Once the gums are clean, the roots of teeth are smoothed through planing to discourage attachment of new tartar.

If patients have extensive gum disease, scaling and root planing will be performed incrementally by dividing treatment areas into quadrants.

Laser Assisted Periodontal Therapy

Laser assisted periodontal therapy reduces the invasiveness of common gum disease treatments. By reducing invasiveness, lasers can also help reduce recovery times and trauma to tissue. When used for soft-tissue, a laser’s small fiber can access tissue and seal it without the need for sutures. The specific treatment protocol we use is called LANAP, which stands for Laser Assisted New Attachment Protocol.

If you have been diagnosed with gum disease or would like to be screened for this condition, call Tyler Dental Care to set up an appointment.


Bone loss in the jawbone is common when one or more teeth have been lost due to injury, decay, or trauma. Without the tooth in place to stimulate the jawbone, the bone around the missing tooth will begin to deteriorate.

Treatment of Periodontal Disease

Periodontal Maintenance

Scaling and Root Planing

Over time, the jawbone may deteriorate to such an extent that there may not be enough bone to place dental implants. In cases such as these, Dr. Dowd may recommend having a bone grafting procedure.

Bone grafting is the replacement or augmentation of missing bone around the teeth.  There are three types of bone graft procedures: autogenous, allograft, and xenograft.

Autogenous grafts take bone from one area of the patient’s body and transplant it to the location in the mouth being restored. The bone is usually taken from non-essential bones such as the chin area. The benefit of an autogenous bone graft is that the bone used comes solely from the patient thus reducing the likelihood of rejection and infection. The bone is also still “live”, meaning it still has active cellular material.

Allografts also use human bone transplanted to the area in the mouth being restored. However, allografts do not use the patient’s own bone. Instead, the bone usually comes from cadavers who have donated their bone to bone-banks. All allograft bone material is carefully screened and is considered very safe. Xenografts also replace bone in the area requiring treatment, however the bone comes from a non-human source. Usually the non-human source is bovine (cow). Allografts and Xenografts are used because they do not require a second surgical site to harvest bone and ample amounts of bone can be easily attained.

The Procedure

Local anesthesia is used to numb the area where the bone will be removed as well as the location where the bone will be augmented. An incision is made in the gums around where the bone will be augmented. This is done so that the dentist can see exactly how much bone will be need before harvesting it from the patient (if an autogenous graft is being performed).

Next, the dentist will make a cut in the gums below the lower front teeth in order to expose the chin bone. The dentist will then remove a part of the bone along with any bone marrow. This incision is then closed with stitches.

The bone removed from the chin will then be anchored in place in the jawbone with small titanium screws.

The dentist may place a mixture of your bone marrow and some bone-grafting material around the bone graft to help speed healing. The incision is then closed with stitches.

After the procedure you will likely be given antibiotics as well as pain medication. You’ll be asked to follow a restricted diet of soft foods such as pastas and Jell-O. Bone grafts usually take about six to nine months to heal completely. Dental implants will not be placed until your mouth has healed completely.



We at Tyler Dental Care are proud of the service and care we provide each of our patients.



What is periodontal disease?

Periodontal disease is a common oral health condition that can destroy oral health, structures in the oral cavity, and a person’s wellbeing if left undiagnosed and untreated. As periodontal disease advances, its destruction becomes more obvious. For example, advanced periodontal disease typically means that a person will have noticeable gum recession. With the gums inflamed and pulling away from teeth, the roots of teeth are left defenseless to oral debris and bacteria.

Periodontal (gum) disease begins when the gingiva become inflamed and irritated. Irritation and inflammation can be a result of tartar and plaque deposits, overzealous brushing, certain medications, and lifestyle habits like drinking or smoking. Once irritated or inflamed, the gums become prone to infection – especially when one considers the amount of bacteria in the oral cavity.

If action isn’t taken quickly as gum disease develops, patients stand to lose oral tissue and experience an increase in the severity of their symptoms. Without treatment, the disease’s progression could result in tooth loss, bone loss, and chronic oral infections.

How can I prevent periodontal disease?

Two easy ways to prevent the development of periodontal disease are to practice proper oral hygiene and visit the dentist regularly for checkups and cleanings. Oral hygiene is necessary to keep your mouth clean and healthy between checkups and cleanings. You should brush and floss your teeth properly to control the accumulation of harmful substances like plaque.

Checkups are essential so that our team can monitor your gum health as frequently as possible. During checkups, our dentist evaluates the health of all structures in the oral cavity – especially the gums. Cleanings are beneficial, too, as they have a preventive aspect to them. A dental cleaning helps lower the risk for periodontal disease because tartar at the gum line and along teeth is removed. Tartar is one of the most common contributors to periodontal disease.

You can also lower your risk for gum disease by avoiding medications, foods, tobacco, and beverages that might dry your mouth or irritate your gums.

What causes gum disease?

A few things can contribute to the development of gum disease. The first and most common contributor is inadequate oral hygiene – specifically the buildup of tartar along the gums and teeth. Other common contributing factors to developing periodontal disease include genetic predispositions, tobacco use, and alcohol consumption. Certain medications and health conditions can cause oral dryness and subsequently gingival irritation. If you have conditions or take medication that dry the mouth, be sure to practice very vigilant oral hygiene and discuss your symptoms with our dentist.

What is gingivitis?

Gingivitis is gum disease. Most of the time, gingivitis refers to early-staged periodontal disease. It is important to detect periodontal disease early on so that patients have the opportunity to seek professional treatment so that they can improve their symptoms and reverse gingivitis. Unfortunately, once gum disease advances to a certain point, the condition is not reversible. Advanced gum disease can only be managed with professional treatment, healthy choices, and thorough oral hygiene.


At Tyler Dental Care, we work hard to provide exceptional dental care to our patients. We offer comprehensive dental services, utilizing state-of-the-art equipment and innovative dental technology to ensure the health of your smile and your overall well-being.


Dentistry has improved by leaps and bounds over the years. At Tyler Dental Care, we love how technology helps our patients receive more comfortable and comprehensive dental care. We’ve incorporated modern diagnostic and treatment equipment, so you can benefit from the most advanced care available.

About Dr. Loyd Dowd

Dr. Loyd Dowd carries with him a clear vision–to help fearful and anxious patients receive the dental care they need essential to quality of life and overall well being. Through extensive education and training, Dr. Dowd has established his niche in the field of dentistry.

Schedule a dental appointment with us today! Call (903) 730-6564 or