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Treatment

Periodontal treatment methods depend upon the type and severity of the disease.  Your dentist and dental hygienist will evaluate for periodontal disease and recommend the appropriate treatment.

Periodontal disease progresses as the sulcus (pocket or space) between the tooth and gums gets filled with bacteria, plaque, and tartar, causing irritation to the surrounding tissues.  When these irritants remain in the pocket space, they can cause damage to the gums and eventually, the bone that supports the teeth!

If the disease is caught in the early stages of gingivitis, and no damage has been done, one to two regular cleanings will be recommended.  You will also be given instructions on improving your daily oral hygiene habits and having regular dental cleanings.

If the disease has progressed to more advanced stages, a special periodontal cleaning called scaling and root planing (deep cleaning) will be recommended.  It is usually done one quadrant of the mouth at a time while the area is numb.  In this procedure, tartar, plaque, and toxins are removed from above and below the gum line (scaling) and rough spots on root surfaces are made smooth (planing).  This procedure helps gum tissue to heal and pockets to shrink.  Medications, special medicated mouth rinses, and an electric tooth brush may be recommended to help control infection and healing.

If the pockets do not heal after scaling and root planning, periodontal surgery may be needed to reduce pocket depths, making teeth easier to clean.  Your dentist may also recommend that you see a Periodontist (specialist of the gums and supporting bone).

Testimonials.

Read what people are saying about us.

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Testimonials

I never thought I would say I enjoy going to the dentist , but these two really elevate the practice of dentistry! I travel from the East Bay to attend my appointments and despite the morning traffic, I would never consider going anywhere else. Here are the things that, in my opinion, really make Dr. Ramirez and Dr. Karimi shine:
(1) They are very personable and easy to talk to - When I was looking for housing in the Bay Area, Dr. Karimi went out of her way to write down some areas for me to look. Who does that? Awesome dentists who care, that's who!

(2) They don't try to sell me services I don't need - I hate it when dentists try to sell you all sorts of fancy procedures/items you don't really need. These two would never do that!

(3) A focus on preventative care - Even though the money maker in dentistry is probably fixing bad teeth, both dentists emphasize preventative care. it's the first practice I've been to where their immediate response isn't to drill and fill!

(4) Email reminders before an appointment - I am really bad with the phone, so the email appointment reminders are a godsent!

Trina E.

Everyone in this office is FABULOUS!

My wife first heard about David and Katy through SFSPCA, and after the first appointment she couldn't stop raving about her visit! I was suspicious at first, since it's unusual to have a pleasant dentist visit. But then she went for a second visit, third visit, and the service and people were consistently excellent.

Finally I got very lucky and was able to schedule an appointment to experience this myself, and GOSH DR. RAMIREZ SERIOUSLY IS THE BEST DENTIST I'VE HAD! Super careful and professional, explained every step of the way and really funny to chat with lol

Sun, Joanne, Rita were all amazing and super helpful as well.

Thank you so much, everybody!!

Timmy Yelp H.

Dr. Ramirez and Dr. Karimi have been my dentists for almost a decade now and they are by far the best dentists I have ever had. Dr. Karimi is amazing and gives so much personal attention she makes you feel very at ease. They truly care about you and your health. Dr. Karimi has helped me over the years to have better dental hygiene and it shows in how much better my teeth have gotten the last decade. I panic about one day moving as I know I will never find a better dental office than here. They really are the best and would recommend them to anyone.

Jeff H.

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