Call Today! (415) 389-9600

Periodontics

A periodontist is a dentist who specializes in the soft tissues of the mouth and the underlying jawbone which supports the teeth.  A dentist must first graduate from an accredited dental school before undertaking an additional three years of study within a periodontology residency training program, in order to qualify as a periodontist.

The primary focus of this residency training is on both surgical and non surgical management of periodontal disease and the placement of dental implants.

Conditions Treated by Dr. Brinker

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 Dr. Brinker 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 implant prosthetic teeth.  These teeth are anchored to the jawbone and restore functionality to the mouth.
  • Gingival recession – When the margin of the gum tissue surrounding the teeth wears away, or pulls back, exposing more of the tooth, or the tooth's root.

Treatments Performed by Dr. Brinker

Dr. Brinker is able to perform a wide range of treatments to halt the progression of gum disease, replace missing teeth and make the appearance of the smile more aesthetically pleasing.

Here are some of the treatments commonly performed by the periodontist:

  • Implant placement – When a tooth or several teeth are missing, Dr. Brinker is able to create a natural-looking replacement by anchoring a prosthetic tooth to the jawbone.
  • Osteoplasty (hard tissue recontouring) – Once periodontitis has been treated, the periodontist can recontour the hard tissue to make the smile both natural-looking and aesthetically pleasing.
  • Gingivoplasty (soft tissue recontouring) – As gums recede due to periodontitis, the teeth may appear longer; causing a “toothy" smile.  Dr. Brinker 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.  Dr. Brinker 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, Dr. Brinker can remove some of the surrounding gingival tissue.
  • LANAP – Is widely regarded as the highest standard of care available for gum disease treatment, not to mention that patients rarely require pain medication following the procedure.
  • Pinhole® Surgical Technique – A minimally invasive option for treating gum recession. Unlike traditional grafting techniques, the Pinhole Surgical Technique is scalpel and suture free.
  • Gingival Allografting - Used to treat the loss of the protective attached/functional gingiva without the use of palatal donor tissue.

Dr. Brinker 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.

Please contact our office if you have any questions or concerns.