Periodontal Treatment in Lima | Gum Disease Therapy – Smiles Peru
Periodontal disease (gum disease) is a chronic bacterial infection of the gums and the bone that support the teeth. It is one of the leading causes of tooth loss in adults. Because it is often painless in its early stages, many people do not realize they have it until significant damage has already occurred.
At Smiles Peru we diagnose and treat both gingivitis and periodontitis with the goal of stopping disease progression, eliminating infection, and helping you keep your natural teeth for as long as possible.
Periodontitis vs Gingivitis
There are two main forms of gum disease:
- Gingivitis — Inflammation of the gums caused by plaque. It is common, reversible with proper cleaning and home care, and does not involve bone loss.
- Periodontitis — A more advanced form that affects the supporting bone and periodontal ligament. It is not fully reversible, but it can be successfully managed and controlled with professional treatment and lifelong maintenance.
Early diagnosis makes a significant difference in the long-term prognosis of your teeth.
Stages of periodontitis
- Healthy gums — Gums and bone firmly support the teeth.
- Early to moderate periodontitis — Plaque hardens into tartar. Gums begin to pull away from the teeth, forming periodontal pockets.
- Advanced periodontitis — Further gum recession and bone loss occur. Teeth may become loose and, in severe cases, require extraction.
Healthy gums
Gums and bone firmly support the teeth.
Early to moderate periodontitis
Plaque hardens into tartar. Gums begin to pull away from the teeth, forming periodontal pockets.
Advanced periodontitis
Further gum recession and bone loss occur. Teeth may become loose and, in severe cases, require extraction.
Common signs of periodontal disease
Periodontal disease is typically painless and the signs can be subtle. Watch for:
- Gums that bleed easily when brushing or flossing
- Red, swollen, or tender gums
- Pus between the gums and teeth
- Gums that pull away from the teeth
- Persistent bad breath
- Loose or separating teeth
- A change in the way your teeth fit together when you bite
Periodontal treatment at Smiles Peru
The goal of treatment is to stop the progression of the disease, eliminate infection and inflammation, and preserve your natural teeth.
Non-surgical treatment (first line of care)
In most cases, periodontitis can be controlled without surgery:
- Scaling and root planing (deep cleaning)
Thorough cleaning below the gum line to remove plaque, tartar, and bacterial toxins from the root surfaces. Performed under local anesthesia; may require more than one visit depending on severity. - Periodontal maintenance therapy
After the initial treatment, professional cleanings every 3 to 4 months are essential to control bacterial buildup and prevent the disease from returning.
Surgical treatment (advanced cases)
When deep pockets or significant bone loss do not respond adequately to non-surgical therapy, surgical options may be recommended:
- Flap surgery — The gum tissue is gently reflected to allow thorough cleaning of the roots and reduction of periodontal pockets.
- Bone and tissue regeneration — In selected cases, bone grafts or barrier membranes may be used to encourage regeneration of lost supporting structures.
What to expect during and after treatment
Periodontal therapy is usually completed over several visits. After scaling and root planing it is normal to experience some sensitivity in the gums and teeth for a few days. Most patients return to normal activities the next day.
Long-term success depends heavily on excellent home oral hygiene and consistent professional maintenance. Periodontitis is a chronic condition; without ongoing care it can reactivate.
Periodontal health and overall health
Research continues to show links between chronic periodontal disease and systemic conditions such as cardiovascular disease, diabetes, and respiratory disease. Maintaining healthy gums contributes to better overall health.
Frequently Asked Questions
Is periodontal treatment painful?
Scaling and root planing is performed under local anesthesia. Mild sensitivity or discomfort for a few days afterward is common and usually manageable with over-the-counter medication.
Can periodontitis be completely cured?
It is a chronic condition that cannot be fully “cured,” but it can be very effectively controlled. With proper treatment and maintenance, most patients stop the progression and keep their teeth.
Can I lose my teeth if I have periodontitis?
Yes, if left untreated. Early intervention and consistent maintenance significantly improve the chances of preserving your natural teeth.
How often do I need to see the dentist after treatment?
Most patients with periodontitis need maintenance visits every 3 to 4 months rather than every 6 months.
What happens if I don’t get treatment?
The disease continues to advance, leading to progressive bone loss, loose teeth, and eventual tooth loss. It is also associated with other health problems.
Complimentary Case Review
If you have been told you have gum disease, or if you notice bleeding gums, bad breath, or loose teeth, send us your recent X-rays or a description of your situation to recepcion@smilesperu.com.
We will review the information and reply with a clear treatment outline and estimate within 24 hours. This is a remote records review — not an in-person consultation.
- USA & Canada: +1 (888) 398-5854
- WhatsApp: +51 995-540-050
- Peru: +511 242-2152
Request a Complimentary Case Review
You can also review current pricing on our price list.