Maryam Horiyat, DDS . AIAOMT . IABDM

27652 Crown Valley Pkwy Mission Viejo, CA 92691

GUM DISEASE & TREATMENTS

Your Healthy Smile is Priceless.

BRING LIFE BACK TO YOUR SMILE WITH THE BEST PERIODONTISTS

Non-Surgical or Surgical Gum Therapy with Ozone Therapy

If you have periodontal (gum) disease, you are not alone. According to recent findings from Center of Disease Control and Prevention (CDC), one of the most common dental conditions experienced by millions of Americans is gum disease. CDC also announced that gum disease increase COVID-19 mortality rate by 9X.
Periodontal (gum) treatments at our holistic and biological dental practice with innovative technology can not only save you from severe dental damages and tooth loss, but it may also help reduce the risks of developing overall health problems that can be attributed to gum disease.

LANAP Laser Gum Therapy

Safe & Effective with No Cut or Stiches

Ozone / Oxygen Therapy

Natural with No Pharmaceutical Drug Side Effects

Oral & IV Sedation

No Pain, No Fear or Anxiety

Dental Cleaning & Prevention

Holistic & Biological Cleaning

GUM DISEASE
OVERVIEW

The gums are a complex system containing the bone, ligaments, and soft tissue to hold your teeth. This complex system is also referred to as the periodontium. When the periodontium is not healthy due to plaque and bacteria building up over time, it can cause tooth and gum damage, which ultimately could result in tooth loss and loss of bone in your jaw and skull. It can also put you at a serious health risk such as heart attack, diabetes, respiratory infections, and stroke because it is connected to the rest of your body via the blood vessels that carry valuable nutrients to your mouth. The stages of periodontal diseases range from simple inflammation (gingivitis) to severe periodontitis that results in major damage to the soft tissues and bone that support the teeth. In the worst cases, teeth are lost.

GINGIVITAS

In its early stage, gum disease is often referred to as gingivitis, an infection of bacteria in the gums caused by plaque buildup on teeth. If plaque isn’t properly removed, it will build up at the gum line and can result in inflammation of the gums. Gingivitis is a condition that needs to be addressed immediately at the first sign of a problem; It is characterized by swollen, red, bleeding, or receding gum. If left untreated, it can lead to severe periodontitis (periodontal infection), which could ultimately lead to gum surgery or destroy the bone surrounding your teeth and may cause you to lose your teeth. Aria Dental utilizes the latest technique and proven ways to help our patients to eliminate gingivitis and associated chronic inflammation. The treatment usually involves a deep cleaning or root planning along with local antibiotic agents. ozone therapy, or gum laser treatments.

PERIODONTITIS

Destructive Inflammatory Disease Periodontal (Gum) disease is the natural progression of gingivitis. Periodontal disease is a hidden danger, not only to your teeth but also to your overall health because it is virtually pain-free. Periodontitis is the leading cause of tooth loss in adults. According to recent findings from the Center for Disease Control and Prevention (CDC), half of American aged 30 or older have periodontitis. This equals approximately 64.7 million Americans. Your daily oral hygiene routine is your best defense against periodontal disease, but if you suffer from bleeding gums, receding gum, or loose teeth due to any form of gum disease, you need to immediately receive professional dental care. Although it cannot be cured, gum disease can be controlled with dental treatments such as gum therapy, ozone therapy, Periolase LANAP®.

Signs of Gum Disease

EARLY SIGNS OF GUM DISEASE

Do you now what type of gum you have?

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Problem that starts in your mouth can spread to the rest of your body.

Gum infections may increase the risk of many diseases, including

THE LINK BETWEEN GUM DISEASE & COVID-19 MORTALITY: A Dangerous Association?

The study published in the journal of Clinical Periodontology revealed that COVID -19 patients with gum disease (periodontitis) were not only more likely to die, but also 4.5 times more likely to require ventilator, and 3.5 time more likely to be admitted to intensive care. The study reports periodontitis shares common risk factors with most chronic inflammatory disease known to influence the severity of COVID-19.

PERIODONTAL TREATMENTS

PERIODONTAL TREATMENT OPTIONS & WHY IS IT IMPORTANT?


Periodontics is the branch of dentistry that focuses on the health of bones and tissues that support your teeth. Regular visits with Dr. Maryam Horiyat at Aria Dental of Mission Viejo will maintain the health of these vital structures. If any signs of gingivitis or gum disease are seen, she may recommend preventive care steps, so the condition does not worsen. If signs of advanced periodontal disease are present, Dr. Horiyat can create a personalized treatment plan for you. The main goal of treatment is to control the infection. The number and type of treatments will vary, depending on the extent of the gum disease. Any type of treatment requires that the patient keep up good daily care at home. The doctor may also suggest changing certain behaviors, such as quitting smoking, to improve treatment outcome.

The stages of PERIODONTAL disease

1. Healthy

2.Gingivitis

3. Periodontal Pocket

4. Periodontitis

When bacterial build-up is threatening the health of your smile and if you have been diagnosed with gum disease, there are a variety of treatment options depending on the severity of the problem. The two main options are Non-surgical and Surgical periodontics that can be used to restore health of your gum and bone tissues. As a holistic and biological dentist, Dr. Horiyat will always start with the least invasive and conservative options, which are non-surgical treatments including Diode Soft Tissue Laser and ozone; However, in more serious cases, invasive gum surgery may be needed. However, our LANAP certified dentist, Dr. Maryam Horiyat could help you with non-invasive LANAP® Laser Gum Therapy as an alternative to traditional osseous surgery.

Advantages of Laser Periodontal Treatment:

Benefits of LANAP® Laser Therapy

NON-SURGICAL TREATMENTS

PROBLEMS IN YOUR MOUTH CAN AFFECT YOUR OVERALL HEALTH

Gum infections may increase the risk of many diseases, including

The first line of defense against gum disease is a unique type of non-surgical cleaning called “scaling and root planning (SRP).” During this procedure, our holistic dentist and hygienist utilize an advanced technique of ultrasonic scaler device and hand instruments to remove plaque or calculus from your teeth at or below the gum line. Root surfaces of tooth may be smoothed using “Periodontal Debridement”, which is a procedure by which plaque and tartar that have accumulated on the teeth can be removed. This provides a healthy and clean surface that makes it easier for the gum tissue to re-attach to the tooth.

This type of cleaning is performed when a regular teeth cleaning is not enough. It is usually used for people who have put off dental visits or teeth cleaning for a while and have significant buildup of plaque and tartar. During a gross debridement, plaque is first removed with a scaler tool. Since tartar is hardened, a special electric tool is usually required to loosen and remove tartar from the teeth. Once this is complete, a regular prophylaxis cleaning will be performed.

Periodontal maintenance cleaning is recommended for those who had a past history of gum disease; it helps patient to maintain healthy teeth and gums long term. Periodontal maintenance cleaning involves a careful inspection and a thorough cleaning to prevent gum disease. This includes:
Inspection: Teeth x-rays & visual examination of the mouth
Subgingival Cleaning: Calculus is removed along and under the gumline.
Supragingival Cleaning: Dental scaling tools are used to clean the area of teeth that is visible above gum line.
Root Planing: The root of the teeth is gently smoothed to remove any remaining bacteria that persists.

Oxygen/Ozone Therapy is a holistic and natural treatment that safely and significantly reduces oral bacteria. Gum disease can be arrested without the use of pharmaceutical drugs and associated side effects. There are different types of applications for ozone therapy: ozonated water, ozonated oils, and applying oxygen/ozone directly into the infected gum pockets.

The diode soft tissue laser can be used as an additional treatment to remove diseased tissues and bacteria that contribute to gum disease inside the pocket; it treat bacterial pocket along the gum-line in mild gingivitis to moderate periodontitis. This technique uses the laser light to eliminate periodontal pathogens and promote the return of the periodontium to a state of health. For moderate to severe gum disease, we offer not only osseous surgery, but also LANAP laser therapy, in which we treat your gum disease with the only FDA approved laser that require no cut, no stich, no drill, and no fear.

Advanced Management of Gum Disease with Only FDA-Approved Laser. For moderate to severe gum disease, we offer PerioLase®LANAP (Laser-assisted new attachment procedure) therapy, which is the first FDA-approved laser technology that is the best alternative to gum surgery because it is less invasive. This modern gum lifts laser technique allows our LANAP® Certified Dentist to remove only diseased tissues without removing or damaging any of the healthy gum. it requires No Cut, No Stich, No Drill, and No Fear. LANAP treatment is virtually pain-free. LANAP® is the only scientifically proven methodology that results in true periodontal regeneration, new bone growth, and gum tissue reattachment. It kills the dangerous bacteria and helps to regenerate new gum and bone by stimulating your existing stem cells.

Treat you beyond your dentist visit but like any other medication, they come with side-effects

Arestin® (Minocycline HCL) Microspheres is concentrated antibiotic that remains active in your gum pocket for an extended period of time to reduce pocket depth by targeting periodontal bacteria to fight infection and ultimately helping your gum to heal. Arestin is incorporated into a routine oral maintenance program along SRP.

Medications may be used with treatment that includes scaling and root planning, but they cannot always take the place of surgery. Depending on how far the disease has progressed, Dr. Horiyat and her team of board-certified periodontists may still suggest surgical treatments.

The Perio Tray® by Perio Protect was developed to supplement and improve periodontal treatments. Perio Trays are versatile and non-invasive approach to threat bacteria and other problems that cause gum disease. The basic goal of Perio Protect is to help to restore your oral health by placing medication under the gums and into infected pockets and keep it there long enough for the medication to work.

Our patients describe the Perio Trays as comfortable and easy to use. A perio Tray needs to be designed to precisely fit each patient.  thus, the prescription Perio Tray is customized for each patient to deliver medication deep under the gums to fight gingival infection, and it needs to be used for 10-15 minutes daily.

If you undergo this method of treatment, Dr. Horiyat will give detailed instructions on what you need to do. Most people only need to use it for a few minutes each day, but each person is different.

BENEFITS OF LASER PERIODONTAL TREATMENTS:

Less Bleeding

Faster Recovery

Minimally Invasive

Less Sensitivity

More Effective Gum Therapy

Ideal for hemophilia, HIV, or diabetes patients

No Cutting or Stitching of Gum

  1. Safety:  Nitrous Oxide (Laughing Gas) and Oral Conscious Sedation (pills) are extremely safe because you can breathe independently and respond to physical and verbal cues during the procedure.
  2. Time Efficiency: Since dental sedation keeps you still and relaxed for a long period of time, it allows your sedative dentist to work quickly and effectively. If you are one of those who put off extensive dental work because you can’t fit multiple visits into your busy schedule, sedation dentistry can save you time because your sedative dentist may be able to complete the needed treatments in one or two long visits.
  3. Comfort: If you struggle to sit for long periods of time, dental sedation can relax your neck or back muscles for a more comfortable experience. In addition, physical comfort is accomplished by mental and emotional ease since your fear and anxiety are reduced. At Aria Dental, we have massaging and heating dental chairs that helps you with circulation.
  4. Anterograde Amnesia Effect:  While in many situations, amnesia might not be the most desirable outcome, in sedative dentistry, it is very desirable. Most of the dental sedation medications create a temporary amnesia effect.
  5. Pain Relief:  Under the influence of sedative and anesthetics, the pain is completely removed, and your brain can not register pain.
  6. Prevent Dental Phobia in Your Children & Brighter Smile in Their Future: The phobia many people have of the dentist commonly stems from an unpleasant experience in childhood, and the fear generally grown with each additional visit. With Sedation Dentistry, children do not feel any pain; therefore, visiting their dentists routinely will be a pleasant experience rather than a horrific memory. The routine visits to sedative dentist in Mission Viejo, CA., Dr. Maryam Horiyat, your children will not only get educated about their oral health, but also do their dental cleaning routinely, which will ultimately prevent more extensive dental treatments. In addition, the problematic dental habits do not get carry over into their adulthood and can be fixed at the early stage.
  7. Reduction of Gag Reflex: A gag reflex helps the throat to expel any intrusive and foreign object. However, gag reflex can interfere with your dentist work inside the oral cavity. With modern Anesthetic Technology and sedative dentistry, gag reflex is paralyzed, which help your dentist to work faster and more efficiently, and the patient to be more comfortable.

SURGICAL PERIODONTAL TREATMENTS

SURGICAL PERIODONTAL TREATMENTS (OSSEOUS SURGERY)

Plastic Surgery of the Gum
What most people may not realize is how dramatically their oral and overall health can be affected by gum disease. When gingivitis and periodontitis left untreated, they can harm more than just the soft tissue of the gums; they can also damage the bones that anchor teeth to the jaw and develop holes on your bones around your teeth.
If the tissues or bone surrounding your teeth is too damaged to be repaired with non-surgical treatments or if no other periodontal treatment has worked to restore your teeth and a healthy smile, osseous surgery also known as flap surgery, pocket depth reduction, gingivectomy, periodontal surgery is the standard for treating advanced periodontal infections. Our board-certified periodontist will perform Osseous Surgery to access to the roots to remove tartar and disease-causing bacteria, to reshape deformities the bones that hold one or more teeth in place by using specialized tools, and to remove pockets in alveolar bone surrounding the teeth. In some cases, our periodontist can add bone grafting materials to give it a more natural and functional contour.

WHAT DOES OSSEOUS SURGERY ENTAIL?

Our professional and board-certified periodontists, Dr. Balshe and Dr. Moran have helped countless patients to achieve better gum health successfully with modern and advanced gum surgery techniques. The procedure involves lifting the gum tissue away from the surface of the tooth after applying local anesthetic, allowing access to the roots and underlying bone. This enables us to clean any plaque and tartar buildup on the tooth. After the roots have been thoroughly cleaned through scaling, a drill and hand tools will be used to reshape and smooth the roughness within damaged bone which was caused by bacteria.
In some cases, we implement a bone graft to restore defective regions and strengthen the jaw. Then, we reposition the gums and suture them into place. Finally, we cover the site with periodontal pack or dressing. Pain medicine and mouth rinses containing chlorhexidine are generally prescribed following the surgery. Then you come back to Aria Dental for post-ups checkups.
Do not be alarmed if bleeding and swelling occur after the surgery. This can be controlled easily by placing an ice pack on the outside of the affected area. In cases where the bleeding and swelling is in excess, it is advised that you call to notify our office. Several follow up visits may be necessary, and you must fulfill a meticulous maintenance program especially during the initial phases of healing to avoid post-operative infection.
SURGICAL TREATMENT OPTIONS
If the tissue or bone surrounding your teeth is too damaged to be repaired with non-surgical treatment, several surgical procedures are available to prevent severe damage and to restore a healthy smile. We will recommend the procedure that is best suited to the condition of your teeth and gums. Following is a list of common types of periodontal surgery:

In a healthy mouth, the teeth are firmly surrounded by gum tissue and securely supported by the bones of the jaw. Periodontal disease damages these tissues and bones, leaving open spaces around the teeth that we call pockets. The larger these pockets are, the easier it is for bacteria to collect inside them, leading to more and more damage over time. Eventually the supportive structure degrades to the point that the tooth either falls out or needs to be removed.
During pocket reduction procedures (also known as “flap surgery”), we fold back the gum tissue and remove the bacteria hiding underneath, as well as the hardened plaque and tartar that have collected. We may also remove any tissue that is too damaged to survive. We then sew the healthy tissue back into place. Now that the tooth and root are free of bacteria, plaque, and tartar, and the pockets have been reduced, the gums can reattach to the teeth.

When the bone and tissue supporting the teeth have been lost due to severe gum disease, we can restore these areas with a regeneration procedure. During this process, we begin by folding back the gum tissue and removing the bacteria, plaque, and tartar. Depending on your situation, we may then perform a bone graft to stimulate new bone growth, or we may apply a special kind of protein that stimulates tissue growth to repair the areas that have been destroyed by the disease.

A frequent symptom of gum disease is gum recession (also called gingival recession). As the gums recede, more of the roots are revealed. This can make teeth appear longer and can also create sensitivity to hot or cold liquids or food. It also exposes the tooth to increased damage from gum disease, as bacteria, plaque, and tartar attack the surface of the tooth and the root.
During a soft-tissue graft of gum grafting, tissue from the top of your mouth or another source is sewed to the gum area, covering the roots and restoring the gum line to its original, healthy location. This procedure can also be performed for cosmetic reasons.

What Make Us Unique?

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5/5

Fellowship Recipient from Prestigious Academic Organization

Leading-Edge Technology

LANAP THERAPY

OXYGEN / OZONE THERAPY

SEDATION OPTIONS

ORAL SURGERY

GUM RECESSION TREATMENTS

LASER DENTISTRY

SMILE MAKEOVER

DENTAL IMPLANTS

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Please call or text us at (949) 364-9600 or email us