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Periodontal Disease Specialist

Madison Dental Partners

Restorative & Cosmetic Dentists & Periodontics located in Upper East Side, New York, NY

Seeing a bit of blood after flossing your teeth might not concern you, but it’s an early sign of periodontal disease that you shouldn’t ignore. At Madison Dental Partners on the Upper East Side of Manhattan, dentists Steven Schwartz, DDS, Fadwa Robb, DDS, and Navid Baradarian, DDS, can diagnose periodontal disease from its earliest stages. As the in-house periodontist, Dr. Baradarian can treat it with scaling, root planing, surgery, and other procedures. To book an evaluation, call the New York City office or schedule an appointment online today.

Periodontal Disease Q & A

What is periodontal disease?

Periodontal disease, which you might know as gum disease, is a bacterial infection that develops along your gum line and can worsen to the point that it reaches the underlying bone. Without treatment, it can go beyond the confines of your mouth and impact your overall physical health. In the worst cases, it contributes to stroke, heart disease, and diabetes.

What causes periodontal disease?

Periodontal disease is directly related to poor oral hygiene and bad habits affecting your oral health. Plaque, a white film of bacteria, builds up on your teeth over time. Even if you brush daily, your hygienist must regularly remove any plaque that has hardened during your routine professional cleanings. 

Beyond the neglect of your oral hygiene routine, or improper habits, these factors can contribute to periodontal disease:

  • Smoking and tobacco use
  • Your genetics
  • Certain medications
  • Hormone fluctuations
  • Teeth grinding
  • Immunodeficiencies
  • Poorly fitting dental bridges

Some of these factors are easier to control than others. For gum disease prevention or risk reduction, you should visit your dentist for cleanings every six months, brush thoroughly twice a day, floss daily, and avoid smoking. 

What is the progression of gum disease?

Gum disease progresses through three main phases. You should schedule a visit with Dr. Baradarian if you notice any symptoms, or he can evaluate the potential for gum disease during your routine exams. If you have periodontal disease, he can identify its stage:


The earliest stage of periodontal disease, gingivitis, is reversible with improved oral hygiene habits. During this stage, you’ll see some gum swelling and redness as well as bleeding while brushing or flossing your teeth. 


Periodontitis shows more direct signs of infection than gingivitis, like gum recession, tooth sensitivity, and bad breath. During this stage, the disease starts to affect your teeth. You’ll need professional care as changing your oral care routine at home won’t reverse the damage that has already happened. 

Advanced periodontitis

Advanced periodontitis happens when the disease has begun to affect your jawbone. You’ll notice shifting or loosening of your teeth and frequent mouth pain. Sometimes, surgery can treat advanced periodontitis, but you might need one or more tooth extractions due to the severe damage. 

What are my treatment options for periodontal disease?

As the in-house periodontist at Madison Dental Partners, Dr. Baradarian offers many of the most advanced and research-based approaches to treating periodontal disease at any stage. Depending on the extent of the infection, he might suggest one or more of these treatments:

  • Scaling and root planing
  • Pocket reduction procedures
  • Regenerative procedures with stimulating proteins
  • Tray delivery systems with medication
  • Traditional gum graft surgery
  • LANAP laser gum surgery
  • Chao Pinhole® surgery

You might need restoration procedures with or without extractions to complete your treatment for advanced periodontitis.

Schedule your next dental exam or a diagnostic appointment by phone or book online at Madison Dental Partners for a periodontal disease evaluation and treatment today.