SELF EVALUATION FOR PERIODONTAL DISEASE (GUM INFECTION):

1.	Are your gums red or swollen?
2.	Do you ever have pain in your mouth?
3.	Do your gums bleed during brushing?
4.	Do you have persistent bad breath or bad taste in your mouth?
5.	Have your gums pulled away from your teeth?
6.	Have you noticed pus between your teeth and gums?
7.	Are your teeth loose and separating?
8.	Do you show too much gum when you smile?
9.	Have you noticed any change in your bite?
10.	Do you ever develop sores in your mouth?

If you answered yes to any of these questions you may have a serious infection called periodontal disease. You can also have periodontal disease with no symptoms or pain. That is why it is so important to have a periodontal exam at least once a year. Dr. Oreamuno can help you save your natural teeth and maintain your smile.

PERIODONTAL DISEASE AND TREATMENT:
Periodontal or gum disease is a bacterial infection. Dental plaque (bacteria) and calculus (tartar) can penetrate between your gum and the root of your teeth creating bone loss. The amount of treatment required will depend on the severity of the disease. In the early stages, gum disease is generally treated with non surgical procedures called scaling and root planning. If the disease is more advanced periodontal surgery may be required. Periodontal plastic surgery can also improve the appearance of your smile. Your sustained oral health is based on regular dental examinations and cleanings.

Dr. Oreamuno is current in all periodontal surgical procedures. Some of these procedures are:
- Periodontal plastic surgery (gingival grafts and others)
- Osseous surgery,
- Crown lengthening procedures,
- Regeneration techniques such us bone grafts, guided tissue regeneration, etc.

PERIODONTAL PLASTIC SURGERY
New periodontal surgical procedures enable us to improve the appearance of your smile.

• Before gingival graft	• After gingival graft
Recession	Normal gum

CROWN LENGTHENING PROCEDURE AND FRENECTOMY:

• Before	• After
Irregular smile line	Aesthetic smile