Dental Implants Periodontist-Top Dentist Offering Periodontics Services in St. Charles & Kane County

It is a common misconception that only a periodontist can provide periodontics services. To be clear, Dr. Isbrandt at Dean Street Dental is not a periodontist; he is a licensed general & family dentist that also has post-grad certificates in many dental orthodontics treatments. This means he can provide things like fixed braces for children and perform periodontics procedures like ridge preservation for dental implants, as well as perform dental implant procedures himself. The doctor is more than comfortable with 90% of dental implant procedures and in the advent that he is unsure about the case, he will refer the patient to an oral surgeon and have the patient follow up with him afterwards. Therefore, you can rest assured knowing that the general dentist at Dean Street Dental is confident in treating your dental implants & periodontics cases.

What is a Periodontist?

A periodontist is a specialist who treats issues that affect your gums and the bones in your mouth. A periodontist has completed a written and oral exam to become certified with the American Board of Periodontology, whereas a general dentist offering services that fall in the category of periodontics has completed 4 years of dental school.

What Does a Periodontist Do?

A periodontist helps you manage signs of advancing gum problems like oral inflammation. This is because they specialize in preventing, diagnosing, and treating gum disease.

Gum disease causes oral inflammation and happens when the tissue around your teeth gets infected. Plaque-forming bacteria that builds up on the teeth causes the swelling when it spreads below the gum line.

Gingivitis is the scientific name for an early form of gum disease and gingivitis can be kept away by seeing the dentist regularly, keeping your teeth and mouth clean, and by getting treatment. However, you may require more extensive treatment if you have gum disease that is more advanced, usually called periodontitis. At Dean Street Dental, we treat gingivitis and early forms of gum disease but if it is approaching periodontitis, that is when the dentist will refer you to a periodontist.

The periodontist will review your medical history and your dental history, then they’ll perform a dental exam to come up with the best treatment option. This could include both surgical and nonsurgical methods, as well as sending you back to the dentist for some work in an attempt to stop the progression before it becomes periodontitis:

Nonsurgical Treatments

Scaling and root planing is a non-surgical treatment to remove plaque and tartar from deep beneath the gum line, respectively. These two procedures usually come hand-in-hand and are sometimes paired with antibiotic medicines too.

A periodontist might also prescribe a custom-fit impression of your teeth, called a tray delivery system, for you to wear at home. This tray puts prescription medication directly on your gums.

Surgical Treatments

Gingivitis and periodontitis gum diseases can both cause your gums to recede, which can expose a tooth’s root. In this case, the periodontist will perform a gum graft procedure, where they take tissue, usually from the roof of your mouth, and use it to cover the gum line that has receded. This is because a healthy gum line can help improve your smile, reduce sensitivity and pain, and stop tooth decay.

Other surgical procedures that a periodontist might perform include:

While most of periodontics procedures are specific to treating gum disease, a few periodontics procedures are available to supplement other cosmetic dentistry services. Periodontists sometimes offer plastic surgery services like:

  • Dental crown lengthening to fix a gummy smile or to fix an uneven gum line
  • Gum grafts to reduce the appearance of long teeth from age-related recession or prior gum disease
  • Ridge augmentation after replacing a lost tooth with an artificial tooth in order to restore the natural curve of the gums and jaw again

Reasons to See a Periodontist

Many general dentists can treat your gum problems, including Dr. John Isbrandt at Dean Street Dental. However, if you have gum disease that is a complex case or is getting progressively worse, or if you are at the risk of tooth loss, the dentist will refer you to a periodontist in your insurance network. Periodontists require a referral so if you notice any of these common gum disease signs and symptoms, make an appointment with the dentist at Dean Street Dental to see if you should be referred out to a periodontist.

Swollen or Puffy Gums

The first sign of gingivitis is when the plaque and tartar-forming bacteria causes inflammation. This inflammation can make pockets form around your teeth when left untreated.  These pockets raise your risk of infection that can lead to tooth loss.

If your gums are dark red rather than a healthy light pink, and if they make your teeth look smaller, you may want to treat this inflammation with a deep cleaning at your dentist, as well as be sure to take care of your oral hygiene at home.

Gums that Bleed Easily

When you are flossing, brushing, or eating and your gums start to bleed, know that that is caused by inflammation. See your dentist at Dean Street Dental if your gums are tender to the touch, you spit out blood when you brush or floss, or if your toothbrush is tinted pink after brushing.

Bad Breath

Bad breath, also known as halitosis, is common and not always a cause for concern. However, if you take good care of your mouth and bad breath doesn’t go away on its own, it could be caused by holes in your teeth or it could be a sign of infection.

Painful Chewing

The pockets around the teeth, what was mentioned above, is caused by inflammation and the pockets can loosen teeth, making them more sensitive. You might also have difficulty chewing, in addition to the sensitivity. Make an appointment with your dentist at Dean Street Dental if you notice a change in the way your teeth fit together or if you notice new spaces forming between your teeth.

Receding Gum Line

Brushing your teeth too hard can injure the gum tissue and start to cause your gums to recede. A periodontist can fix this issue for cosmetic purposes, which will potentially lower your risk of gum problems in the future.

Gum recession that doesn’t occur as a result of too much brushing or brushing too hard is usually a sign of later-stage gum disease though. At this point, a periodontist can examine the issue and advise you on the appropriate path to treatment.

What to Expect at the Periodontist

They will first ask for some personal information like health conditions and which medications you take, as well as ask you about which symptoms you are having. Next, the periodontist will:

  • Review your medical and dental histories to identify any factors that could be contributing to your symptoms
  • Perform an oral exam to look for plaque and tartar buildup and to check for gum bleeding
  • Measure the space between your gums and teeth, also known as your gum pocket depth
  • Take Digital X-rays to check for bone loss
These tests aid them in creating your periodontal treatment plan. Involved with your treatment will be your periodontist, your dentist (Dr. John Isbrandt), and the wonderful dental hygienists at Dean Street Dental. Also, since antibiotics and a thorough cleaning can often control early stages of gum disease, you will likely be prescribed antibiotics with an order to get another teeth cleaning (scaling and root planing) at your dentist. However, more advanced cases of gum disease may require surgery.

Your periodontist and the dentist may also recommend at-home treatments to help keep the gum disease in check and prevent further issues. You may need to:

Researchers have found that people with periodontal disease are almost twice as likely to suffer from heart disease as those without periodontal disease. It is very important that you always provide your dentist and periodontist with a comprehensive and accurate medical history, including any problems with your heart that you are aware of. Some existing heart conditions may require antibiotics prior to dental procedures. You, your dentist at Dean Street Dental, and your periodontist must work together to help you protect both your gums and your overall health. It is crucial that you take your oral hygiene very seriously for this very reason.

Learn About Gum Disease Evaluation

Learn About Scaling & Root Planing

Learn About Periodontal Cleanings

Learn About Bone Grafting

Learn About Ridge Preservation

Learn About Laser Gum Surgery

Learn About Periodontal Laser Therapy

Learn About Dental Implants

Learn About Implant Supported Bridges


Dr. John Isbrandt and his team of highly skilled and caring associates can spot your periodontal disease in advance and stop it dead in its tracks – but only if you do your job by brushing and flossing at least twice daily, as well as coming to your regular 6 month cleanings consistently. Don’t think about it any more and schedule your appointment below – you’ll be glad you did!

Just Make An Appointment!