Non-Surgical Periodontal Therapy in Manhattan

The findings of your initial evaluation may reveal that you have advanced periodontal disease. Advanced periodontal disease is a result of an overabundance of bacteria that have not been properly controlled, which causes destruction of the hard and soft tissue surrounding the teeth. In that case, more advanced treatment of the gums is necessary. Some things that can make the periodontal disease more challenging are smoking, hormonal changes, diabetes, other systemic illnesses and their treatment (i.e. AIDS, cancer), medications and genetics. Periodontal disease is initially painless, but some signs that there may be a problem include:

  • Persistent bad breath
  • Red or swollen gums
  • Bleeding and sensitive gums
  • Pain when chewing
  • Loose teeth
  • Tooth sensitivity (especially at the gum line)
  • Receding gums or the appearance that the teeth have gotten “longer”

What Non-Surgical Treatment Options are Available for Periodontal Disease??

Please see below for available non-surgical gum disease treatment options at Boutique Smiles of Manhattan:

Scaling and Root Planing

This is often referred to as a “deep cleaning”. During this procedure, the teeth are thoroughly cleaned above and below the gum line and rough areas on the surfaces of the roots are removed.

Locally Administered Antibiotics

In addition to the scaling and root planing, the placement of antibiotics beneath the gum line help to kill the bacteria by reaching the areas where our instruments cannot. Our office uses Arestin, which are 1mg microspheres of minocycline. Once placed beneath the gums, it is important to avoid flossing around the treated teeth for 10 days as to not disturb the medication.


Gum disease is caused by a bacterial infection that is hidden below your gums. Dental cleanings can effectively treat the bacteria, but when you return home the cycle often continues. Bacterial cells grow back in just hours after a cleaning, and toothbrush, rinse and floss can’t reach deep enough to address the infection at home.

The Perio Tray by Perio Protect gently applies medication deep under the gums to fight the infections. You use it at home for just minutes each day. The Tray is comfortable, flexible, and custom-fit precisely for your mouth.

With Perio Tray therapy, you have a new chance against the infections. In additional to healthier gums, patients commonly report whiter teeth and fresher breath. If you’ve been told that you have gum disease (gingivitis or periodontitis), ask our team if Perio Trays are right for you.


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