Gum & periodontal care
Gum Disease Treatment in Greenwich, CT
Gum disease is often painless in its early stages, which is exactly why it deserves attention. Measured, treated and monitored, it does not have to be the reason people lose teeth later in life.
What it involves
Blood in the sink is often the earliest sign, and the one most easily brushed aside. Left untreated, gum disease leads to bone loss, and bone does not grow back on its own — which is why treating it early matters more than almost anything else we do.
We chart every pocket, walk you through the numbers, and recommend treatment based on what those numbers actually show: a deep cleaning under local anesthetic where it is needed, a shorter interval between cleanings, and a follow-up measurement so you can see the improvement for yourself.
First sign
Bleeding when brushing or flossing, or gums pulling back
Assessment
Full-mouth pocket charting with the numbers shown to you
Maintenance
Three or four month hygiene intervals once treatment is complete
Patient rating
5.0 from 121 reviews
Who this is for
When we recommend it
- You notice blood in the sink after brushing or flossing, even occasionally.
- A hygienist has mentioned pocket depths or bone loss at a past cleaning.
- Your gums seem to be pulling back from your teeth, especially near the gumline.
- You have a family history of gum disease or tooth loss.
- You were told you need a deep cleaning and would like to understand why before agreeing.
Step by step
How the treatment runs
- 01
Full charting
We measure pocket depths at multiple points around every tooth and show you the numbers, rather than simply noting them in a chart.
- 02
Diagnosis
Those measurements tell us whether this is a routine cleaning, gingivitis, or periodontal disease that needs deeper treatment.
- 03
Deep cleaning if needed
Scaling and root planing under local anesthetic, usually completed over two visits, one side of the mouth at a time.
- 04
Re-measurement
We check your pockets again a few weeks later to see whether the numbers actually improved.
- 05
Tighter recall
Maintenance shifts to a three- or four-month interval instead of six, for as long as your numbers call for it.
Afterwards
What to expect once you leave
Same day
Numbness from the anesthetic wears off within a few hours. Mild tenderness at the gumline is normal that evening.
First week
Some sensitivity to hot, cold or brushing is expected as your gum tissue tightens back against the tooth.
Long term
With a tighter recall interval kept up, most patients stop the disease's progress without further bone loss.
Charting comes first, and the fee follows the numbers rather than the other way around. A mouth that only needs a routine cleaning is never billed for a deep one.
If deep cleaning is warranted, you receive a written estimate covering both visits before either one is scheduled.
We file claims with your plan directly, and accept cards and HSA or FSA funds.
Other ways to go
What we would also put in front of you
Improve home care first
Mild gingivitis sometimes responds to better brushing and flossing alone, and is worth a short trial before deeper treatment if pockets are shallow.
Routine cleaning only
Fine if your numbers are healthy, though it will not reach a pocket that has already formed below the gumline.
Read moreWait and monitor
An option, but bone lost to untreated gum disease does not regenerate on its own, so delay has a cost even without symptoms.
Why patients choose us for this
Measured, not assumed
Every recommendation for deep cleaning is backed by a chart you can see, not a judgment made on sight alone.
Re-checked afterward
We remeasure after treatment so you know whether it worked, rather than taking it on faith.
An interval tailored to you
We adjust your recall frequency to your actual numbers, not a blanket six months for everyone.
5.0 from 121 reviews
“Alexa is wonderful — so pleasant and so caring! She was so thorough and yet so very gentle. She answered all of my questions and I look forward to my next cleaning with her! And Dr. Marwaha is an exceptional dentist — extremely knowledgeable and caring.”
Q & A
Questions we are asked about gum disease treatment
The gum tissue itself does not grow back, but recession can be stopped, and exposed roots can often be covered or sealed against sensitivity. The earlier it is measured and treated, the less there is to manage down the road.
A regular cleaning cares for the area at and just below the gum line. A deep cleaning reaches the base of a pocket that has already formed, usually with local anesthetic and sometimes over two visits. Your pocket depths tell us which one is right for you.
There is a well-documented association between gum disease and conditions like cardiovascular disease and poorly controlled diabetes, though it is an association rather than a proven cause. Either way, chronic inflammation in your mouth is worth treating for its own sake.
We numb the area first, so the procedure itself is generally comfortable. Some soreness for a day or two afterward is normal, similar to a tender gum after a hard brushing.
A full deep cleaning is usually split into two visits of about an hour each, roughly a week or two apart, followed by a check a few weeks later.
It depends on how many teeth and quadrants need treatment, which is why we chart first and quote afterward in writing.
Untreated gum disease progresses quietly. Pockets deepen, bone support drops, and teeth eventually loosen, by which point treatment options are more limited.
Yes. Numbness fades within a few hours and most people return to normal activity the same day, though very hot food is best avoided until feeling returns.
Where we are
Cos Cob, minutes from central Greenwich
211 East Putnam Avenue, Suite 2-6, Cos Cob, CT 06807. Parking at the building. Mon–Tue 8a–7p, Wed–Thu 8a–5p, Fri 9a–2p.
Gum Disease Treatment for patients in
Often considered alongside
Tell us what is bothering you and we will tell you what it takes to fix it.