Periodontal Disease

Gum Disease Care in Randolph MA

Healthy gums hold your teeth for life. Our Massachusetts dentist team diagnoses and treats gingivitis and periodontitis with deep cleanings, scaling and root planing, and ongoing periodontal maintenance. We welcome patients from Randolph, Quincy, Braintree, Milton, Holbrook, Stoughton, Canton, Weymouth, Avon, and Brockton.

Gum disease Gingivitis Periodontitis Scaling and root planing Periodontal maintenance Bleeding gums Bad breath
Dr. Jeffrey Fayerman - gum disease care in Randolph MA

Comfort and clarity

Gentle care with digital x rays, periodontal charting, and clear home care coaching. TV and headphones in each room.

Randolph, MA South Shore

Early Warning Signs

76%
Report bleeding while brushing when gum inflammation is present

Deep Cleaning Success

2–3 mm
Typical reduction in pocket depths after scaling and root planing with good home care

Maintenance Interval

3–4 months
Common recall for periodontal maintenance

What Is Periodontal Disease

Periodontal disease is an infection of the gums and bone that support your teeth. Early stage gingivitis causes swollen, tender gums and bleeding. Later stage periodontitis adds pocketing, bone loss, and loose teeth if not treated.

  • Biofilm and tartar irritate the gum line
  • Gums detach and form periodontal pockets
  • Bone levels drop without care

Risk Factors

  • Smoking or vaping
  • Diabetes and dry mouth
  • Family history of gum disease
  • Grinding and clenching
  • Crowded teeth that trap plaque
  • High sugar snacks and frequent sipping

Diagnosis and Charting

We record probing depths, bleeding points, recession, mobility, and bone levels. Digital x rays help us see tartar under the gums and evaluate bone support.

  • Periodontal charting at key visits
  • Digital bitewing and periapical x rays
  • Intraoral photos to track healing

Severity Snapshot

Gingivitis: bleeding with 1–3 mm pockets
Mild to moderate periodontitis: 4–6 mm pockets
Advanced periodontitis: 7 mm or deeper pockets

Periodontal Treatment

Scaling and Root Planing

Deep cleaning by quadrants to remove tartar and smooth root surfaces. Local anesthesia keeps you comfortable.

  • Targets pockets and inflamed sites
  • Reduces bleeding and swelling
  • Followed by a recheck visit

Antimicrobial Support

We may add a chlorhexidine rinse or localized antibiotic therapy at deep sites. Home care tools are matched to your mouth.

  • Interdental brushes or floss threaders
  • Water flosser tips for pockets
  • Prescription fluoride for high risk patients

Periodontal Maintenance

Every 3 to 4 months we clean deeper around pockets and monitor healing. This helps prevent relapse.

  • Bleeding score and pocket review
  • Targeted plaque removal
  • Coaching to improve tricky spots

When to See a Periodontist

For advanced bone loss, furcation involvement, or surgical needs we coordinate with a trusted periodontist and continue your maintenance here.

Implant Care and Gum Health

Implants also need clean gums. We teach specific home routines and use soft tips to protect implant surfaces during cleanings.

Daily Routine

  • Power brush for 2 minutes twice a day
  • Interdental brushes or floss daily
  • Alcohol free rinse for fresh breath

Diet and Habits

  • Limit sugary snacks and frequent sipping
  • Stop tobacco to improve healing
  • Wear a night guard if you grind

What to Watch For

  • Bleeding or puffiness after brushing
  • Bad breath that lingers
  • Gums pulling back or loose teeth

FAQs

Do deep cleanings hurt?

We numb the area so you stay comfortable. Tender spots usually settle within a day or two.

Will gums grow back?

Inflammation can shrink with care and pockets can reduce, but lost gum tissue and bone do not fully regrow. Early care protects what you have.

How often is maintenance?

Most people do well every 3 to 4 months. We tailor the schedule to your charting results.

Areas We Serve

Randolph, Quincy, Braintree, Milton, Holbrook, Stoughton, Canton, Weymouth, Avon, and Brockton.

Massachusetts dentist Dentist in Randolph MA Gum disease treatment Scaling and root planing Periodontal maintenance

Request a Periodontal Appointment

Share what you are noticing and a few times that work. Our team will follow up to confirm your visit.

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Visit Us

Massachusetts Dental Associates
1395 N. Main St., Randolph, MA 02368

  • Monday 10am – 7pm
  • Tuesday 8am – 6pm
  • Wednesday 10am – 7pm
  • Thursday 10am – 7pm
  • Friday Hygienist by appointment
  • Saturday Closed
  • Sunday Closed with on call support
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Jamie Y. Lee, DDS, MS – Endodontics NYC

New York Endodontics Studio, led by board-certified (ABE) endodontist Dr. Jamie Y. Lee — provides microscope-assisted, CBCT-guided root canal therapy, retreatment, apicoectomy, and emergency endodontics in Midtown Manhattan, New York.