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Gum Disease

The Importance of Healthy Gums

Many people concentrate on keeping their teeth healthy, but the health of gum tissue is sometimes overlooked. The Royal Oak team does thorough evaluations and X-rays to detect gum disease. With precise gum measurements, probing techniques, and visual assessment, we can find even the most subtle signs of gum trouble. Early intervention is important in stopping the spread of gum disease and limiting the damage it can do.

Some symptoms of gum disease:

  • Any changes in tissue color
  • Bleeding
  • Soreness
  • Inflammation
  • Separation from enamel
  • Obvious plaque DEPOSITS
  • Loose or missing teeth
  • Bad breath

The Dangers of Advanced Gum Diseasegumdisease

Severe gum disease harms more than just the gum tissue – it starts there, then undermines the health of teeth, and can spread to the jaw bones if left untreated. In the first stage, minor inflammation and redness appear (known as gingivitis). In the later stages, you may experience significant bone loss. Our goal at Royal Oak Dental Group is to identify gum problems before they significantly impact your smile and give you preventive dental care to avoid issues in the future.

  • Gingivitis is the only stage of gum disease that is fully reversible
  • Periodontal disease is a more serious level of gum disease
  • Juvenile periodontitis causes bone loss in the central incisors and first molars of children

Gum Disease Treatment

Treatment is difficult once gum disease has settled in, because it’s a vicious circle. When plaque has been left on the teeth too long, it enables bacteria to spread; bacteria grows below the gumline; gums recede, creating larger pockets for bacteria; causing more gum recession – and so on.

The primary goal is to reduce the size of the periodontal pockets during a dental visit, allowing patients to effectively remove plaque and bacteria with at-home cleaning. We may try deep cleaning, gum surgery, bone grafts, and/or antibiotics to minimize the effects of gum disease. A gum treatment called scaling and root planing combines deep plaque removal with a smoothing technique on the tooth roots.

Royal Oak Dental Group will give you instruction on successful oral hygiene techniques. You may be asked to increase the frequency of your dental visits for close monitoring, at least until the disease is under control.

Don’t ignore your gums any longer. Find out if they are as healthy as they should be. Contact Royal Oak Dental Group for a comprehensive evaluation and expert gum treatment. The Royal Oak team is proud to serve patients in the Raleigh-Cary-Chapel Hill-Siler City area including Apex, Hillsboro, Carrboro, Pittsboro, Durham, Morrisville, Wake Forest, Garner, Fuquay-Varina and Knightdale.




Royal Oak Dental Group is proud to provide a full scope of dental health services to patients from Raleigh, Cary, Siler City, Chapel Hill, Durham, North Hills, Wake Forest, Garner, Apex, Holly Springs, Fuquay-Varina, Knightdale, Wendell and Morrisville, NC, as well as the greater Triangle area.
Click Here: COVID-19 & Office Updates

Dear Patient:
We hope this message finds you safe and healthy as we all collectively do our best to navigate the COVID-19 health crisis. Thank you for your patience and understanding throughout these challenging times. Because the health and safety of our patients and community is paramount, it has been necessary to limit our patient care to urgent and emergency care over these last few months.

As we have closely followed recommendations from the North Carolina Dental Board, CDC, and other reputable health organizations, we recognize the importance of regional-specific guidance based on the most comprehensive, accurate, and current scientific literature and data available. While community guidelines may continue to evolve, we must continue to make our treatment decisions based on the best knowledge available. It is our job to help improve the health of our patients by approaching comprehensive dental treatment PROACTIVELY, not just reacting after the compromise has become irreversible in nature.

With this in mind, we have made the decision to safely reopen our doors to ALL PATIENTS beginning Monday, May 11th. This means routine dental care, such as cleanings and simple restorations, will resume. When you come to our office you will notice the following elevated measures and precautions that we believe are necessary to maintain until we emerge from this COVID-19 environment (and likely thereafter):  

  • Sanitation stations in the front desk/waiting area
  • Anti-microbial Hydrogen Peroxide mouth rinses before the start of each appointment
  • Hi-Evacuation suction for hygiene appointments to minimize cavitron-related aerosols
  • Patient entrance doors will remain open to reduce contact 
  • Mandatory pre-screening questionnaire over the phone when appointments are confirmed and upon arrival to the office, in addition to temperature checks of ALL STAFF and PATIENTS
  • Patients will wait in their vehicles until their appointment begins
  • Limited access to patient waiting areas and operatories whenever possible (e.g. restricted to patients, parents of young children, translators, service animals, special needs assistance, etc.)
  • Enhanced social distancing measures throughout the office 

This is not the first crisis that we have endured as a state or as a nation, and we look forward to overcoming this event better, stronger and more resilient than ever before. We cannot thank you enough for trusting us with your oral health. Please don’t hesitate to reach out to us with any questions or concerns, and let us know if there is anything we can do to better serve you.
Royal Oak Dental Group