Dr. Roy Eskow and Dr. Adam Eskow are periodontists in Washington DC, specializing in the prevention, treatment and management of gum disease and other periodontal concerns. Gum disease is a leading cause of tooth loss in adults. That’s why we emphasize the importance of periodontal health with diligent oral hygiene, regular visits to the dentist, and bi-annual teeth cleanings. Your dentist will look for the signs of gum disease with the goal of catching it early to avoid the development of complex problems down the road. Drs. Roy and Adam Eskow will coordinate your gum disease treatment with your general dentist or offer complete oral care in our Washington DC dentist office.


Gum disease is a progressive disease that can damage the integrity of the health and function of the smile. Harmful bacteria in the mouth feed off of tartar and plaque buildup and multiply, spreading throughout the mouth. The bacteria will eventually grow in pockets deep inside the gum line. As the bacteria spread, the gum line can separate from the teeth and begin to recede, leaving tooth roots exposed and the teeth can become susceptible to extreme sensitivity and even loss. Other contributing factors to gum disease may include teeth grinding, TMJ dysfunction, tobacco use, hormonal changes (as in pregnancy or menopause), and poor nutrition.

Gum disease can cause damage beyond your teeth and gums. If left untreated, gum disease causing bacteria can even spread to the blood stream and has been linked to an increased risk of cardiovascular disease, heart attack, diabetes, and strokes. Early diagnosis, diligent at home oral hygiene and effective treatment from our periodontists in Washington DC are essential to avoid the progression of periodontal disease.


Signs of Gum Disease

  • Red, swollen or sore gums
  • Bleeding gums
  • Receding gums
  • Loose or separating teeth
  • Mouth sores or pus between gums and teeth
  • Bad breath (halitosis)
  • Changes in the way your teeth fit together when you bite
  • Changes in the fit of dentures

Stages of Gum disease

There are two key stages of gum disease, each of which can have a progression of symptoms. Typically, patients do not realize they have gum disease until the later stages, when damage to the gums affects the teeth or gums become significantly irritated. This is why it’s crucial to have Drs. Roy or Adam Eskow perform a thorough exam for gum disease in their Washington DC office.

Gingivitis: An early stage gum disease, gingivitis is typically easy to treat but may require additional at home care to prevent it from returning. Patients with recurring gingivitis may benefit from more frequent dental cleanings in our dentist office.

Periodontitis: An advanced gum disease, periodontitis can cause permanent damage to gum tissue and weaken the teeth. This often requires intensive treatment to address damage and restore oral health.

Gum disease treatment options include:

  • Scaling and root planing
  • Local antibiotic therapy
  • Gum grafts
  • Osseous surgery
  • Periodontal bone grafts
  • Tissue regeneration
  • Frenectomy
  • Sinus Lift