Periodontal Treatments Bethesda, MD

Dr. Roy Eskow emphasizes the importance of achieving periodontal health through the most conservative and cost-effective treatments possible. For most patients, gingivitis and gum disease can be managed with non-surgical treatments. However, patients suffering from periodontitis, a more advanced form of gum disease, may need surgical intervention to assist in restoring their dentition to a state of health.  

We also offer cosmetic periodontal services to improve the appearance of the smile including gum grafting to restore receding gums and crown lengthening (gum lift) to improve a “gummy smile”.

Comprehensive Periodontal Evaluation

Just like your teeth need regular evaluation to avoid tooth decay, your gums need routine care to help prevent gum disease. Dr. Eskow is a periodontist specializing in gum health and implant dentistry. A periodontal evaluation is a comprehensive look at the gums and their relationship with the rest of the mouth. Dr. Eskow will examine the teeth, gums, plaque, bite, and bone as well as your risk factors for gum disease.

Gum Disease Treatment: If you are showing signs or symptoms of gum disease, Dr. Eskow will recommend a special treatment plan. This generally may start with nonsurgical treatment options such as intensive cleanings, antibiotics, and special rinses to reduce the amount of plaque and bacteria in the deep pockets of the gums.

If deep pockets remain after nonsurgical treatment, Dr. Eskow may recommend future treatments such as osseous surgery, gum grafting, and periodontal bone grafting to reduce the pocket depth and prevent the build-up of plaque below the gum line.

Gum Grafting Treatment

Gum disease often leads to gum recession. Exposed tooth roots can be a cosmetic concern and contribute to other dental health concerns like tooth root decay, loose teeth, or bone loss. Receding gums can also cause tooth sensitivity.

Gum graft surgery will build up the gum tissue in the affected area and cover tooth roots, helping to improve the appearance of the smile and prevent future gum recession and/or bone loss.

Dr. Eskow will transfer a thin piece of gum tissue from either another area of your mouth or from  tissue bank donor material to build up the affected area and cover exposed tooth roots. Gum grafting improves the health of the gums and protects sensitive tooth roots, also decreasing tooth sensitivity.

Tissue Regeneration: Another option for improving receding gums is tissue regeneration. This involves using membranes, bone grafts and/or tissue-stimulating proteins to regenerate bone and tissue.

Dental Crown Lengthening: Dental crown lengthening, also known as a gum lift, is a periodontal treatment used to enhance the appearance of a gummy smile and correct an uneven smile.

During this procedure, Dr. Eskow will reshape the gums to reveal more of the natural tooth. This treatment can be done on one tooth or several teeth. Crown lengthening is often needed for a cosmetic or restorative dentistry treatment. If the dentist does not have sufficient tooth structure for a dental crown or bridge, a crown lengthening may be necessary to expose more of the tooth so it can be restored optimally and provide easy access for maintenance.

Other Periodontal Treatments


There are thin bands of tissue inside the mouth that connect the tongue, lip, and cheeks. In some cases, these bands of tissue called frenum, can be short, thick, or tight and extend far down along the tongue or gum. A tight frenum can cause problems with the alignment of teeth, health of the gums, and in extreme cases, constrict the movement of the tongue or lips, causing problems with speech or eating.

A frenectomy is a simple procedure to correct the problem by alleviating tightness resulting in overall improved health and comfort of the smile.

Sinus Lift

Replacing teeth in the upper jaw is often a challenge because of the amount of bone and proximity of the sinus cavity. If you have lost bone in this area because of missing teeth, gum disease, or other reasons, a sinus lift may be needed to support a dental implant or other restoration.

During this procedure, Dr. Eskow will graft bone-like material to the sinus cavity to raise the sinus floor. As the bone regenerates, it will become thicker and stronger and capable of supporting a dental implant.

Looking for a periodontist who treats gum disease in Bethesda, MD? We offer many treatments to help you heal and prevent all stages of gum disease. Call today or schedule an appointment online.