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Gum disease is the leading cause of tooth loss in adults. Most people don't know they have it until it's already progressed.
The earlier gum disease is caught, the more options you have. At Opal Dental Studio in Huntersville, NC, Dr. Gonzales provides evidence-based periodontal care with clear staging and a long-term plan, from scaling and root planing to ongoing periodontal maintenance.
Most people don't realize their gums are in trouble until they notice something they can't ignore:
Bleeding gums are not normal. They are one of the earliest signs that something is worth addressing.
Gum disease starts as gingivitis, where the gumline becomes inflamed from bacterial buildup. At this stage, it's reversible.
When it advances to periodontitis, the infection moves below the gumline and begins destroying the bone that holds your teeth in place. That bone does not grow back. Treatment at that stage focuses on stopping the damage and protecting what remains. Catching it early keeps more options on the table.
Not sure where you stand? A gum health evaluation gives you a clear answer, and that always happens during your regular dental exam and cleaning.
A gum evaluation at Opal is not a quick look between cleanings. It's a structured assessment of everything affecting your gum and bone health.
Dr. Gonzales measures pocket depths around every tooth using a periodontal probe. Healthy tissue typically sits between one and three millimeters. Deeper pockets signal that the disease is active and progressing below the gumline.
She also assesses bleeding on probing, gum recession, and tooth mobility. These aren't just numbers recorded in a chart. She explains what each finding means for your specific situation.
When the clinical picture calls for it, she uses digital X-rays and cone beam 3D imaging to evaluate bone levels with a level of detail that flat X-rays can't provide.
Your medical history is part of the evaluation, too. Conditions like diabetes and certain medications directly affect how gum disease behaves and how well tissue heals. That context matters for building a treatment plan that's actually realistic for you.
You leave with a clear picture of where your gum health stands, staged and explained in plain language, before any treatment begins.
Every treatment plan starts with what your gum health actually needs. Here is what care looks like at Opal.
For early gingivitis, Dr. Gonzales starts with a professional cleaning and targeted home care guidance. She identifies exactly what's driving the inflammation and what changes will make a measurable difference between visits.
When the disease has moved below the gumline, Dr. Gonzales performs scaling and root planing, the primary non-surgical treatment for periodontitis. She removes plaque and hardened tartar from below the gumline and smooths the root surfaces so tissue can reattach and begin healing. Treatment is done in sections, with local anesthetic, so you stay comfortable throughout.
After active treatment, routine cleanings are replaced with periodontal maintenance visits, typically every three to four months. Dr. Gonzales monitors pocket depths, checks for any new activity, and keeps the disease controlled over time. This is ongoing care.
Some cases require surgical intervention beyond what general dentistry addresses. When that's true, Dr. Gonzales coordinates directly with a trusted periodontist and stays involved in your care throughout the process.
Research has identified associations between periodontal disease and conditions including cardiovascular disease, diabetes, pregnancy complications, and even Alzheimer's. The connection is believed to involve chronic inflammation and bacterial activity that extends beyond the mouth and into the bloodstream.
These are associations, not proven causes, but they are significant enough that the CDC recognizes periodontal disease as a public health concern tied to broader systemic health.
This is why Dr. Gonzales reviews your full medical history and systemic health at every gum evaluation. Chances are, she'll ask questions you've never been asked by a dentist before. What's happening in your body affects how gum disease behaves and how well you heal. That context changes the plan.
Treatment cost depends on the severity of the disease and how many teeth are involved. Here is what to know before your visit.
Can reduce the cost of ongoing care, especially for patients without traditional insurance.
See Our Wellness PlanIt depends on the stage. Gingivitis, the earliest form, is reversible with professional cleaning and improved home care. Once the disease has progressed to periodontitis and bone loss has occurred, that bone does not grow back. Treatment at that stage focuses on stopping the damage, reducing infection, and keeping the disease stable over time.
Dr. Gonzales uses a local anesthetic for every scaling and root planing procedure, so you should feel pressure and movement but not pain during treatment. Some tenderness in the days after is normal and typically manageable with over-the-counter medication. Most patients find it far more comfortable than they expected.
A routine cleaning addresses buildup above and just below the gumline in patients with healthy gums. Periodontal maintenance goes deeper, monitoring pocket depths, checking for signs of disease activity, and removing buildup in areas that remain vulnerable after treatment. It happens more frequently, typically every three to four months, because gum disease requires ongoing management, not a one-time fix.
Yes. Periodontal disease is a chronic condition. Treatment controls it, but it does not cure it. This is why periodontal maintenance visits are essential after active treatment. Consistent care keeps the disease stable and protects the bone and tissue that remain.
Coverage varies by plan. Many insurance plans cover scaling and root planing at least partially. Opal files claims as a courtesy and helps you understand your benefits before treatment begins, so there are no surprises.
Many cases of gum disease, including moderate periodontitis, can be treated effectively by your general dentist with periodontal training. Dr. Gonzales manages the majority of cases in-office. When surgical intervention is needed, she coordinates directly with a trusted periodontist and stays involved throughout your care.
If your gums have been bleeding, something feels different, or it's simply been a while since anyone looked closely at your gum health, this is where to start. Dr. Gonzales gives you a clear picture of where things stand and what, if anything, needs attention.
Please do not use this form to send health information.