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Gum Disease

San Diego Gum Disease Treatment

Gum disease, or periodontitis, is caused by rampant bacterial growth around the teeth and gum line. If left untreated, periodontitis will cause your gums to become inflamed and irritated, eventually leading to tooth decay and destruction of tissue and bone around the teeth. According to the Center for Disease Control, half of American adults have some form of periodontal disease, and the American Academy of Periodontology recommends yearly periodontal evaluations to prevent and treat the disease. Dr. Mary Afzali and Dr. James Sanford have been providing Rancho Bernardo gum disease treatment for more than 20 years. Their goal is to help patients maintain healthy gums and teeth for a lifetime of beautiful smiles.Gum Disease Treatment in San Diego

The Three Stages of Gum Disease

Gingivitis - The first stage of gum disease is the most common, and it is fully reversible with proper oral hygiene and professional treatment. Gingivitis is characterized by red, swollen gums that bleed easily, a receding gum line, and bad breath. As long as you maintain good oral hygiene at home, gingivitis can be treated with regular professional cleanings to prevent plaque and tartar build-up.

Periodontitis - The second stage of gum disease is characterized by damage to the soft tissue surrounding the teeth, as well as the tooth’s roots. Gums are swollen and tender to the touch, spaces develop between the teeth, and infection is common. In addition to professional cleanings, periodontitis is treated with scaling to remove tartar and bacteria from the surface of the teeth and beneath the gums. Root planing will clean the root surfaces to rid the build-up of tartar and bacteria. Antimicrobial wash and a localized antibiotic, like Arestin, will help eliminate infection-causing bacteria. Maintenance cleanings are scheduled up to four times per year to keep disease from returning.

Advanced Periodontitis - This is the most severe stage of gum disease, characterized by significant loss of healthy soft tissue and bone that support the teeth. Advanced periodontitis is treated with all of the methods mentioned above, as well as laser assisted gum therapy, which uses a precision laser to kill 99% of the harmful bacteria in the periodontal pockets. Some patients lose teeth in this stage or may need to consider extraction to rebuild oral health.

Preventing and Treating Gum Disease

Gum disease is a progressive disease that is best treated early. The first line of defense is proper oral hygiene, followed by regularly scheduled cleanings and periodontal evaluations. If you are experiencing red, swollen gums that bleed when you brush your teeth, don’t wait to schedule an appointment. Dr. Mary Afzali and Dr. James Sanford offer Rancho Bernardo gum disease treatment for every stage of periodontal disease. Give us a call today to schedule a consultation. We want to see you smile your healthiest smile. 


Read what people are saying about us.

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If you want to know what I think of Dr. Afzali and her staff all you really need to know is that I live in Portland and I fly to San Diego to see Dr. Afzali for all my dental work. That might seem a bit extreme, and perhaps it is, but hear me out before you decide. A couple of years ago when I was living in the Bay Area I had to have one of my front teeth removed and dental implant inserted in its place by a dentist in the Bay Area. The implant looked a little shorter and darker than my other teeth, and even made my gum above it look a bit darker than the adjacent gum. In short, it didn't look natural. So I wasn't completely satisfied with how my smile looked, but I thought that was the best that could be done. It wasn't.

Last summer while I was in San Diego visiting my parents I went to Dr. Afzali for a routine cleaning. She examined my mouth and immediately asked me whether I was happy with the way my implant looked. When I said I wasn't, she explained that she could make it look better and possibly even indistinguishable from my other teeth. She was right. My implant looks just like my other teeth, and my gum is pink again. In fact, my new implant looks so natural that I sometimes forget it's an implant. I couldn't be happier. One final point. Dr. Afazli's entire staff is great. When I walk in they all make me feel like I'm the most important patient they have. And Julie is particularly great. Because I live in Portland my visits to Dr. Afzali's office had to me perfectly timed with receipt of the various parts necessary for my procedures. Julie made sure that everything arrived when necessary, without fail, so that no flights or appointments had to be rescheduled.

Riley P.

Recently, while on a trip from Canada to visit friends in San Diego, I broke a tooth. I phoned RB Dentistry and was given an appointment without delay. Dr. Mary Afzali was reassuring and professional and did an excellent job fixing the broken tooth. Her dental assistant, Marinette, was kind and gentle and made me feel comfortable throughout the procedure. Julie at Reception was welcoming, warm and made me laugh with her wonderful sense of humour and handled the insurance processing with no complications. Thank you so much Dr. Afzali, Mari and Julie for one of the most pleasant dental appointments I've had in a long time! Hope to see you in Vancouver, B.C. sometime!

Pam C.

I know I am in good hands with Dr. Afzali at RB Family Dentistry. The cavity fillings and tooth root fillings I got there were done so well that when I went to the Southwest College Dental Hygenist school to help out a friend, they could barely even detect the fillings! The teachers there were very impressed. At RB Family Dentistry, the staff and hygenists are friendly, organized and very knowledgable, and the Dr. always gives me as much time as I need and answers all of my questions. The office is beautiful and state-of-the-art. They never try to sell me on additional products or services that I don't need.

Scripps Ranch M

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RB Family & Cosmetic Dentistry
16776 Bernardo Center Dr. #105 San Diego, CA 92128
Phone: (858) 485-0044 URL of Map