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Dr. Jay Akef

San Diego Periodontist & Implant Dentist

27+ years of Professional Dental Experience

Say Goodbye To Periodontal Disease

Periodontal Disease Treatment San Diego

Periodontal Disease Treatment San Diego Specialist

With almost 30 years of dental experience, Dr. Jay Akef is one of San Diego’s leading periodontal disease treatment specialists. As a board-certified periodontist, Dr. Akef has the advanced education, skills, knowledge, and experience to treat all levels and forms of periodontal, or gum, disease. Gum disease is a common but very serious condition requiring immediate treatment to prevent the loss of teeth, spread of infection, and other serious health issues.

Because the nature and severity of periodontal disease differs with every individual, personalized treatment plans account for the extent of damage, any other oral health problems requiring correction, and the patient’s general health in order to eliminate gum disease in a safe and effective manner. Dr. Akef is committed to providing the highest quality care for every patient. Dr. Akef has performed over 23,000 advanced surgical procedures and continues his education to maximize and the success and comfort of patients.

What is Periodontal (Gum) Disease?

Periodontal, or gum, disease is a common inflammatory condition around an individual’s teeth that can weaken the supporting soft tissue and bone around each tooth. In its most advanced stages, periodontitis can also result in major damage to the jawbone itself.

The most common precursor to periodontal disease is gingivitis – a bacterial infection affecting the gum tissue. Gingivitis is caused by plaque, which contains toxins that are released into the gums, irritating and inflaming the surrounding tissue. The bacterial infection then begins to settle deep into the gum pockets between teeth, making the infection more difficult to reach and treat. If left untreated, this progressive infection can lead to the deterioration of the connective tissue and jawbone, as well as shifting or lost teeth.

Periodontal disease is the number one cause of adult tooth loss in the developed world. When treated promptly, tooth loss and further damage can be effectively mitigated.


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Types of Periodontal Disease

Gingivitis is a mild gum inflammation and non-destructive form of periodontal disease. If left untreated, the infection can spread beneath the gum line and cause severe damage. Once the gums are irritated by the toxins from the plaque buildup, the body’s natural response to this chronic inflammatory condition is to break down and destroy its own bone and soft tissue. Teeth begin to separate slowly from the infected gum issues, creating deeper and deeper pockets between the gums and teeth. This tooth separation is usually indicative of periodontal disease.

Chronic periodontitis

This is the most common form of periodontal disease. Chronic periodontitis is characterized by deep pockets between teeth, gum (gingival) recession, and loss of tissue attachment, which are all caused by tissue inflammation.

Aggressive periodontitis

This type of periodontal disease can occur in an otherwise clinically healthy individual. Like its namesake, aggressive periodontitis progresses rapidly and aggressively, causing gum detachment, chronic bone destruction and familial aggregation.

Necrotizing periodontitis

This form of gum disease is common in individuals who suffer from systemic conditions like HIV, immunosuppression and malnutrition. Necrosis, or “tissue death”, occurs in the periodontal ligament, alveolar bone and gum tissue.

Periodontitis caused by systemic disease

This type of gum disease is typically onset at a young age and is typically associated with medical conditions, such as respiratory disease, diabetes and heart disease.

Treatment Options for Periodontal Disease

A periodontist has a range of both surgical and nonsurgical treatment options to choose from, depending on the progression of the disease in his or her patient. It is important for your periodontist to understand the condition of an individual’s infection or disease progression, so a complete periodontal exam of the mouth is first performed to determine the exact condition of the teeth, gums and jawbone before any treatment is employed.

The following are a few common treatments for periodontal disease:

Scaling and root planing

his non-invasive treatment option preserves the health of the gum tissue by removing the bacteria and tartar (calculus) at the source of the infection. The gum pockets are deep cleaned and treated with antibiotics as needed to help eliminate the infection. Your periodontist may also prescribe a medical mouthwash that should be incorporated into one’s daily hygiene routine.

Tissue regeneration

Regrowth of destroyed bone and gum tissue can be actively stimulated through a grafting procedure. In this procedure, a barrier membrane is implanted into the affected areas to aid in tissue regeneration.

Pocket elimination surgery

Also known as “flap surgery”, this surgical treatment reduces the deep pockets that form between the teeth and gums. Jawbone surgery may also be completed in order to eliminate indentations in the bone, which can cause bacterial colonization.

Dental implants

This treatment option is for patients who have lost teeth due to periodontal disease. Dental implants restore the aesthetics and functionality of one’s teeth by implanting prosthetic teeth into the jawbone. This surgery is sometimes combined with tissue regeneration procedures beforehand in order to strengthen the bone prior to the placement of implants.

Contact your periodontist today if you have questions about periodontal disease or want to learn about the treatment options that are right for you!

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