When gum disease moves past gingivitis, the fix is not a lecture, it is a plan. At Annapolis Dental Center in Annapolis’s non-surgical-first periodontal care combines deep cleanings, targeted antibiotics, laser therapy, and home-level support, measured by real pocket numbers at every step.
What Periodontal Therapy Starts With
Gum disease is bacteria colonizing the pockets between your teeth and gums, quietly dissolving the attachment and bone that hold teeth in. Stopping it takes more than brushing harder. The bacterial deposits under the gumline are rock-hard and well past what home care can reach.
Scaling and root planing removes all of it, section by section, full mouth. It remains the most-studied, most-successful first-line therapy dentists have, and it is where every one of our periodontal treatment plans begins.
- Hardened deposits removed below the gumline
- Root surfaces smoothed for reattachment
- Local numbing so the visits stay comfortable
- One or two visits, then re-measured in four to six weeks
The Complete Treatment Ladder
Move up only as far as your gums actually need
Scaling and Root Planing
The baseline reset that removes the deposits underneath everything else works from.
ARESTIN at Target Sites
Localized antibiotic microspheres into pockets that need more than mechanical cleaning alone.
Laser Periodontal Therapy
Laser energy disinfects pockets and supports reattachment when inflammation is stubborn.
Perio Protect at Home
Custom trays deliver medication daily between office visits, the piece most offices cannot offer.
Measured Progress, Not Assumptions
Four to six weeks after therapy we re-measure every pocket against the baseline you saw at evaluation. Pocket depths drop. Bleeding points disappear. If they do not fall enough, we know exactly which sites need a second look and why.
From there periodontal maintenance keeps the ground we took, typically on a three- or four-month rhythm. Smile Advantage members have two periodontal maintenance cleanings each year built in, which makes long-term control genuinely affordable. Financial options fill in the rest.
- Same points re-measured four to six weeks later
- Numbers compared to your baseline openly
- Maintenance rhythm personalized to your response
- Members get 2 perio-maintenance cleanings yearly
Why Patients Finish the Plan
Non-Surgical First, Always
Surgery is a last resort here, not a default. Most of our patients never need it.
Comfort Is Structured In
Full numbing plus sectioned visits means even nervous patients finish the series comfortably.
Real Technology Stack
SRP, ARESTIN, laser, and home trays under one roof is an unusually complete non-surgical program.
Insurance-Savvy Scheduling
Our front office arranges visits and benefits so treatment calendars stay manageable.