The CDC reports that 47% of adults over 30 show signs of periodontal disease. Bleeding, tender, or receding gums are not normal — they're signs of infection that can lead to bone loss if untreated. At Casco Bay Smiles, Dr. McVety provides comprehensive non-surgical periodontal care using salivary diagnostics, laser therapy, and Kois Center-trained precision.
Signs You Need an Evaluation
Bleeding when brushing or flossing • Persistent bad breath • Red, swollen, or tender gums • Gum recession (teeth appearing longer) • Loose or shifting teeth • Pain when chewing • Pus between teeth
Gingivitis (early-stage) is often fully reversible with prompt treatment. Periodontitis — the advanced stage involving bone loss — requires ongoing management. The earlier we see you, the more we can preserve.
Treatment Options
Scaling and root planing (deep cleaning) — Removes bacteria and tartar from below the gumline using ultrasonic instruments and hand tools. First-line treatment for pockets measuring 4–6mm.
Laser periodontal therapy — Picasso diode laser targets infected tissue, reduces bacterial load, supports healing, and enhances comfort as an adjunct to deep cleaning.
Antibiotic therapy — Targeted antibiotics guided by OralDNA saliva testing to address your specific bacterial profile.
Periodontal maintenance — Specialized cleanings every 3–4 months with targeted pocket monitoring and bacterial reassessment to prevent recurrence.
The Deep Cleaning Process
1. Comprehensive periodontal evaluation and charting 2. OralDNA saliva testing to identify harmful bacteria 3. Local anesthetic applied to ensure comfort 4. Scaling with ultrasonic instruments removes tartar above and below the gumline 5. Root planing smooths root surfaces to discourage bacterial reattachment 6. Laser therapy reduces remaining bacteria and inflamed tissue 7. Antimicrobial irrigation of pockets 8. Personalized home care instructions
Most moderate cases require one to two visits, followed by a maintenance schedule.
When Surgery Is Needed
Non-surgical treatment is appropriate for pockets measuring 4–6mm with minimal bone loss and consistent home hygiene. Surgical intervention may be necessary for pockets exceeding 6mm or significant bone loss. When specialty care is required, Dr. McVety refers to trusted local periodontists.
The Oral-Systemic Connection
Periodontal disease is directly linked to cardiovascular disease, diabetes complications, and increased pregnancy risk. At Casco Bay Smiles, we use salivary diagnostics to identify the bacteria driving your disease and guide treatment decisions. Dr. McVety's training includes Precision Periodontal Medicine through the Kois Center, with a focus on the relationship between oral and systemic health.