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Periodontal Treatment

Diagram of scaling and root planningGum disease is an issue that develops in your mouth as a result of a bacterial infection. Bacteria in your mouth irritate your sensitive gum tissue, causing it to become red and inflamed. When gum disease develops, treatment is needed right away. There are many different types of treatments that may be provided depending upon how far the disease has progressed. Karl Zeren DDS can provide the periodontal treatment you need to stop the progression of gum disease and allow your mouth to heal.

Scaling and Root Planing

One of the most common treatments for gum disease is scaling and root planing. This treatment is a deep cleaning. Scaling involves cleaning the visible surfaces of your teeth, with special attention given to, and just under, the gum line. Using a tool called a scaler, we effectively clean even the most stubborn accumulation from all surfaces of your teeth. Root planing is the treatment of the root surfaces of your teeth. Small tools are inserted below the gum line to smooth away plaque, bacteria, and other toxins to smooth the surfaces, making it difficult for new bacteria to accumulate.


LANAP is an FDA approved laser treatment for gum disease. A laser is a tool that uses a thin, concentrated beam of light to perform a variety of different tasks. With LANAP, we can remove infected gum tissue so that we can more effectively clean your teeth. The laser can help to break up debris below the gum line and disinfect periodontal pockets. It can also help to stimulate the growth of new tissue and seal periodontal pockets.

Pocket Reduction Surgery

Pocket reduction surgery is a surgical procedure performed when your periodontal pockets are too deep to properly clean using scaling and root planing. When your teeth are not properly cleaned, gum disease can continue to progress, despite having undergone treatment. With this procedure, incisions are made in your gums so that we have access to the roots of your teeth. We then thoroughly clean your teeth and suture the gums closed.

Osseous Surgery

Osseous surgery is a surgical procedure performed when bacteria have caused the formation of bony defects in your jawbone around your teeth. Bony defects are areas of bone loss that can provide hiding places for bacteria. They also make other types of gum disease treatment more difficult. During osseous surgery, incisions are made in your gums to gain access to the roots of your teeth and the jawbone. Next, we smooth the defects and thoroughly clean your bone and teeth. Finally, your gums are sutured closed, and your gums can begin to heal.

Guided Tissue Regeneration

Guided tissue regeneration, or GTR, is a treatment that involves the placement of a mesh membrane over areas of bone loss around your teeth to encourage the growth of new bone. The membrane helps to separate the gums from the bone, preventing faster growing soft tissue from filling in areas where bone should be. It also works to encourage the growth of new bone tissue to restore strength and give your teeth greater stability. This procedure may be used with or without a bone graft.

The right periodontal treatment can help to stop the progression of gum disease, allowing your gum tissue and supporting structures to heal. For more information, and to schedule your appointment, call Karl Zeren DDS at (410) 316-6141 today.
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“Dr Zeren and his staff are professionals in every sense of the word. They really care about their patients. This Doctor is as good as they get. I always felt well cared for on every visit. If you are looking for the best in the area put your full trust in the expertise of Dr Zeren.”
Humphrey M.

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Office Location

9515 Deereco Rd. Suite 308
Lutherville-Timonium, MD 21093

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Opening Hours

Mon, Tue, Thr: 8am–5:00 pm
Fri: Complex surgical cases

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