Periodontal Disease Report--

Evaluation & Treatment Options



Date: ___________________


Your gum disease classification:

  • Healthy; no disease present
  • Gingivitis
  • Chronic Periodontitis
    • Number of areas with 5mm or deeper periodontal pockets: ______
    • Loss of supporting bone around teeth


Your home care options:

Make sure you have done lunch and learns with the products you will be recommending.  I use GC America, Carie Free, Perio Chip, and others to make a decision that is best for the patients in your care. If you would like the direct link to any of these companies please email for a list.

  • Electric Toothbrush—Use two times or more every day; full two-minute cycles.
  • Stimudents—use at least once every day.
  • PerioAid—use at least once every day.
  • Rubber tipped stimulators—use at least once every day.
  • Mouthrinse
    • Chlorhexidine mouthrinse—Peridex or Perioguard.
  • WaterPik
  • Home Fluoride gel or paste—Contact GC America
  • Contact Caries Free  Toothpaste


In-Office Non-Surgical Treatment Options:

  • Preventive Cleanings—to prevent gum disease.
    • every 6 months
  • Maintenance Cleanings—after active treatment of existing gum disease, to help keep infective bacteria under control.
    • every 3 months (long-term)
    • every 4 months (long-term)
  • Scaling/Root Planing—a “deep cleaning” for periodontal pockets 5mm and deeper; using anesthetic, ultrasonics, irrigants, and specialized cleaning instruments.
  • Arestinâ—localized bioadhesive antibiotic placed in deeper pockets. Or contact Perio Chip
  • Laser curettage & disinfection—Nonsurgically removes infected gum tissue.
  • Periostatâ doxycycline—low level oral antibiotic taken for a few weeks during active treatment.
  • Root desensitization treatment—helps make sensitive roots less sensitive to cold air and liquids. GC or Carie Free


Other Treatment Options:

  • Referral to a gum disease specialist (Periodontist) for evaluation and treatment. May consist of gum surgery, gum and bone grafting, extractions.

Christine Taxin
36 Abington Avenue
Ardsley New York 10502
United States of America