Gum Disease Treatment With a Biologic Approach

Periodontal care in North Austin that combines professional cleaning, targeted biofilm control, oral microbiome support, ozone, Perio Protect, and Fotona laser therapy when appropriate.

Healthy gums require more than removing surface plaque.

Biologic Periodontal Care in North Austin

Gingivitis and periodontitis are driven by a complex interaction between bacterial biofilm and the body’s inflammatory response. Our goal is to reduce the bacterial burden, create a healthier environment below the gumline, and build a maintenance plan that fits the stage of disease.

That starts with fundamentals: careful periodontal measurements, professional removal of plaque and calculus, and consistent home care. When useful, we may add therapies such as ozone, oral probiotics, Perio Protect trays, microbiome testing, or laser periodontal therapy.

Rather than treating every patient with the same protocol, we match the intensity of care to what we see clinically and how your gums respond over time.

Signs of Gum Disease

Gum disease can progress without significant pain. If you are noticing any of these changes, an evaluation can help determine whether you need more than a routine cleaning.

1

Bleeding gums

Bleeding with brushing, flossing, or periodontal probing is a common sign of gingival inflammation.

2

Receding or tender gums

Recession may expose root surfaces and can occur with inflammation, trauma, bite forces, anatomy, or other factors.

3

Persistent bad breath

Ongoing odor can be associated with bacterial buildup, periodontal pockets, dry mouth, or other oral conditions.

4

Loose or shifting teeth

Mobility or changes in tooth position can be a later sign of periodontal bone loss and should be evaluated promptly.

Care Matched to the Stage of Disease

Healthy Gums

Preventive Biofilm Removal

Routine professional cleanings help remove plaque and deposits that daily brushing and flossing cannot fully reach. Visit frequency is personalized to your risk and history.

Gingivitis

Early Inflammation Control

When gums are inflamed but periodontal attachment has not been lost, more focused cleaning and improved home care may allow gingivitis to resolve. Ozone may be used as an adjunct in selected cases.

Periodontitis

Deep Periodontal Cleaning

When calculus, deeper pockets, and attachment loss are present, treatment may include scaling and root-surface debridement with closer maintenance intervals and adjunctive therapies based on the case.

Ongoing Support

Perio Protect & Microbiome Support

Custom Perio Protect trays may help deliver prescribed gel below the gumline between visits. Oral probiotics or microbiome testing may also be considered when they can help personalize maintenance.

Fotona Laser Technology

Laser Periodontal Therapy

For selected periodontal cases, Dr. Bruno can incorporate Fotona Nd:YAG and Er:YAG laser technology as an adjunct to conventional periodontal treatment. Laser energy can be used to decontaminate targeted areas and support minimally invasive soft-tissue care.

Laser therapy does not replace the fundamentals of periodontal treatment. Plaque, calculus, pocket depth, bone levels, home care, and ongoing maintenance still determine the overall plan. The advantage is that the laser gives us an additional tool when it is clinically appropriate.

  • Targeted periodontal decontamination
  • Minimally invasive soft-tissue treatment
  • May be paired with scaling and root-surface debridement
  • Can support a more individualized gum-disease plan
  • Follow-up measurements help us evaluate response

Gum Disease Treatment FAQs

What is the treatment for gum disease?

Treatment depends on the stage. Gingivitis may improve with professional cleaning and better home care. Periodontitis generally requires deeper professional therapy and ongoing maintenance to control the disease and reduce further attachment or bone loss.

Can gum disease be reversed?

Gingivitis can often resolve when the inflammation is addressed. Bone and attachment loss from established periodontitis are not simply reversed by a cleaning, but the disease can often be controlled with appropriate treatment and maintenance.

Is laser treatment good for gum disease?

Laser therapy can be useful as an adjunct in selected periodontal cases, but it is not a replacement for diagnosis, mechanical biofilm/calculus removal, and long-term maintenance. Dr. Bruno determines whether laser treatment adds value in your case.

What does ozone do in periodontal care?

Ozone is used in our practice as an antimicrobial adjunct. It may be incorporated into treatment to support decontamination, while the core periodontal therapy still focuses on removing deposits and maintaining a cleanable oral environment.

How much does gum disease treatment cost?

Cost depends on the stage of disease, the amount of treatment needed, and whether adjunctive therapies are recommended. After a periodontal evaluation, our team can outline the recommended sequence of care and provide a treatment estimate.

How often will I need periodontal maintenance?

The interval varies with disease severity, pocket depths, inflammation, home care, smoking status, medical risk factors, and how well your tissues respond. Some patients need visits more frequently than a standard six-month cleaning schedule.

Bleeding Gums Are Worth a Closer Look

Schedule a periodontal evaluation at Bruno Integrative Dentistry in North Austin and get a treatment plan based on the actual stage of your gum health.

Schedule a Periodontal Evaluation
Bruno Integrative Dentistry · 11410 Jollyville Rd Ste 3102, Austin, TX 78759