Periodontal Services in La Jolla CA

Periodontal disease is triggered by inflammation and infections in the soft tissues and bones around your teeth. The first sign of periodontal disease is often swollen, red, painful gums that may bleed when eating or brushing your teeth. Periodontal disease starts out as gingivitis and can become periodontitis if left untreated. In this more severe stage, bone is lost, the gums recede, and teeth may loosen.

According to the Centers for Disease Control (CDC), over 47% of adults 30 years of age or older have some periodontal disease. The incidence increases to over 70% in adults over age 65. These alarming statistics are proof of the importance of offering complete periodontal services to our patients.

Complete Periodontal Treatment At La Jolla Dental Boutique

Dr. Erez Nosrati is Board Certified by The American Board of Periodontology and a member of The American Academy of Periodontology. His years of experience and pursuit of continuing education in the treatment of periodontal disease are apparent in the level of care he provides his periodontal and implant patients.

There are many therapy options for periodontal disease. Dr. Nosrati evaluates the severity of each patient’s periodontal disease to determine the most effective treatment option. When possible, he opts for non-surgical periodontal therapy to minimize trauma while getting excellent results. Even in cases requiring surgical intervention, Dr. Nosrati may prepare the patient for surgery using non-surgical treatments to improve tissue quality before surgery. Learn about the individual periodontal services we provide below:

Pinhole Gum Treatment

This minimally invasive procedure does not require incisions or sutures. For the right candidate, Pinhole gum surgery can correct receding gums effectively by gently repositioning the patient’s soft tissues.

Gum Grafting

If gum recession is more severe, gum grafting is a surgical solution we provide in our office. Soft tissue from the roof of the mouth or adjacent gum area is grafted over the exposed teeth roots to protect against cavities and sensitivity.

Cosmetic Periodontal Surgery

Although periodontal surgery is often performed to correct a problem or restore good dental health, we also perform cosmetic procedures to improve the look of healthy teeth and gums. Cosmetic periodontal surgery can include bone grafting, gum grafting, gum depigmentation, and crown lengthening.

Periodontal Maintenance

After treatment of acute periodontal disease, periodontal maintenance is needed to prevent a recurrence of gum disease and promote oral health. Periodontal maintenance is a type of dental cleaning performed for those who have had a deep cleaning. This allows us to clean any exposed root surfaces and areas that have been affected by periodontal disease. Periodontal maintenance is often recommended every 3 months to ensure that the periodontal disease does not return to an active, acute phase.

Professional Teeth Cleaning

Teeth cleaning by our dental care professionals is meant to clean tartar which you cannot remove with brushing and flossing. We remove gingivitis and plaque using specialized dental tools to promote a healthier smile. A preventive dental cleaning, also known as a dental prophylaxis, is recommended every 6 months for patients without signs or history of gum disease.

Scaling & Root Planing

Scaling & root planing, commonly known as a “deep cleaning”, is a form of treatment for active periodontal disease. This is indicated when we measure your gum pockets and see signs of infection and inflammation. We will get you comfortable by using local anesthetic and we will clean the bacteria and tartar that have accumulated below the surface of your gums and smooth the teeth’s roots to encourage the gums to reattach to the roots. We often combine this treatment with laser decontamination to get the best results.

Guided Bone & Tissue Regeneration

Guided tissue & bone regeneration allows us to repair damage from periodontal disease and stabilizes endangered teeth. Alternatively, it can also be used to prepare the jawbone and gums for dental implants.

Osseous Surgery

Osseous surgery is a type of surgical intervention for areas of severe periodontal disease that have not improved after scaling and root planing alone. Osseous surgery will lead to pocket reduction and stabilization of your periodontal disease to prevent additional bone loss.


Gingivectomy removes excess gum tissue around the teeth. A gingivectomy can improve oral health, reduce overgrowth of gum tissue, and improve the aesthetics of your smile. Gingivectomy can often be comfortably performed with the use of a laser.


Surgical removal of the band of tissue connecting the inner lip to the gum tissue can alleviate gum recession and correct gaps between the teeth caused by an oversized frenum. Frenectomy is comfortably performed with the use of a laser.

Crown Lengthening

Often used to correct a gummy smile or help with placement of deep crowns. During crown lengthening, some of the bone around the teeth is removed and reshaped to expose the entire crown portion of a tooth where it is covered by too much gum tissue.


Piezosurgery is an advanced surgical procedure using ultrasound waves instead of scalpels. It dramatically decreases bone and tissue loss while increasing the accuracy of surgery on the gums and jawbone.

Gum Disease Laser Therapy

This minimally invasive periodontal treatment reduces bleeding, swelling, and pain. With gum disease laser therapy, periodontal disease is treated more effectively with longer-lasting results.

Laser Treatment of Cold Sores

No more waiting for a cold sore to heal! Laser treatment of cold sores is painless, effective, and kills the virus responsible for your cold sore.

Laser Gum Depigmentation

If your gums are too dark and make you self-conscious, consider laser gum depigmentation. This simple, in-office treatment restores your gums to a pink shade, eliminating the discoloration caused by excess melatonin.

Bone Morphogenetic Protein

This isolated protein is a game changer for anyone who needs bone grafts for dental procedures. It jump-starts the body’s own ability to grow healthy bone tissue. Learn more here.

Dr. Erez and Dr. Irene Nosrati provide periodontal procedures backed by years of experience and the support of qualified and compassionate staff. If you are interested in learning how our periodontal services can improve your oral health and enhance your smile, contact us at La Jolla Dental Boutique Office Phone Number 858-459-4113 or use our easy online scheduling form.

Are You Ready to Smile With Confidence Again?

Call us with any questions or to make an appointment.