Periodontal disease is a major cause of tooth loss in adults.  Periodontal disease may exhibit few, if any symptoms.  There are many stages and forms of periodontal disease, including: gingivitis, periodontitis, and advanced periodontitis.  During a routine dental visit, your dentist will examine you for periodontal disease.  Treating periodontal disease will depend on the type and how far the condition has progressed.  Treatment options include: scaling, root planting, or oral irrigation for less advanced periodontal disease.  If you have advanced periodontal disease, surgery may be recommended.  Dr. Bicknell will recommend the best treatment plan for you.