What Is a Periodontist? And Why You Might Need One
Author: Dr. Jess Liu, Board-Certified Periodontist
Practice: Pleasant Dental Associates — Coolidge Corner, Brookline, MA
Most people are familiar with their general dentist. But when it comes to gum disease, dental implants, or bone loss around the teeth, you need a different kind of specialist — a periodontist. As a board-certified periodontist and faculty member at Boston University, I want to help patients understand exactly what we do and when it makes sense to see one.
What Is a Periodontist?
A periodontist is a dental specialist who completes an additional three years of advanced residency training — beyond dental school — focused exclusively on the gums, bone, and supporting structures of the teeth. Board certification, which I hold, requires passing rigorous examinations and demonstrating advanced clinical competency.
Periodontists treat conditions that general dentists often refer out, including:
Gum disease (gingivitis and periodontitis) at all stages
Gum recession and root exposure
Bone loss around the teeth or at implant sites
Dental implant placement and maintenance
Peri-implantitis (implant infections)
Ridge preservation after tooth extraction
How Is a Periodontist Different from a General Dentist?
Your general dentist is trained to detect and manage early gum problems and refer you when things become more complex. A periodontist picks up from there. Think of the relationship like your primary care doctor and a cardiologist — both are important, and they work together.
At Pleasant Dental Associates, our periodontists work side by side with our prosthodontists, so surgical and restorative care are fully coordinated under one roof. You never need to be referred out.
Signs You May Need to See a Periodontist
You should consider scheduling an evaluation with a periodontist if you experience any of the following:
Bleeding gums when brushing or flossing
Gums that appear red, swollen, or pulling away from the teeth
Teeth that feel loose or have shifted
Persistent bad breath that doesn't resolve with brushing
Sensitivity along the gumline or exposed roots
You've been told you have bone loss on an X-ray
You're considering dental implants
You have an existing implant that feels uncomfortable or unstable
Many of these signs are painless in the early stages, which is why regular screenings matter. Gum disease is one of the most common chronic conditions in adults — and one of the most under-treated.
What Happens at a Periodontal Evaluation?
When you come in for a periodontal consultation, we begin with a comprehensive exam that includes a review of your medical and dental history, a full periodontal probing (measuring the depth of the pockets around each tooth), and 3D imaging if needed to assess bone levels. We then discuss findings and create a treatment plan tailored to your specific condition.
Frequently Asked Questions
Q: Does seeing a periodontist mean I have bad teeth?
A: Not at all. Many patients see periodontists preventively, for implants, or because they want specialist-level care for their gums. It's a sign you're taking your oral health seriously.
Q: Do I need a referral to see a periodontist?
A: At Pleasant Dental Associates, you do not need a referral. You can call us directly or book online to schedule a consultation.
Q: Will my insurance cover periodontal treatment?
A: Many dental insurance plans cover periodontal evaluations and treatment. Our team will review your benefits and explain all costs before any treatment begins.
Q: How often should I see a periodontist once I start treatment?
A: After active treatment, most patients transition to a periodontal maintenance schedule — typically every three to four months — rather than the standard twice-yearly cleaning. This helps keep disease from returning.
Ready to Get Started?
Pleasant Dental Associates is now accepting new patients. $259 New Patient Special — comprehensive exam, X-rays, and cleaning.
Call 617-975-3399 | 1318 Beacon Street Suite 20, Brookline, MA 02446
Book online: dental4.me/pleasantdental/1
