Gum Disease Treatment – Goodlettsville, TN
Prevent tooth and bone loss with gum disease treatment

Unfortunately, gum disease doesn’t just affect your gums. In fact, if left untreated, it can cause tissue damage, tooth loss, and bone deterioration that could result in a bone graft procedure. Dr. McClain offers a variety of gum disease treatments that can address many side effects of this dangerous bacterial infection and prevent further damage to your teeth, gums, and bones.
Why Choose Goodlettsville Smiles for Gum Disease Treatment?
- Convenient Goodlettsville location
- Options for restoring lost teeth available
- Dental insurance accepted
What is Gum Disease?

Gum disease is an infection of the gums by oral bacteria. If left untreated, it can cause dangerous inflammation, as well as a long list of dangerous side effects such as tooth loss, gum loss, and even deterioration of your jawbone. Bacteria can also enter the bloodstream and travel throughout the body, causing medical complications for patients with diabetes, cancer, and Alzheimer's disease. In fact, it has been linked to dementia and has even been posthumously discovered in the brains of those with the condition.
An estimated 47.2 percent of adults aged 30 years or older have some form of gum disease, and your risk only increases with age. By 65, a staggering 70.1 percent of all adults will have periodontal disease.
There are two types of gum disease: gingivitis, the earliest stage, which is reversible with intervention, and periodontitis, which is more advanced and can only be managed, not cured.
Lifestyle behaviors that can increase your risk of developing gum disease include:
- Smoking or using tobacco products
- Poor oral hygiene
- Genetics
- Immune-compromising conditions such as diabetes
- Certain medications that cause dry mouth
- Hormonal changes such as pregnancy
Symptoms of Gum Disease

There are many symptoms of gum disease that could appear depending on how far it has progressed. For gingivitis, warning signs include:
- Chronic bad breath (halitosis)
- Red or swollen gums
- Bleeding gums during brushing or flossing
- Tender gums
- Gum recession along the edges of your teeth
Signs of periodontitis may include:
- Pain when chewing
- Loose permanent teeth
- Sensitive teeth
- A change in bite
- Changes to the fit of your dentures or other prosthetics
- Permanent tooth loss
How Do We Treat Gum Disease?

How we treat your gum disease depends on how advanced your condition is. Before developing a treatment plan, your dentist will thoroughly examine your mouth. Once they have an accurate picture of your oral health, they may recommend one or more different types of treatments that address specific symptoms you may have.
Scaling & Root Planing

Scaling and root planing is a two-step procedure that’s typically completed in two visits to our dental office in Goodlettsville. During your routine examination, our team will inform you of whether you’re exhibiting signs of periodontal disease and may recommend a deep cleaning to intervene before symptoms have an opportunity to progress. As the top cause of tooth loss, we pride ourselves on being diligent about protecting your smile from this common dental disease.
Do You Need Scaling & Root Planing?
During your regular dental checkups, Dr. McClain will keep an eye out for common signs of the early and late-stage symptoms of gum disease. Gingivitis, which is the earlier stage of the infection, can manifest in the following ways:
- Bleeding gums when you brush and floss your teeth.
- Persistent bad breath, also known as halitosis.
- Visible plaque and tartar accumulation.
- Red, swollen, or tender gums.
Periodontitis, which is the later, more progressed stage of gum disease, can cause the following symptoms:
- Gum recession that causes your teeth to appear longer.
- Deep pockets between the teeth and gums.
- Shifting or loose teeth caused by soft and hard tissue deterioration.
- Difficulty or discomfort chewing.
- Tooth loss.
Based on our findings during your examination, we may also recommend routine deep cleanings to help get the infection under control and restore your oral health.
The Process of Getting Scaling & Root Planing
This two-step procedure begins with a thorough cleaning of the surface of your teeth, removing all plaque and tartar accumulation. At your next visit, one of our skilled dental hygienists will then clear any hardened deposits of bacteria from the roots of the teeth that lie below the gumline. This will allow the gums to healthily reattach to the surface of your teeth to protect the underlying roots.
Aftercare Tips for Scaling & Root Planing
Our dental hygienists will make sure you remain completely comfortable during your procedure, and in most cases, we’ll administer a local anesthetic to help numb the mouth before a deep cleaning.
Following your procedure, it’s normal for your teeth to feel more sensitive and experience bleeding and swelling as your gums heal. It’s important for you to continue practicing good oral hygiene by brushing twice a day with fluoride toothpaste and flossing daily. We may also prescribe an antibiotic or special mouthwash to help keep the infection at bay.
In the first week, you may need to use an over-the-counter pain reliever to help with any discomfort, and it’s best for you to avoid foods that are spicy, overly hot, or crunchy so as to not irritate your gums. If you have any concerns following your procedure, don’t hesitate to reach out to your dentist in Goodlettsville, Dr. McClain.
Antibiotic Treatment

There are several types of prescription antibiotics your dentist may use to help fight bacteria following a root scaling and planing treatment. These include prescription mouthwash, pills, or a treatment called Arestin which is applied directly to the pockets of your gums. Your dentist will discuss your options at the time of your treatment.
If the dentist doesn’t offer Arestin, they likely prescribe a prescription mouthwash or pill that is designed to minimize bacteria within the mouth. Typically, this is often prescribed in combination with other treatments, like scaling and root planing.
Laser Periodontal Treatment

A soft tissue laser can be used during the scaling and root planing or Chao Pinhole procedure to help kill bacteria and remove severely damaged gum tissue and leaving behind healthy tissue. Laster therapy minimizes bleeding and eliminates the need for sutures and a scalpel, which creates a much more comfortable treatment and recovery.
Chao Pinhole Technique

The Chao Pinhole Technique is less invasive than a gum graft. It works by creating tiny pinholes in the gums to allow your dentist to gently massage and stretch your gums back over the roots of your teeth to protect them. There is typically no need for incisions or sutures with this procedure.