Dr. Sheinkman believes in conservative approach when treating periodontal disease. This approach is based on more than 25 years of experience and the fact that human body has considerable resiliency and ability to heal and regenerate tissues. To be successful, it requires early diagnosis and treatment, as well as patient compliance. Dr Sheinkman successfully integrated Er-Yag and CO2 Lasers for the treatment of periodontal disease. Those lasers have shown to have bactericidal, anti-inflammatory, haemostatic as well as anesthetic effect on the gum tissues. As a result the healing time is reduced and prognosis is considerably improved. Most of the people that received Laser treatment reported minimal or no post operative pain. In addition to some conventional methods of treatment, Dr. Sheinkman incorporates Arestin with very good results. ARESTIN® (minocycline HCl) is a sustained release, locally applied antibiotic that targets the red complex bacteria underlying the active, persistent infection of periodontal disease. Dr. Sheinkman adds ARESTIN® (minocycline HCl) to SRP(Scaling Root Planing), his patients receive the benefits of comprehensive treatment that’s superior to scaling and root planing alone.

Periodontal Disease:

If you have been told you have periodontal (gum) disease(Periodontitis), you’re not alone. An estimated 80 percent of American adults currently have some form of the disease.

Periodontal diseases range from simple gum inflammation to serious disease that results in major damage to the soft tissue and bone that support the teeth. In the worst cases, teeth are lost.

Gum disease is a threat to your oral health. Research is also pointing to possible health effects of periodontal diseases that go well beyond your mouth (more about this later). Whether it is stopped, slowed or gets worse depends a great deal on how well you care for your teeth and gums every day, from this point forward.


What causes Periodontal Disease?


Our mouths are full of bacteria. These bacteria, along with mucus and other particles, constantly form a sticky, colorless “plaque” on teeth. Brushing and flossing help get rid of plaque. Plaque that is not removed can harden and form bacteria-harboring “tartar” that brushing doesn’t clean. Only a professional cleaning by a dentist or dental hygienist can remove tartar.


There are considered 4 stages of periodontal disease.


One patient can have symptoms of different stages of the disease in different parts of the mouth. The disease can affect a few teeth or most of the teeth. Symptoms of the periodontal disease at early stages can be hidden, ’silent’ and the patient could be not even aware about the problem. That’s why it is very important to be diagnosed early, at the onset of disease. The prognosis is considerably better at the onset of the disease.

Stage one



The longer plaque and tartar are on teeth, the more harmful they become. The bacteria cause inflammation of the gums that is called “gingivitis.” In gingivitis, the gums become red, swollen and can bleed easily. Gingivitis is a mild form of gum disease that can usually be reversed with daily brushing and flossing, and regular cleaning by a dentist or dental hygienist. This form of gum disease does not include any loss of bone and tissue that hold teeth in place.

Stage two

-Early Periodontitis.

Early Periodontitis

When gingivitis is not treated, it can advance to “periodontitis” (which means “inflammation around the tooth.”) In periodontitis, gums pull away from the teeth and form “pockets” that are infected. The body’s immune system fights the bacteria as the plaque spreads and grows below the gum line. Bacterial toxins and the body’s enzymes fighting the infection actually start to break down the bone and connective tissue that hold teeth in place. The bone loss is not yet severe. The conservative treatment, such as Scaling Root Planning(deep cleaning) and Laser treatment can be effective in slowing down the bone loss and stimulate periodontal tissue repair. Proper home care by the patient is essential in success of the treatment process.

Stage three

-Moderate periodontitis.

Moderate Periodontitis


If not treated, the bones, gums, and connective tissue that support the teeth are destroyed.

The bone loss becomes more severe and some mobility of the teeth can be present. Bleeding gums is very common at this stage.

The treatment at this stage may require periodontal surgery. Laser treatment showed to be very beneficial and effective. But the bone, gums and connective tissues are compromised.

Stage four

-Advanced periodontitis.

Advanced Periodontitis

The bone loss is severe and there is no root support. At this stage the teeth are beyond repair. They may eventually become loose and have to be removed.


Risk Factors.


Smoking. Need another reason to quit smoking? Smoking is one of the most significant risk factors associated with the development of periodontitis. Additionally, smoking can lower the chances of success of some treatments

Hormonal changes in girls/women. These changes can make gums more sensitive and make it easier for gingivitis to develop

Diabetes. People with diabetes are at higher risk for developing infections, including periodontal disease

Stress. Research shows that stress can make it more difficult for our bodies to fight infection, including periodontal disease

Medications. Some drugs, such as antidepressants and some heart medicines, can affect oral health because they lessen the flow of saliva. (Saliva has a protective effect on teeth and gums.)

Illnesses. Diseases like cancer or AIDS and their treatments can also affect the health of gums

Genetic susceptibility. Some people are more prone to severe periodontal disease than others.