A Diplomate of the American Board of Periodontology is a periodontist that has made significant achievements beyond the mandatory educational requirements of the specialty.

Qualified for Board certification requires:

  • Dental certification that includes college education and dental school competition
  • Periodontal certification following attendance of a three-year program approved by the American Dental Association. Study concentration can be on the diagnosis, treatment and prevention of periodontal disease; regeneration of supporting tissues of the teeth and their substitutes; or the maintenance of dental health, function and esthetics.
  • Comprehensive oral and written examinations of all phases of periodontal disease and its treatment, including dental implants.
  • Re-creation of continued competency in periodontics through continuing education and participation in a self-study examination every three years.

Periodontal (gum) diseases, including gingivitis and periodontitis, are serious infections that can lead to tooth loss if left untreated. The word “periodontal” literally means “around the tooth.” Periodontal disease is a chronic bacterial infection that affects the gums and bone supporting the teeth.

Periodontal disease can affect one tooth or many teeth. It begins when the bacteria in plaque (the sticky, colorless film that constantly forms on your teeth) causes the gums to become inflamed.

In the mildest form of the disease, gingivitis, the gums redden, swell and bleed easily. There is usually little or no discomfort. Gingivitis is often caused by inadequate oral hygiene. Gingivitis is reversible with professional treatment and good oral home care.

Untreated gingivitis can advance to periodontitis. With time, plaque can spread and grow below the gum line. Toxins produced by the bacteria in plaque irritate the gums and stimulate a chronic inflammatory response in which the body in essence turns on itself and the tissues and bone that support the teeth are broken down and destroyed. Gums then separate from the teeth, forming pockets (spaces between the teeth and gums) that become infected. As the disease progresses, the pockets deepen and more gum tissue and bone are destroyed. Often, this destructive process has very mild symptoms. Eventually, teeth can become loose and may have to be removed.

Affecting only one tooth or several, these infections get their start from bacteria in plaque, which is the colorless film coating your teeth.

There are several reasons to visit a periodontist including:

  • If you are thinking of becoming pregnant: Pregnant women with periodontal disease have a much higher chance of delivering a low birth weight or premature baby.
  • If you notice any of the signs of periodontal disease including:
  • Red, swollen gums
  • Gums that bleed easily, especially after brushing or flossing
  • Gums that have pulled away from the teeth
  • Persistent bad breath
  • Pus between teeth and gums
  • Loose or separating teeth
  • A change in the way your teeth fit together when you bite
  • If you have a sore or irritation that doesn’t go away within two weeks.
  • If you have a family member with periodontal disease, consider making an appointment. Research suggests that the bacteria that cause periodontal disease are carried in saliva, making transmission between family members very easy.
  • If you have any condition of the heart, diabetes, respiratory illness or osteoporosis. Research shows that these illnesses are linked to periodontal disease. Bacteria in the mouth travel through the bloodstream, threatening your major organs. A healthy mouth means a healthy body!
  • If you don’t like your smile! Periodontists perform cosmetic dental surgery, improving the overall look of your smile.
  • If you are not happy with your current replacement teeth and are considering dental implants as an option.

After taking a detailed dental and medical history, including a review of all medications and supplements you are currently taking, Dr. Tredinick will do a detailed exam of your mouth and may take a set of radiographs to determine the extent of your issues and the current health of the bone underlying your teeth. The exam will include checking the status of your gums, a check of each tooth to determine whether it is loose or not, and assessment of your bite.

Bring all of your dental records from your referring doctor as well as any radiographs. Also, bring all of your insurance information and a list of all medications, including the dosages, you are currently taking.

  • Anyone who has fears and anxiety about dental treatment of any kind
  • Anyone who has put off dental care for years because of dental anxiety
  • Anyone who wants to have all their care prepared in one day
  • Anyone who wants to be treated in a caring, and safe environment

You will have the option to receive our treatment under conscious oral sedation. This is a safe and effective modality we offer to our patients. Dr. Tredinick is certified by Texas State to deliver dental treatment with conscious sedation. This will be done orally with a pill. Intravenous sedation is also an available option.

Our office specializes in performing only periodontal and dental implant-related treatments, allowing us to develop vast experience and knowledge to help with your specific issues. By limiting our treatment to these conditions, we deliver optimal results with the greatest comfort and provide exceptional preventive services to help avoid future need for treatment.

We want you to understand the nature of periodontal disease and will work with you to help you understand and be aware of the medical conditions that periodontal disease leaves you more vulnerable to, including diabetes, stress, smoking, medications or pregnancy. We will definitely take the time necessary to answer any questions you may have.

Dr. Tredinick has received 3 years advanced training in dentistry, medicine, surgery, microbiology, and soft and hard tissue (gum and jawbone) physiology. In addition, she continually updates her knowledge and techniques through a commitment to continuing education. It is her philosophy to help establish and maintain the standard of care for her profession. By seeking the care of a specialist, you are ensuring that you receive the highest standards of treatment in our field of dentistry.

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Patricia shares her experience receiving implants, extractions, and bone replacement.

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