Periodontal Therapy (aka Scaling and Root Planing aka “Deep Cleanings”) is required when the supporting bone and tissue around teeth are unhealthy. Usually, there is a presence of calculus buildup beneath the gums. Calculus is formed by bacteria; however, the bacteria in periodontal disease are not commonly found in a healthy mouth. This particular type of bacteria has been linked to heart disease, diabetes type II, preterm/low birth weight babies, and erectile dysfunction. Periodontal disease is a communicable disease. Therapy involves seeing our hygienist for frequent care every 3 months to help keep the bacteria levels low and allow the gums and bone to heal. We will also place antibiotics in localized areas that are not healing. If the patient’s tissues are not responding favorably to treatment, he/she is referred to our periodontist for further evaluation and treatment. Patients who opt out of doing periodontal therapy are at a high risk of losing their teeth.