Periodontics

General Dentistry, Orthodontics & Children's Dentistry in Columbia, MO 

What is Periodontics?

We emphasize the importance of periodontal care to prevent gum disease for our patients. Periodontal disease ranges from a mild inflammation of the gum tissues to periodontitis, a major oral disease that can result in soft tissue and bone damage and even tooth loss.  Our Dentists have the training and experience to diagnose and treat every stage of periodontal disease.

Diagnosing Periodontal Disease

Periodontal disease is diagnosed by our dentist or hygienist through a series of tests. First, we will check the depth of the gum pockets between your teeth and gums. Next, we will check for inflammation, bleeding, loose teeth, and bone loss. Based on our findings, we will determine the stage of your periodontal disease and recommend your treatment.

Stages of Periodontal Disease

Gingivitis: the first stage of periodontal disease, characterized by inflamed, tender, bleeding gums, and plaque build-up.

Periodontitis: the second stage of periodontal disease, characterized by plaque hardening into calculus (tartar), gum recession, deepening gum pockets, and early stages of bone loss.

Advanced Periodontitis: the final stage of periodontal disease, characterized by destruction of gums, bone, and ligament tissues, loosening and loss of teeth, and more severe bone loss.

Periodontics

Treatment Of Periodontal Disease

Periodontal disease cannot be fully cured at this time. However, there are a variety of treatment options available. To recommend your particular treatment plan, we will start by employing conservative treatments based on your current stage of periodontal disease. We will follow up with you regularly during treatment to determine whether to continue with your current plan, advance to more aggressive treatment options, or shift into the maintenance care phase of treatment.

Conservative treatment for periodontal disease includes several options:

  • Deep cleaning or planing to remove plaque and calculus from your teeth
  • Prescription mouth rinse to chemically treat the bacterial infection
  • Over-the-counter fluoride treatment to help prevent tooth decay
  • Certain toothpastes may assist in disrupting bacteria in the mouth

More aggressive therapy includes surgical options, such as:

  • Pocket reduction to reduce the depth of gum pockets
  • Bone grafting or bone regeneration to help restore lost bone tissue
  • Gum grafting to make thinning gums more resistant to infection or to cover exposed teeth roots

Once periodontal disease treatment has successfully completed, we will shift your treatment to a maintenance care stage to ensure the disease does not recur or progress further.

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What Patients Are Saying!

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Zhenwei Song
11 September 2026
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I have been a patient of Dr. Richard Deppe for the past several years, and he has taken great care of my teeth. I really appreciate that there is no over-treatment, everything is explained clearly, and the price is very reasonable. Any problems I have had always fixed properly. I love this dental group, it is truly a life-improving place!
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Ursula Penrod
11 September 2026
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The staff is very nice and helpful
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Paula Hoornaert
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Such a pleasant group of people
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Jillian Davis
10 September 2026
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Best dentist office ever!!!! Dr Fossatti did my fillings yesterday and it went probably as well as fillings could go. Marcelo, a hygienist, and Debbie are also wonderful. They are also always on time, which is really hard to find in a doctor's office!!! Will always recommend this office.
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Judith Henley
10 September 2026
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Absolutely love this dental office & staff! Professionalism personified! They truly can’t improve upon perfection!
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Demitri Bond
5 September 2026
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Good Experience, Overall Quality Dentist office.
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M Higgins
5 September 2026
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Plaza Dental is the best! I’m always happy and extremely satisfied with their dental cleaning, procedures, professionalism, and kindness!
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Darcey Walker
4 September 2026
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A great group of people…. From the receptionists, to my dental hygienist, along with my dentist…..Highly recommend them!
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Alicia bishop
3 September 2026
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Very nice people and the dentist does a great job! Very happy with what I’ve had done so far!
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Scott Overy
2 September 2026
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Ive had the best experience with plaza dental that a person could ask for. Everyone that i have dealt with has been very professional, curtious & caring . Im glad my daughter referred me to them !!!!
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Molly Kurth
2 September 2026
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Exceptional staffing service. Highly recommend!
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Stefan Dantzler
2 September 2026
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Very friendly staff and good vibes all around
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Derrick
1 September 2026
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Great Dentist Office Friendly Staff 😊.
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Glenda Acton
1 September 2026
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Debbie was very helpful and considerate of my situation. Shout out to Heather for her exceptional button handling!!
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1 September 2026
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Always awesome!