Request Request an Appointment Forms Complete Our Forms Find Us Like Us on Facebook Reviews Leave a Google Review Call Map

Periodontal Therapy

Woman with flawless smile

For many people, bleeding gums are just a normal part of their brushing and flossing routine, but in truth, this is a sign that they could be suffering from an oral infection known as periodontal disease. Red, swollen, and bleeding gums are common early symptoms, but it can eventually lead to tooth loss! To help patients dealing with this problem, Dr. Danice Nelsen Couch is ready to provide comprehensive periodontal therapy right here in Plano. If any of the symptoms we listed above sound familiar, be sure to give us a call today so you can get the treatment you need!


Animation of patient receiving Arestin antibiotic treatment

This is a topical antibiotic that is typically applied after a special periodontal cleaning (scaling and root planing, more on this below). It is a powder-like substance that is actually made up of thousands of tiny microspheres, each one filled with a powerful antimicrobial agent. When applied to the gums, it will harden and slowly dissolve, helping the medicine reach and kill even the most well-hidden periodontal bacteria below the gum line.

Bone Grafting

Animation of bone graft tissue

In order for a patient to be a qualified candidate for dental implants, they need to have a strong and healthy jawbone. For patient’s who’s jawbone is thin or brittle, a bone graft can be used to build it up. Using either a patient’s own bone or donated tissue, Dr. Danice Nelsen Couch can increase the height and thickness of a patient’s jaw so it is able to safely support implant posts. The procedure itself is relatively painless thanks to local anesthesia, and it can typically be completed in just one appointment.

Crown Lengthening

Woman looking at her gum tissue

This procedure can be used in two distinct ways: either to lengthen the appearance of a tooth to create a more balanced smile, or to expose a damaged portion of a tooth that is located below the gum line. It can also be used to elongate a tooth so it is able to better fit a restoration such as a crown or porcelain veneer. Dr. Danice Nelsen Couch will numb the gums near the tooth, expose the underlying bone, and then remove a small amount of bone to reveal more of the tooth’s natural crown.

Periodontal Splinting

Closeup of healthy teeth and gums

The teeth can become unstable due to a number of reasons, ranging from severe periodontal disease to dental trauma. To help stabilize them, Dr. Danice Nelsen Couch can provide what is called a periodontal splint, in which she’ll basically hold the teeth in place by attaching a Kevlar-like ribbon to them. Once this is in place, she’ll cover the ribbon and check a patient’s bite. This initial splint may also be bonded to another wire or even a metal plate to help provide even more security for the teeth.

Osseous Grafting

Dentist treating patient

After a tooth has been lost or extracted, the surrounding bone that comprises the socket can be very brittle and prone to atrophy, which can endanger a patient’s ability to get a replacement tooth such as a dental implant. To help strengthen this bone, Dr. Danice Nelsen Couch can use what is called an osseous graft. With bone from a patient’s own body, donated tissue, or a lab-made grafting material, she can place it on the socket bone to help encourage new growth in the area. Eventually, it will be strong enough to reliably support a dental restoration.

Cosmetic Periodontal Surgery

Closeup of beautiful smile

Many patients are self-conscious about an uneven or overbearing gum line that causes their teeth to appear too short or stubby for their face, but thankfully, Dr. Danice Nelsen Couch can take care of this issue in as little as one appointment. Using a soft tissue laser, she can quickly and painlessly remove excess tissue to expose beautiful, previously hidden dental structure underneath. She can then shape the gum line to give a patient that perfectly proportioned look they desire.

Scaling & Root Planing

Older woman in dental chair looking at smile in mirror

During the initial stages of periodontal disease, we can often get the infection under control using a scaling and root planing treatment, which is basically a dental cleaning that focuses solely on the gums and roots of the teeth. For scaling, a member of our team will use an ultrasonic cleaner to remove plaque and tartar buildup from around the gum line, and then root planing will be used to gently smooth out the rough surfaces of the teeth’s roots. This will make plaque less likely to gather on them in the future, lowering a patient’s chances of redeveloping gum disease.