Periodontal Treatments

What Is Laser Periodontal Therapy?

July 19th, 2020

What Is Laser Periodontal Therapy?

What Is Laser Periodontal Therapy?Gum disease is painful, but are you looking for other options to periodontal surgery? Delaware Periodontics is honored that we are the first periodontal practice in the state of Delaware to offer Laser-Assisted New Attachment Procedure (LANAP) for the treatment of gum disease. LANAP is a painless and effective treatment that does not require the use of a scalpel or sutures. We encourage our patients to ask Dr. Klassman about this effective and painless gum disease treatment.

How Does Periodontal Laser Therapy Work?

With the use of highly-accurates lasers, we are able to treat patients with gum disease without the use of surgery. Laser Periodontal Therapy is the very first FDA-approved laser treatment for gum disease. Following your diagnosis of gum disease, Dr. Klassman will schedule a consultation visit to explain how laser therapy works and walk you through the entire treatment. X-rays will be taken to make a definitive diagnosis and determine the severity of the infection. For your first LANAP treatment, you will receive a local anesthetic to eliminate any possible discomfort. A small laser fiber, equivalent to the thickness of three hairs, will then be inserted between the tooth and gum to clear the infection. In just two hours you will be able to get on with the rest of your day.

Why Is Laser Therapy Great?

Laser therapy is the preferred gum disease treatment for these several reasons:

  • No surgical equipment is needed for this procedure
  • Less invasive so the quick recovery time allows you to continue to enjoy your day
  • Less expensive for you and your employer compared to surgery
  • We remove the targeted, infected section of the gum with our highly accurate lasers.

Contact Your Dover & Wilmington, DE Periodontal Office To Learn More!

Would you like to learn more about periodontal laser therapy? Our friendly and knowledgeable team is here to assist you with any and all of your dental needs. We hope to hear from you soon!

What Causes Gum Recession?

September 28th, 2019

What Causes Gum Recession?

Model image of gum recession in a human jaw



What are the gums?

The gums, or gingiva, is thick pink tissue that surrounds the base of the tooth. The gums are attached to the jawbone and when intact the gums cover the neck and root of the tooth. It is bound to the bone and the root surface of the tooth by strong fibers and ligaments. The gum tissue acts as an agent to protect the bone bacteria that can cause infections and inflammation that destroys this bone. 

What Does Receding Gums Mean?

Gum recession, or gingival recession, is when the protective gum tissue surrounding the teeth starts to wear away and lowers its resting position on the tooth. Gum recession is harmful to the tooth because it leaves the tooth exposed to food debris leaving it vulnerable to tooth decay.

 Causes of Gum Wear:

There are several factors that could be contributing to a receding gum line. Some are inherited and some may be physical reasons:


  • Periodontal diseases: Periodontal (gum) disease is caused by an infection from the bacteria that live in the plaque in between your teeth. Gum disease causes destruction to the bones and gum tissues that anchor your teeth. This weakens the gums ability to hold onto your teeth. As time goes on this can cause serious causes of recession


  • Aggressive- Brushing & Flossing: If you are brushing or flossing your teeth with too aggressive of force or if you are using a toothbrush that has too hard of bristles, you can physically cause the weakening of your gums. We recommend using a soft-bristle toothbrush and to be cautious of how much pressure you are applying when brushing or flossing.


  • Poor Dental Hygiene: Though over-brushing can physically cause the receding of gums, neglecting to brush or floss your teeth can also lead to gum recession. Slacking in your daily dental hygiene practices can cause plaque to build up and to turn into tartar. Tartar is a hard substance that discolors the teeth and can only be removed by a professional dental cleaning. 


  • Clenching or Grinding Teeth: These habits put a lot of pressure on your teeth which can result in the receding of gums 
  • Position of the Teeth: When teeth overcrowd each other or do not align, gums are left more vulnerable & too much pressure can be placed on the gums or bones.
  • Genetics: Unfortunately, weak or thin gums can be passed through your family genes. It’s important to be aware of your family history to take extra good care of your gums.


  • Smoking & Tobacco Usage: Those who smoke and use tobacco products increase their risk of receding gums. 


  • Lip & Tongue Piercings: Piercings on the lip or tongue have direct contact with the gums, the act of jewelry rubbing & irritating the gums can cause gum recession. 

The Dangers & Health Risks Of A Receding Gum Line

When gum recessions occur, the root of the tooth becomes exposed to tooth decay and other serious problems. The root of a tooth does not have a layer of enamel to protect it. Enamel is a thin layer that protects the tooth from discoloration and the bacteria that causes tooth decay. In addition to this, gums play a vital role in keeping your teeth stabilized. Receding gum lines can also increase the risk of tooth loss, which ultimately affects the surrounding teeth as well. Healthy gums are essential for a healthy mouth. Receding gums are not only a problem cosmetically but they lead to a lot of problems if left untreated.


Depending on how your condition is diagnosed there are a variety of ways to get treated. Here at Delaware Periodontics, Dr. Bradford Klassman performs The Chao Pinhole® Surgical Technique (PST®), invented and patented by John Chao, D.D.S., is a scalpel-free, suture-free procedure for treating gum recession.

 Contact Your Local Dover, De Periodontics Today!

Conveniently located in the greater Wilmington and Dover area, and easily accessible to surrounding areas. Delaware Periodontics offers quality treatments in periodontics and dental implantology. Our office is welcoming and relaxing, with convenient hours of operation and a friendly office environment.

Please contact us at (302) 658-7871 if you would like to schedule an appointment and find out more about the Pinhole® Surgical Technique!

Pinhole Gum Rejuvenation™ FAQ

January 10th, 2019

Expert Dental & Periodontal Care in Wilmington, DE

At Delaware Periodontics, we believe everyone deserves a healthy, beautiful smile. That’s why we’re committed to helping patients throughout Wilmington and Dover, DE achieve optimal oral health through a variety of dental and periodontal services, including Pinhole Gum Rejuvenation. For those patients who are experiencing gum recession, our experts here at Delaware Periodontics are pleased to offer this procedure to treat and restore the gums. Find out more about this procedure by reading through our frequently asked questions below!

Q: What is gum recession?

A: Gum recession refers to the loss of gum tissue along the gumline. This can occur as a result of periodontal disease (gingivitis, periodontitis, advanced periodontitis), the natural aging process, or abrasive habits when it comes to brushing the teeth.

Q: Why should gum recession be taken seriously?

A: When gum recession occurs, the root structure of the tooth becomes exposed. This means that tooth decay and other problems can affect the teeth along the gumline and beneath it. Since healthy gums are essential for a healthy mouth, getting gum recession treated is important for lasting dental wellness.

Q: What is Chao Pinhole® Surgical Technique?

A: The Chao Pinhole® Surgical Technique is a minimally invasive option for treating gum recession. Unlike traditional grafting techniques, PST is scalpel and suture-free.

All of the tools and techniques used to perform the Chao Pinhole® Surgical Technique were created by Dr. John Chao.

Q: How does Chao Pinhole® Surgical Technique differ from traditional gum grafting?

A: Traditional gum recession treatments involve the use of donor tissue or soft tissue grafts in order to rebuild the gumline. This soft tissue would be sutured in place and would join with existing gum tissue as it healed. While this traditional grafting treatment is effective, comparable results with better patient experience can be achieved through the Chao Pinhole® Surgical Technique.

Q: How is Chao Pinhole® Surgical Technique performed?

A: During the Chao Pinhole® Surgical Technique, a needle is used to make a small hole in the patient's existing gum tissue. Through this pinhole, special instruments are used to gently loosen the gum tissue. These tools help expand and slide the gumline to cover the exposed root structure. There are no grafts, no sutures, and no incisions needed with the Chao Pinhole® Surgical Technique. It simply involves the adjustment of the existing tissue.

Q: What are the benefits of Chao Pinhole® Surgical Technique?

A: The benefits of the Chao Pinhole® Surgical Technique are many:

  • Less Discomfort for the patient after treatment.
  • Faster recovery for the patient than traditional grafting.
  • No need for uncomfortable sutures.
  • No need for scalpels or invasive surgical tools.
  • No need to take donor tissue from the patient's palate.
  • Excellent, natural-looking, long-lasting results.

Contact Your Dover, DE Periodontist!

Here at Delaware Periodontics, we are dedicated to helping patients throughout Wilmington, Dover, and the surrounding areas achieve healthy teeth and gums for a gorgeous smile that will last a lifetime. If you’re ready to take the next step toward your healthiest smile, we’d be thrilled to help! If you are interested in learning more about how Pinhole Gum Rejuvenation can treat recessive gums, or have any questions related to this procedure, our office, or any of our other services, we welcome you to give us a call at (302) 658-7871 or book an appointment now. We can’t wait to help you maintain optimal oral health!

Repair and Prevent Gum Recession with Pinhole Gum Rejuvenation

June 12th, 2017

When you think about visiting the dentist for regular checkups, you’re probably most concerned about getting your teeth cleaned, fluoride treatments and making sure you don’t have cavities. While all this concern for your teeth is warranted, you’ll find that taking care of your gums is just as important as taking care of your teeth. If you’ve noticed your gums receding, or have developed sensitive teeth, there’s a breakthrough gum recession treatment called Pinhole Gum Rejuvenation that can treat these issues seamlessly.

What is Pinhole Gum Rejuvenation?

female patient and periodontist

Back in the day, painful gum grafting surgery used to be the only treatment for receding gums. With Pinhole Gum Rejuvenation, patients can experience a non-invasive procedure that can repair your receding gums and keep them from receding again without a scalpel or sutures. Dr. John Chao, D.D.S., developed the procedure and he has since trained hundreds of doctors throughout the world to perform the technique, including Dr. Bradford Kassman, of Delaware Periodontics in Wilmington, DE.

The procedure works by making small pinholes with a needle into your gum tissue. Then, using a specially-designed utensil, Dr. Klassman loosens the gums from your teeth and massages them down back over the tooth where they belong. To sustain the new gum placement, he inserts collagen strips between the teeth to stabilize the gums and keep the gums from returning to their original position. Most patients have minimal or no side effects from the procedure and recovery time is usually less than a day.

Advantages of Pinhole Gum Rejuvenation

Pinhole Gum Rejuvenation has become the most popular gum recession treatment, being featured in hundreds of news stories around the world. Before this procedure, the only treatment for gum recession was to graft new gums from the roof of your mouth - a slow process that was painful and took up to three weeks of recovery. It’s easy to see why Pinhole Gum Rejuvenation has become the top choice for treating gum recession, as its other advantages include:

  • No skin grafting surgery
  • No scalpel or sutures needed
  • Treatment of 10-14 teeth in just one visit
  • It only takes 20 minutes to fix up to 3 teeth; only one to two hours total
  • Recovery is usually only a day
  • Risk of treatment is no higher than the traditional method
  • Costs for Pinhole Gum Rejuvenation are about the same as the traditional method

Many patients know they have receding gums and may have even been referred to a periodontist, but were scared off by the thought of grafting skin from the roof of their mouth to restore their gums. With Pinhole Gum Rejuvenation, patients can get the minimally invasive treatment option they want with results that can last a lifetime!

Call Your Wilmington Periodontist Today For More Information!

To find out if you’re a candidate Pinhole Gum Rejuvenation call our office at (302) 658-7871 or schedule an appointment online. Dr. Klassman will be happy to answer all of your questions about the procedure, gum recession or anything else. Don’t wait until more problems occur because of your receding gums! We look forward to seeing you soon!

3 Key Benefits of Periodontal Therapy

May 23rd, 2017

Periodontal therapy is a great way to restore both the appearance and function of problematic teeth and gums. The deep dental cleaning can often help decrease pain and discomfort while ultimately correcting and preventing future dental issues that can worsen over the time. At Delaware Periodontics, we specialize in a variety of periodontal services, like Periodontal Therapy, and Dr. Klassman will work with you to create a personalized treatment plan that meets your needs.

To help patients in the greater Wilmington and Dover, DE area determine if this treatment is right for them, we have pulled together the 3 key benefits of periodontal therapy. Find out what they are below!

1. Deep Cleaning

Periodontal surgery provides an intensive clean that helps break down bacteria and restore healthy teeth and gums. Pockets of bacteria can cling to teeth in hard to reach places, but this deep clean breaks down the bacteria and helps prevent further damage. However, it’s up to you to prevent bacteria buildup from being a culprit again, by practicing strong oral hygiene at home.

2. Prevents Disease

Periodontal therapy can prevent further gum and tooth disease from occurring, and is a great treatment to consider prior to getting dental implants. Once your teeth have been thoroughly cleaned and the bacterial infection has subsided, additional treatments can begin to give you the beautiful smile you’ve always wanted.

3. Restores Function

Often, periodontal therapy helps restore functionality to problematic areas of the mouth by strengthening teeth and gums. Overall restored oral health diminishes severe and uncomfortable pain that can keep your mouth from functioning properly. Once the bacteria has been successfully removed, you’ll no longer experience swollen or painful gums.

If you’ve been unable to enjoy your favorite foods due to mouth and jaw pain, you’ll be able to after treatment.

Contact Your Local Periodontist Today

Still not sure if periodontal therapy is right for you? Delaware Periodontics’ knowledgeable staff led by Dr. Klassman are happy to answer any questions you may have. We’re proud to serve Wilmington, Dover and the surrounding New Castle community. If you have any questions or would like to schedule an appointment at our Wilmington, DE office, we can be reached during normal business hours at (302) 658-7871.

Saving Teeth vs. Dental Implants

April 19th, 2017

senior woman in dentist office

Even though many people take their teeth for granted, they do a ton of hard work for our bodies. They tear, bite and chew food while withstanding constant acid and harmful plaque attacks. Because teeth are critical for everyday functions, it’s important to keep your teeth healthy so they last a lifetime. However, it’s not always an easy thing to do as there are many factors that can compromise the health of our teeth like decay, trauma or loss of supporting bone resulting from periodontal disease.

If you’re struggling with unhealthy teeth, you may be wondering if you should invest in dental treatment to save those teeth or have those teeth replaced with dental implants instead. In the past, when dental implants were not available, this decision was easy. With all the dental and periodontal options available today, making the right choice is much more difficult.

Root Canal Therapy

Root canal therapy is an effective procedure used to retain teeth that are severely decayed, or have structural issues that affect the pulp inside the teeth. This procedure involves removing the diseased or dead pulp tissue inside the tooth via a small opening made in the tooth’s surface. Then, the canals inside the tooth are cleaned and disinfected. To complete the procedure, a crown is placed on top of the tooth to restore its normal appearance and function.
The problem with this dental treatment is that not all teeth saved by root canals last forever. Additional treatment may be necessary for many reasons including:

  • Recurrent decay
  • Root canal reinfection
  • A failed or fractured restoration
  • A tooth root fracture

Instead of retreating an already compromised tooth, it is often recommended to replace that tooth with a dental implant. Factors that should be taken into consideration include the patient’s overall oral and general health and the extent of the work needed to retreat the tooth. If the tooth needs to be “disassembled” in order to retreat and save it, the cost of the required dental work may necessitate considering dental implants instead.

Dental Implants to the Rescue!

Dental implants can be used to replace single or multiple teeth or even all the teeth in the upper or lower jaws. They offer a variety of benefits, such as:

  • Long-lasting
  • Look and function like natural teeth
  • Not subject to tooth decay
  • The only tooth replacement option that maintains the integrity of the jawbone
  • A way to replace teeth that don’t  require adjacent teeth be used for support

For more information about dental implants, feel free to contact our office.

Visit Your Dover Periodontist

If you would like to find out if dental implants are right for you, please contact our office at (302) 658-7871 or schedule an appointment with us today. Dr. Klassman is a periodontist that specializes in the prevention, diagnosis and treatment of periodontal disease the the placement of dental implants. During your appointment, Dr. Klassman will provide you with a thorough examination followed by a discussion of his findings and your potential treatment options which may include dental implants. We look forward to seeing you soon!