Non-Surgical Periodontal Therapy

Periodontal disease, or Periodontitis is an infection caused by bacteria which are present in the oral cavity, and which adhere to the teeth.  Over time, if not removed, this bacterial plaque tends to harden or calcify and become tarter, or calculus.  The presence of bacterial plaque and calculus, if unchecked, will cause redness and swelling of the gum tissue surrounding the teeth.  This is called gingivitis, and gingivitis is easily reversed, by professional debridement and good home care by the patient.

If plaque and calculus remain on the tooth surface, and inflammation is not addressed, loss of the bone which supports the teeth will occur.  This is evident on radiographs, and by increased probing depths, bleeding upon probing and often purulence or pus emanating from the tissues surrounding the teeth.  Periodontitis is generally not painful, and often the first manifestation is inflammation, and if allowed to progress untreated, it can lead to mobility of the teeth, and in advanced cases, loss of teeth.

The first step of periodontal treatment is debridement of plaque and calculus.  This is accomplished by a thorough professional cleaning of the teeth, either by a registered dental hygienist, a dentist, or a periodontist.  This procedure is called scaling and root planing, and is often performed with local anesthesia.  Generally treatment is rendered on one side of the mouth and the second side is treated later.

Depending upon the severity of the periodontal disease, scaling and root planing may result in complete resolution, or further, surgical periodontal therapy may be necessary to establish a state of periodontal health.  One of the most important aspects of periodontal therapy is the establishment of a meticulous home care regimen by the patient.  Studies have shown that periodontal therapy in the absence of good home care will almost always, fail.

Appropriate home care means brushing, flossing and rinsing with an antibacterial mouthwash twice a day.  Doctor Bouffard and his staff will recommend an appropriate home care regimen, including specific toothbrush, floss and mouthwash recommendations following your initial consultation, based upon many factors.  You may be prescribed medication or prescription mouthwashes or other medications to further assist you in your quest to achieve periodontal health.  A list of these medications and links for further information is included in the links section of this webpage.

Four Convenient Locations for Periodontal Therapy, Dental Implant Surgery and Third Molar Extraction

South River Periodontics
Annapolis Location

104 Forbes St, Suite 204,
Annapolis, MD 21401
(410) 295-1000

Providing Care
For the Communities of:

Annapolis, Admiral Heights, Naval Academy,
West Annapolis, Eastport, Severna Park, Maryland's Eastern Shore, and surrounding communities.

Meet Our Team

South River Periodontics
Barrington Location

310 Maple Ave, Suite 107,
Barrington, RI 02806
(401) 247-2200

Barrington Rhode Island (Maple Avenue Family Dentistry)

Proudly Serving patients in Barrington, Warren, Bristol, East Providence and Southeastern Massachusetts.

Meet Our Team

South River Periodontics
Marriottsville Location

2600 Longstone Ln, Suite 101,
Marriottsville, MD 21104
(410) 442-0103

Marriottsville (Revive Dental)

Proudly serving patients in Ellicott City, Frederick Sykesville and Western Maryland

Meet Our Team

South River Periodontics
Rockville Location

9850 Key West Ave,
Rockville, MD 20850
(301) 838-9300

Rockville (Rockville Smile Design)

Convenient to the I-70 corridor from Washington DC, and Northern Virginia through the Washington DC Suburbs in Maryland and Frederick

Meet Our Team
  • American Board of Periodontology
  • Academy of Osseointegration
  • The Capital


See What Our Patients Are Saying

I have been going to South River Periodontics for years. I can't say enough about Dr. Robert Bouffard, DDS. His expertise and chair-side manner are positively beyond compare. I actually enjoy going to the dentist! If you're searching for a fabulous dentist who takes the time to actually get to know his patients and provides the best in dental treatment, one who will also explain procedures to you and treat you with the utmost respect and care, look no further than Dr. Robert Bouffard!

Linda Lee Annapolis, MD Dental Patient

Dr. Bouffard extracted my son's wisdom teeth when my son was only 13 and did such a fabulous job. He took his time to explain the procedure and put my son at great ease. Now my son needs an implant to replace a tooth lost when he was 9 and there is little anxiety since he trusts Dr. Bouffard so much. We are so happy to have met him at Maple Ave Family Dentistry in Barrington.

Eileen Brady Annapolis, MD Dental Patient

I was referred to Dr. Bouffard six months after hitting my face on the steering wheel in a car accident. Although I had been seen several times for face pain since the accident, it was still unclear about what was going on. Dr. Bouffard listened closely to all my continued troubles and within 5 minutes of meeting me figured out that my upper jaw had actually been dislocated and should’ve been wired shut to heal properly. I was upset but relieved to finally have some answers and a solid plan for treating my pain. Dr. Bouffard worked with one of "his guys" to construct a splint that I wore for several months to provide support and structure for my healing jaw. He has continued to be involved in my healing process, performing two implant surgeries and sending me on to an orthodontist for braces to further strengthen the integrity of my jaw. Two years later, he continues to check in with me and show genuine concern about how I am feeling. I am truly grateful to have been referred to him.

Laura Petersen Annapolis, MD Dental Patient

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104 Forbes St, Suite 204, Annapolis, MD 21401
310 Maple Ave, Suite 107, Barrington, RI 02806
9850 Key West Ave, Rockville, MD 20850
2600 Longstone Ln, Suite 101, Marriottsville, MD 21104