Your gums are the foundation of your smile, and when they’re compromised, your entire oral health is at risk. Dr. Chiara Combs DDS and the team at Ideal Smiles Family Dentistry understand that gum disease affects millions of people, often without obvious symptoms until it progresses. We offer comprehensive periodontal therapy and custom oral appliances designed to protect your gums, treat disease, and address conditions that impact your overall health and quality of life.
Periodontal Therapy/Oral Appliances
Understanding Periodontal Therapy/Oral Appliances
Periodontal therapy encompasses specialized treatments that target gum disease and the structures supporting your teeth. When bacteria accumulate below the gum line, they trigger inflammation that can destroy the bone and tissue holding your teeth in place. Without intervention, this progression leads to tooth loss and has been linked to serious health conditions including heart disease and diabetes.
Oral appliances complement periodontal care by providing non-invasive solutions for various conditions. These custom-fitted devices protect your teeth from grinding, support healing after periodontal treatment, and can even address sleep-related breathing disorders that affect your overall wellness. Together, these approaches give you powerful tools to maintain healthy gums and protect your smile for years to come.

Periodontal Therapy/Oral Appliances Services We Offer
We provide tailored solutions that address your specific needs, whether you’re managing active gum disease or seeking preventive protection. Our comprehensive approach combines clinical expertise with personalized care to deliver results that last.
Periodontal Therapy
Deep cleaning procedures remove harmful bacteria and calculus from below your gum line where regular brushing can’t reach. We use gentle techniques to clean tooth roots and eliminate infection while your comfort remains our priority. This treatment halts disease progression and gives your gums the opportunity to heal and reattach to your teeth, preventing further damage and bone loss.
Oral Appliances
Custom-fabricated devices fit your mouth precisely to address grinding, clenching, or sleep-related breathing issues. Each appliance is designed specifically for your dental anatomy, ensuring maximum effectiveness and comfort during wear. For patients dealing with nighttime grinding or sleep quality issues, these appliances provide simple solutions without surgery or invasive procedures.
Our Treatment Process for Periodontal Therapy/Oral Appliances
Comprehensive Gum Health Assessment
During your first visit, we perform a thorough examination of your gums, measuring pocket depths and assessing bone levels around each tooth. Dr. Chiara Combs DDS reviews your medical history and any symptoms you’ve experienced, from bleeding gums to difficulty sleeping. We use digital imaging when needed to see beneath the surface and identify areas requiring attention, giving us a complete picture of your oral health status.
Designing Your Periodontal Treatment Strategy
Your unique needs determine which therapies will be most effective for restoring and maintaining your gum health. We explain each recommended procedure in clear terms, discussing what you can expect during treatment and the timeline for achieving your goals. Your plan may include deep cleaning sessions, customized oral appliances, or a combination of approaches designed to address both immediate concerns and long-term prevention.
Performing Your Therapy and Appliance Fitting
Dr. Chiara Combs DDS and our skilled team perform your periodontal therapy with precision and care, ensuring your comfort throughout the process. For oral appliances, we take detailed impressions of your teeth to create devices that fit perfectly and function effectively. Each step is completed with attention to detail, and we check in with you regularly to make sure you’re comfortable and informed about your progress.
Home Care Instructions for Lasting Results
Successful treatment extends beyond our office when you follow proper home care routines that support healing. We teach you effective brushing and flossing techniques specifically for maintaining healthy gums between visits. If you receive an oral appliance, we provide clear instructions for cleaning and storing your device to ensure it continues working properly and lasts for years.
Monitoring Your Progress and Adjustments
Regular monitoring appointments allow us to track your healing progress and catch any potential issues before they become problems. We measure your gum pocket depths again to confirm improvement and make adjustments to your oral appliance if needed for optimal fit and function. These check-ins give you ongoing support and peace of mind that your gum health is moving in the right direction.
Why Choose Us for Periodontal Therapy/Oral Appliances
At Ideal Smiles Family Dentistry, we combine clinical expertise with genuine care for your wellbeing. Dr. Chiara Combs DDS stays current with the latest techniques in periodontal care and oral appliance therapy, including her affiliation with the American Academy of Sleep Medicine, which enhances our ability to address sleep-related concerns. We take time to understand your specific situation, concerns, and goals, creating treatment plans that fit your life and address the root causes of your condition.
Our commitment to your comfort means we use gentle techniques and modern technology to make your experience as pleasant as possible. We believe informed patients achieve the best results, so we explain everything clearly and answer all your questions without rushing. When you trust us with your periodontal health, you’re choosing a team that views you as a partner in achieving and maintaining optimal oral wellness.


Restore Your Gum Health and Protect Your Smile
Healthy gums form the foundation for a confident, functional smile that enhances your quality of life. Whether you’re dealing with active periodontal disease or seeking preventive solutions with oral appliances, taking action now prevents more serious complications later. Dr. Chiara Combs DDS and our entire team at Ideal Smiles Family Dentistry are ready to help you achieve the healthy, comfortable mouth you deserve with personalized care that addresses your unique needs.
Contact us today to schedule your consultation and discover how periodontal therapy and custom oral appliances can transform your oral health. Locate our practice easily with a simple Google Maps search. Follow us on Facebook and Instagram to stay informed about our services and get helpful tips that support your journey to better dental wellness. Your healthier smile starts with a simple phone call—reach out to 713-270-9926 now and let us show you what exceptional periodontal care feels like.
FAQs
What is periodontal therapy?
Periodontal therapy refers to specialized dental treatments that target gum disease and the supporting structures of your teeth. These procedures remove bacteria, tartar, and infected tissue from below the gum line where regular cleaning can’t reach. The goal is to stop disease progression, eliminate infection, and help your gums heal so they can properly support your teeth again.
How is dental prophylaxis different from periodontal therapy?
A dental prophylaxis is a standard cleaning that removes plaque and tartar from above the gum line and is typically performed every six months for maintenance. Periodontal therapy involves deeper cleaning techniques that address bacteria and calculus below the gum line in pockets created by gum disease. While prophylaxis prevents disease in healthy mouths, periodontal therapy actively treats existing gum disease and requires specialized techniques and instruments.
Is periodontal therapy necessary?
Yes, periodontal therapy is necessary when you have gum disease because the condition won’t resolve on its own and will worsen without treatment. Untreated gum disease leads to bone loss, tooth loss, and has been linked to serious health conditions like heart disease and diabetes. The therapy stops disease progression, eliminates infection, and gives your gums the chance to heal, preventing more extensive and costly dental problems in the future.
What are oral appliances?
Oral appliances are custom-made devices that fit in your mouth to address specific dental or medical conditions. These appliances can protect your teeth from grinding and clenching, support healing after dental procedures, or help with sleep-related breathing disorders. Each device is fabricated specifically for your mouth using detailed impressions, ensuring a comfortable fit and effective function for your particular needs.
How can oral appliances help with sleep apnea?
Oral appliances designed for sleep apnea work by repositioning your lower jaw slightly forward, which keeps your airway open during sleep. This forward positioning prevents the soft tissues in your throat from collapsing and blocking airflow, allowing you to breathe normally throughout the night. These devices offer a comfortable, non-invasive alternative to CPAP machines for many patients with mild to moderate sleep apnea.


