Acute necrotizing ulcerative gingivitis (ANUG) is a rare infectious disease of the gum tissue, affecting <1% of the population. Dentists usually diagnose gingivitis based on: Review of your dental and medical history and conditions that may contribute to your symptoms. 206-230-6632 – Mercer Island; 206-523-8094 – University District; Address; Premier Periodontics provides treatments to address all stages of gum disease, including scaling and root planing for periodontitis. Avoid smoking, which can contribute to gum inflammation and bleeding. To cure gingivitis, treatment means keeping your teeth as clean as possible. They include: Gingivitis: This is the only stage where periodontal disease is reversible. TraumaHealth History Form. 98/Ounce) +. From initial consultations through the procedure process we dedicate our practice to providing the best oral health care available. Food particles build up along the gumline resulting in plaque, which is a filmy. This study examined the microbial diversity and community assembly of oral microbiota in periodontal health and disease and after nonsurgical periodontal treatment. Any other. This common condition affects approximately half of all American adults. When you have decaying or damaged teeth, or have experienced tooth loss, Premier Periodontics offers procedures that can restore your smile. Common symptoms include red, swollen, bleeding gums. It occurs when microbial plaque (bacteria) accumulates on the tooth surface as a result of ineffective tooth brushing. View Profile. Make sure you spend two full minutes (30 seconds per quadrant) to effectively brush your teeth and gums. Ulcers in both the front and back of the mouth. 29 Active ingredients in the other two are chlorhexidine digluconate and triclosan. Four stages of periodontal disease. Receding gums, which can make teeth appear longer. 5), witha ratherlowrange of0. 1001 N Sherman Ave, Madison, Wisconsin 53704, USA. (206) 535-8189. Treatment may involve deep dental cleaning or, in severe cases, surgery. Called the gingivae, these gums are soft tissues that attach to and cover the necks of the teeth (and crowns of unerupted teeth). Tue: 8:00AM - 5:00PM. Kirkland Dentist; Mercer Island Dentist;. gums that have pulled away from your teeth. Skip Navigation. Jessie Zou, a finest general dentist in Kirkland. reduce bacteria. Northpoint Washington is an inpatient rehab facility near Mercer Island, Washington. We are proud to offer best-in-class services to patients throughout the community, including modern treatments like precision laser therapy, digital imaging technology, and more. Dental Care Services offered by Dr. 1 Prompt treatment can reverse its damage. Contact one of our convenient locations in Bellevue, Everett, Kirkland, Mercer Island, Olympia, or Redmond, WA to schedule an appointment to learn more about how cosmetic periodontal treatment can help you to restore your oral health. And persistent bad breath. LEADER’S OFFICES. To address any inflammatory dental disease, routine tooth cleanings and dental x-rays should be conducted under anesthetic. 80. Prevent periodontal disease at Premier Periodontics. With our state-of-the-art facilities in Kirkland, Mercer Island, and University District, we’re committed to transforming smiles and lives. Nurse Practitioner, Family Medicine. 22 miles. To treat the periodontitis stage of gum disease, the specialists at Premier Periodontics may recommend scaling and root planing therapy. As a highly trained specialist, board-certified periodontist Dr. This includes Seattle, the Eastside, and North and South Sound areas. The cost of gum disease treatment will depend on the severity of your condition. Design: MEDLINE search of the English language literature identified primary research reports published on (a) relationships between diabetes and periodontal. Follow these recipes to make your own: Lemongrass Oil Mouthwash. A full service Dental practice that cares about your health needs. Receding gums. Click on the storymap below to learn about: What we are buildingSummary. Treatment of acute necrotizing ulcerative gingivitis (ANUG) begins with a gentle, thorough, professional cleaning done over several days. These plaques irritate the gums and cause the gums to swell, bleed, and hurt. Berge is affiliated with Overlake Hospital Medical Center. These bacteria can form “biofilms” or “plaques. Loose teeth. A large number of studies have looked at the benefit of oil pulling on plaque, numbers of bacteria and. To book an appointment, please call (912) 897-9000. Some cats have ALL their teeth removed, including incisors and canine. 11/13/2023 When you spot bleeding after brushing or flossing, it could be an alert from your body that your gums require attention. Plaque-induced gingivitis is the most prevalent form of. Using a soft-bristled toothbrush that is small enough to get into the small places like your back molars is an excellent place to start. g. The medical term for inflammation of the periodontium is periodontitis. Gingivitis. In addition to these practices, scheduling regular dental visits for professional cleanings and examinations is vital. Regular brushing and flossing can prevent periodontitis. Contact us today to learn more about what our periodontists can do to improve the health of your smile. Advanced Periodontics, Microsurgery, and Implantology of Seattle & Periodontist Jansen Richins DDS MS, Bradley Weinstein DMD MSD, Lakshmi Boyapati BDS MS and Elizabeth Kaminsky DMD MPH in Seattle WA offers Periodontics, 206-223-1501 Salt water may also: soothe inflamed gums. Common symptoms include red, swollen, bleeding gums. When symptoms of the infection do arise, they include: Fever. red, tender, or swollen gums. 46 Years Experience. To use a salt water rinse: Add 1/2 to 3/4 teaspoon of salt to a glass of. Bleeding gums, especially when brushing teeth. (425) 230-4520. Refer a Friend (206) 232-6200. Gingivitis is a form of gum disease that happens when plaque, a naturally-occurring sticky film containing bacteria, builds up on teeth and causes the inflammation of the surrounding gum tissue. Periodontitis, a type of gum disease, is severe inflammation of your gums, with symptoms that include red, bleeding or swollen gums. Premier Periodontics is a specialty practice proudly serving the Bellevue, Everett, Kirkland, Mercer Island, Olympia, Redmond, Seattle, Lynnwood, Renton, and Lacey communities. Swelling after your scaling and root planing procedure should go away within days if you keep up with your oral hygiene routine. Injury. Measure how deep the pockets are between your gums and teeth by placing a tiny ruler called a dental probe between your teeth and gumline. Capo offers specialized programs for detox, executives, couples, avid golfers, high profile, and those interested in bringing their pets to treatment with them. Call us today at 844. It is a source of antioxidants that fight inflammation. The significance of regular dental cleanings in the battle against gum disease, gingivitis, and periodontal disease cannot be overstated. Patients with simple chronic gingivitis should be given nonurgent dental referral. Leader is a member of the American Dental Society, Academy of General Dentistry, Richmond County Dental Society, 2nd District Dental Society, the Staten Island Study Club, and attends continuing education courses in all phases of Dentistry. Troy Thomas. Treatment may involve deep dental cleaning or, in severe cases, surgery. 9725 SE 36th St Ste 214, Mercer Island, WA 98040 1. Gum disease treatments may cost between $500 and $10,000. When plaque is not removed by proper brushing and flossing, bacteria-filled plaque hardens and turns into what is called tartar. However, this can be treated by a dentist. Caboolture Hospital, Queensland, Australia. The intensive outpatient treatment program Mercer Island aids those in the early phases of sobriety and recovery from substance abuse. Thus, there was no great difference between the lowerthan median and higher than median scores. Pericoronitis treatment varies for each person. At Premier Periodontics, our skilled team offers scaling and root planing treatment at our seven specialty practices located in Bellevue, Mercer Island, Olympia, Redmond, Everett, and Kirkland, WA. My Account;. 29 miles. This minimally invasive, nonsurgical periodontal treatment helps patients to avoid gum surgery. You'll then receive a curated list of the top-rated dental practices in Mercer Island that match your personal preferences. Gingivitis Symptoms and Signs Some symptoms of gingivitis include red, swollen, and bleeding gums in addition to bad breath. Our professional periodontal team uses grafting techniques to offer this gum recession treatment. Diagnosis is based on inspection. Gingivitis treatments can cost between $30 and $300. Raw honey has actually been known to reduce bacteria, including the specific type that causes gum disease. That’s why it’s important to get their teeth regularly checked at the vet. Explore the model using your mouse pad or touchscreen to understand more about periodontal disease. Simmer the mixture for 15 minutes and leave to cool. Home. Gingivitis is the earliest stage of gum disease. ]. Swelling, redness, pain, and bleeding of the gums are signs of gingivitis. can expose more of your tooth and tooth roots to bacteria increasing the chance of tooth decay. If your gums are red and swollen, you may have early-stage gingivitis. Dental365 – Tribeca 19 Murray Street, New York, NY 10007. Materials and supply King and Washington sales taxes. Types. To earn more about our podiatry services, call (425)482-6663. Make sure you spend two full minutes (30 seconds per quadrant) to effectively brush your teeth and gums. [ 2] It is associated with autoimmune and systemic diseases such as. Gingivitis is a type of gum disease that causes inflammation in the mouth. Dental disease in cats can lead to tooth decay and. It also has wound-healing properties that can soothe soreness or tenderness. An example of advanced dental treatment is root canal therapy for. Your healing gums might require a gentler touch first, so make sure you are using a soft-bristled brush and applying the right. Gum disease is a silent disease, meaning symptoms don’t always appear until it becomes more advanced. Dr. Bad breath that remains even after brushing. Periodontitis is a chronic inflammatory oral disease that progressively destroys the tooth-supporting apparatus. Oil Pulling. A change in gum color from pink to red. c6983. Tooth decay. These appointments allow for the early detection and treatment of gingivitis. D esquamative gingivitis is a clinical term used to describe an erythematous, erosive and ulcerated appearance of the gingiva. Keep up with good dental hygiene and gingivitis can be cured, so it does not come back. Open Saturdays and Evenings Until 5pm. 4%), those living below the federal poverty level (65. painful or burning sensation in the mouth. An oral irrigator is attached to a water source such as a sink tap or shower head. S. Dr. Gingivitis is a non-destructive periodontal disease caused by inflammation of the gingiva (tissues that surround and support the teeth). In general, within 10 to 14 days gingivitis is resolved, but only with good oral hygiene habits at home, including cleaning into the gum line with a Gum Pocket Brush. Premier Periodontics Olympia proudly provides the most advanced periodontal and implant dentistry services and technology available to patients today. 34 Morrison,Ramfjord,Burgett,Nissle,Shick J. Although symptoms may be mild, gingivitis is the first stage of gum. Trouble or pain chewing. With our services, say goodbye to lice for good! Washington: (206) 654-5423. com. They all show that your gums are not healthy and may be caused by plaque buildup. [i] Experts recommend you brush gently for around two minutes twice a day, using a soft-bristled tooth brush. 71 miles away. Please complete the Health History form below, at least three days prior to your appointment. Scott Asnis graduated from New York University College of Dentistry in 1983. Our periodontal specialists at Premier Periodontics can help treat this serious gum infection at one of our convenient locations in Bellevue, Everett, Kirkland,. Gingivitis is an inflammatory process limited to the mucosal epithelial tissue surrounding the cervical portion of the. Gingivitis is an early stage of periodontitis. Experience personalized treatment plans, cutting-edge technology, and a team that treats you like family. Fri: Gingivitis Treatment – How to Fix Gingivitis Fast. The overall goal of periodontists is to prevent gum. Thr07:00 AM – 05:00 PM. Book your next appointment at Premier Periodontics in Bellevue, Mercer Island, Everett, Kirkland, or Olympia, WA, today. Good oral hygiene is mandatory. In addition to antibiotic therapy, physical and mental stressors should be eliminated. Allan Wattimena, D. Some of these reasons can include, but are not limited to: Gingivitis: Gingivitis causes swollen, tender, and bleeding gums. Even a subtle change in your smile helps you to project an image of self-confidence and high personal esteem. Employs friendly staff. That one year period is after discontinuing the medications or adjusting the dosage levels. Kirkland Dentist; Mercer Island Dentist;. This is mostly caused by poor dental hygiene. The gums are red and swollen and bleed easily. Dental Society, reported. It is commonly painless and rarely leads to spontaneous bleeding, with most patients being unaware of the disease or unable to recognise it []. Mercer Island dentist, Ken McNabb DDS is a local, trusted dental practice offering general and cosmetic dentistry, teeth whitening, implants, veneers & other dental care. Clean your teeth as good as you can. Start brushing with the toothbrush at a 45-degree angle against the gum line. The significance of regular dental cleanings in the battle against gum disease, gingivitis, and periodontal. Gum recession treatment also improves a smile. Another home remedy for swollen and bleeding gums is oil pulling, in which oil is swished or held in the mouth for 20 to 30 minutes. ANUG presents as an acute, painful, and destructive ulceration and inflammation of the interdental gum tissue. Call us at (425) 877-1423. 206-223-1501TheraBreath Healthy Gums Periodontist Formulated 24-Hour Oral Rinse. How much does laser gum treatment cost? Laser gum treatment costs anywhere from $1,000 to $4,000. It usually manifests as a worsening of gingivitis and then, if untreated, with loosening and loss of teeth. Calculus (hard. S. Prompt treatment usually reverses symptoms of gingivitis and prevents it from leading to more-serious gum disease and tooth loss. University District. 1. Periodontal Mouthwash: Regular use of TheraBreath Healthy Gums Orals Rinse may help address bleeding gums, gingivitis, plaque and tartar buildup, and bad breath. ) $1499 ($29. There are several home remedies you can make to help get rid of gingivitis. help ease pain. Healthy gums should be pink and. Gingivitis is an inflammatory condition of the gingival tissue, most commonly caused by bacterial infection. Treatments include regular dental cleanings and improved oral hygiene at home between visits. Periodontal disease. Pediatrics, Pediatric Sports Medicine. Seek out orthodontic treatment for misaligned teeth. Measure how deep the pockets are between your gums and teeth by placing a tiny ruler called a dental probe between your teeth and gumline. Follow the Two-Minute Rule. Gingivitis that has progressed will usually require treatment from a certified dentist who can provide treatment options and ensure the disease is completely resolved. Dental Care Somerset 441 Elizabeth Ave, Somerset, NJ 08873 (908) 333-4995. How much does LANAP cost? LANAP is the same as laser gum treatment and costs anywhere from $1,000 to. receding gums. Gingivitis can sometimes be associated with a condition called stomatitis (gingivostomatitis) in which lesions form on the gingiva and surrounding areas of the mouth. 04. Inspection and/or Mercer Island building fees. The condition is restricted to the soft-tissue area of the gingival epithelium and connective tissue [1]. Pockets deeper than 4 mm may indicate periodontitis. Plaque, tartar and gingivitis. Home Remedies for Gingivitis. ) Oil pulling (coconut, Arimedadi, etc. Flap surgery to remove tartar from deep pockets under the gums. Left untreated, gum disease (periodontal disease) can cause serious infection and even tooth loss. Meet Dr. Dr. This is because it hasn’t begun to attack the bone. It is caused by bacteria building up on the tooth surface causing localised inflammation and if left untreated, you can develop gum recession, wiggly teeth and ultimately, loss of your teeth. With this advanced approach, our talented clinicians place a. On staff at Complete Dental of. Gingivitis may only affect a small area of the mouth in the early stages. Dental365 periodontists in New York, New Jersey, Connecticut, Massachusetts, and Rhode Island combine laser therapy with oral regenerative. spit the solution out. Periodontal disease, which includes gingivitis and periodontitis, is classified according to the presence or absence of periodontal ligament and/or alveolar bone involvement ( figure 1) [ 1,2 ]. Giving your cat dietary supplements that support dental health. Plaque and tartar buildup around the gum line cause gum irritation and inflammation or, in other words, gingivitis. The practice addresses a broad spectrum of family skin care issues from eczema to acne and mature concerns for adults from skin cancer to facial rejuvenation. If the condition is untreated it can lead to periodontal disease. As leaders in periodontics and implantology, our board-certified surgeons expertly diagnose and treat the full scope of periodontal needs. Periodontal Disease (Gum Disease) Periodontal disease is the most common cause of tooth loss in adults. An example of advanced dental treatment is root canal therapy for. There are also anti-gingivitis toothpastes like Crest Gum Detoxify that can reach the plaque found around your gum line and neutralize it for clinically proven healthier gums. Brushing and Flossing rid the gums and mouth. Let Opencare help. Schedule a consultation at one of our periodontal offices in Bellevue, Redmond, Mercer Island, Kirkland, Olympia, or Everett, WA to get the expert treatment needed to improve your gum health. 5 oz. Our state-of-the-art office is designed to meet the needs of our patients with efficiency and features a calming, comfortable atmosphere. No more Adult Residential Treatment Centers in Mercer Island - Try other Treatment Centers below. Dr. ”. We need to appreciate the human being as a complex organism. Call today to make an appointment! Request An Appointment . Our entire team is dedicated to providing you with excellent, personalized care and service to make your visits as comfortable and pleasant as possible. 0. Dental365 – Midtown 2023 240 Madison Ave 12th Floor, New York, NY 10016 (212) 685-2890. Gum disease is a serious infection of the bone and supporting tissues surrounding your teeth. Many people in Mercer Island WA who get treatment for Marijuana dependency use behavioral therapy to deal with the mental elements of their addiction. Regular brushing twice a day is the first step to good oral hygiene and removing the dental plaque that causes gingivitis. We thank you for allowing us to take care of your dental needs and look forward to serving you. 206-230-6632 – Mercer Island; 206-523-8094 – University District; Address; Periodontal Disease Treatment; Locations. Contact a dentist at one of our locations as soon as you can so you can reverse gingivitis and prevent further damage. Periodontitis. Advanced Periodontal Disease. Parodontax Toothpaste for Bleeding Gums, Gingivitis Treatment and Cavity Prevention, Clean Mint - 3. It usually manifests as a worsening of gingivitis and then, if untreated, with loosening and loss of teeth. Within a few days of treatment, you can expect to see improvements in your gum health. The quantity of time invested in behavioral therapy differs from individual to individual but may last roughly 12 weeks. Mild periodontitis. Gingivitis or gingival inflammation is the most common gum disease that forms at the base of your teeth and in between them due to the dental plaque. We treat patients of all ages, young. Humphrey, L. tender gums that may be painful to the touch. 4% vs 38. Gingivitis is the earliest stage of gum disease. When your cat has gingivitis, you might notice how it affects his gums since it can make them red, swollen and painful. A dental probe is inserted. Kirkland Dentist; Mercer Island Dentist;. Plaque releases toxins that lead to irritation of the gums, which results in inflammation. It is a program designed to help individuals develop the. Periodontal disease treatment has impressive success rates that can reach 95% in some instances. (2010) on bacterial isolates obtained from patients undergoing orthodontic treatment showed that the honey was a more effective antibacterial than some of the common antibiotics tested, further suggesting that honey might inhibit dental plaque formation and aid in controlling gingivitis associated with. General Dentistry. Costello began practicing in 1998 and has pursued the latest techniques and technologies in the ever-advancing field of dentistry. The periodontal surgeons and dental implant specialists of Premier Periodontics are among the most distinguished in our profession and a trusted source of care within our communities. Even with preventative measures, it's possible your cat will develop periodontal disease. What. Make a paste with salt (makes it hard for bacteria to survive), ground turmeric (antimicrobial and anti-inflammatory) and mustard. Gingivitis is a disease of the gums around the teeth which occurs due to deposition of plaque, bacterial biofilm, on the surfaces of tooth. X-rays may also be taken to evaluate possible damage to underlying bone structures. In a healthy mouth, the pocket depth is usually between 1 and 3 millimeters (mm). It can cause red, swollen gums that can be seriously uncomfortable for your kitty. changes in the position of your teeth or loose teeth. It happens when plaque and bacteria build up on your teeth and cause infection. Plaque produces toxins that irritate the gums. bleeding gums. These bacteria can form “biofilms” or “plaques. From preventive care like regular cleanings and check-ups to restorative treatments such as fillings, crowns, and bridges, he has you covered. Gingivitis: Diagnosis and Treatment. Calcium channel blockers - nifedipine, felodipine, amlodipine, etc. Gingivitis is the first sign of periodontal disease and is directly caused by the buildup of plaque on the surfaces of teeth. Dental X-rays are used to check for any bone loss in areas where your dentist sees. Gingivitis is treatable with a professional dental cleaning, which will be performed while your dog is still anesthetized from the oral health exam. You can take various measures at home to help prevent or treat gingivitis. More about Dr. The cost will vary depending on where your dentist is located, what technology they use, and the severity of your case. The diagnosis is typically based on a dentist's examination. Some common causes of tooth loss in Bellevue, WA include: Infection. ) Clove application (also helps with pain) Turmeric application. The most common symptoms of pregnancy gingivitis are red, swollen, sore gums. Periodontist. The most effective professional treatment for gingivitis is a teeth cleaning. Eat a balanced diet rich in vitamins and minerals to strengthen your gums. Drs. Here are a few tips for keeping your teeth healthy: Brush your teeth twice a day and floss regularly; Visit your dentist at least twice a year for professional cleaning. Tue:Diagnosis. Michelle Ko and Alexander Ko can now correct a wide variety of periodontal (gum) disease. From initial consultations through the procedure process we dedicate our. Mercer Island. Over time, periodontitis can. Use Antibacterial Toothpaste. Your provider may also recommend periodontal maintenance to treat your gingivitis after the completion of the deep cleaning. Based on data from the Australian Dental Association, a root scale and planing (item 011, 114, 121,. Therapeutic lasers (also called cold lasers) use infrared energy to stimulate release of the body’s universal energy chemical, known as ATP. Dr. 1 Patients with desquamative gingival lesions will often complain of mucosal sloughing, gingival bleeding and oral discomfort, especially when. , Bridgewater, NJ 08807 (908) 698-0268. This is the mildest form of periodontal disease. Poor hygiene allows bacteria to build up around the teeth. (425) 310-4737. Acute and chronic gingivitis is a common disease that afflicts gums. We're proud to serve Bellevue, WAand surrounding areas. Your dentist can help you decide on the right toothbrush. Phone: 206-232-7546 Fax: 206-525-1169Gingivitis treatment. Gingivitis. In addition to the steps you take on your own, a dentist may treat gingivitis with: Scaling and root planing – Some people call this a deep cleaning. Hold the cooled tea bag on the affected area of your gums and keep it there for about five minutes. When working with couples, my goal is to help resolve painful conflicts and help you and your partner to build a rich and meaningful relationship, with increased intimacy, connection, and. remove particles of food. Gingivitis is characterized by red, swollen gums that bleed easily. Kirkland Dentist; Mercer Island Dentist; University District Dentist; Patient Info. You might need maintenance services every three months to prevent disease-causing bacteria from recolonizing your gums. Apply raw honey to your gums. Red, swollen gums. If left untreated, periodontitis can lead to tooth loss. Dental Veneers; Teeth Whitening; Dental Crowns and Bridges; Dental Implant; Invisalign;. Skip to content Customer Care: Landline No. First, all plaque and tartar above and below the gumline will be removed. Search this website. Toothaches provide a vivid reminder that teeth aren’t just inert pieces of hard tissue floating in the gums. Among all the periodontal diseases,. Maintenance of good oral hygiene. Gingivitis is an early stage of gum disease caused by the buildup of plaque, a naturally occurring biofilm containing bacteria, on the tissues that surround the teeth. 1. Tooth sensitivity. If you catch it before it becomes periodontal disease, gingivitis can often be completely reversed. 8. Apply tea bags. It causes irritation, redness, swelling and bleeding of your gingiva, which is the part of your gum around the base of your teeth. The presence of dental plaque, a sticky substance on the teeth, will inevitably cause gingivitis. Saline rinses can help to speed resolution, and oral rinses with a hydrogen peroxide 3% solution also may be of benefit. 1 to2. Symptoms include red, swollen, sore gums. Mercer Island, WA Periodontist 2737 77th Avenue Southeast Ste 212 Mercer Island, WA 98040 Phone: 206-312-3032. Swelling after your scaling and root planing procedure should go away within days if you keep up with your oral hygiene routine. Gingivitis: diagnosis and treatment. other factors can contribute to periodontal disease pathogenesis: environmental, genetic, and systemic (e. If disease returns, further destruction of the gums and bone can occur. Your journey to a radiant smile starts here. 2. You can normally reverse gingivitis because it does not cause damage to the teeth or bone. Gingivitis is reversible. Healthy gums are also firm and do not bleed. Gingivitis is a common and mild form of gum disease, also called periodontal disease. The following can help prevent gingivitis or prevent it from getting worse between dental visits: Brush your teeth 2 times each day to remove plaque. 80. Aim to brush for 2 minutes each time. Gingivitis is a reversible form of gum disease caused by the buildup of plaque on teeth. Wattimena proudly serves patients with the latest in periodontal and implant care. With this advanced approach, our talented clinicians place a small dental. Eat a balanced diet rich in vitamins and minerals to strengthen your gums. Acceptance for the control of gingivitis. However, sometimes, tooth extraction or tooth loss is unavoidable. Call today to make an appointment! Request An Appointment . Covington; Our Technology; Dental Office Reviews; Leave a Review; Dental Services. you can begin to search for the right treatment options for you around Mercer Island. Our periodontists offer services in Bellevue, Everett, Kirkland, Mercer Island. Materials and supply Mercer Island sales taxes. Serving the needs of our Washington State patients for more than 40 years, we seek to build lasting relationships with all who walk through our doors. At Premier Periodontics, our skilled team offers scaling and root planing treatment at our seven specialty practices located in Bellevue, Mercer Island, Olympia, Redmond, Everett, and Kirkland, WA. ANUG presents as an acute, painful, and destructive ulceration and inflammation of the interdental gum tissue.