Perio Protect: Gentle Treatment for Periodontitis

November 20, 2013

As discussed in our previous posts, periodontal disease is caused by bacteria getting into the pockets between your teeth and your gum tissue. In the past, the only solution when periodontal disease progressed was to perform gum surgery in an attempt to restore the health of the gums. Gum surgery can vary from a gingivectomy to flap surgery to a gum graft. All of these surgeries may be painful and may require long healing times. At our office we have found an alternative method of treating periodontal disease that may allow you to avoid surgical options.



The Perio Protect Method

The Perio Protect Method uses medication delivered directly to the periodontal pockets to alter the environment and inhibit bacterial growth. Perio Protect uses custom fitted trays, called Perio Trays, which you wear for approximately 15 minutes at a time at prescribed intervals throughout the day. By placing the prescribed medication in these trays, the medicine is delivered directly to the periodontal pockets and held in place by the trays to maximize effectiveness.


Different levels of periodontal disease require different dosages and different medications. The most commonly used medication uses an oxidizing agent to create an oxygen rich environment not usually found in periodontal pockets. In this oxygen rich environment, the bacteria cannot survive. With repeated use, the bacteria population is able to be controlled.


When the periodontal disease has been allowed to progress, prior to treatment, plaque forms against the tooth surface and under the gum line. In these cases, scaling and root planning must occur prior to the using the Perio Protect Method. The scaling and root planning removes the plaque and the bacteria below the gum line. This opens up the pockets so that the medication can be placed directly into the pockets. Without this mechanical cleaning, the medication will take longer to work and more damage may be done by the bacteria.


Using the Perio Protect Method also opens up options for the dentist to treat bone loss caused by periodontal disease. Using the Perio Trays, the dentist can prescribe medication that can promote bone growth. Again, the Perio Trays hold the medication exactly where needed.


In severe cases of periodontal disease, the Perio Protect Method may not be able to forestall gum surgery. At our Evanston office, we use the Perio Protect Method first to arrest, treat, and heal as much of the periodontal disease as possible prior to recommending surgery.


What to Expect

When you decide to proceed with the Perio Protect Method, we will take a periocharting to measure the extent of your periodontal disease. We will also take alginate impressions of your teeth and gums. These impressions may be more through than impressions you have had in the past, as they need to include a good portion of your gums. At this time, the doctor will also prescribe and order your prescription from a compounding pharmacy. Your impressions are then sent to the Perio Protect Lab, where the Perio Trays are fabricated to exact specifications.


About two weeks later, you will return to our office to receive your Perio Trays, prescriptions, and instructions. Our two Evanston dentists highly recommend that you return 6 weeks later for another exam. During this exam we will do another periochart to assess how Perio Protect is working for you. As your treatment progresses, your periodontal pockets will decrease in size which will cause your Perio Trays to not fit as well. When this occurs, we will take new impressions and have new trays made so that you can continue the healing process.


We don’t recommend Perio Protect for everyone. Some cases of periodontal disease respond very well to increased normal home care and Perioguard. For the cases that don’t respond well to these options, there is Perio Protect. If you have trouble controlling your periodontal disease, set up an appointment with one of our dentists to see if Perio Protect is right for you.

June 24, 2025
Pregnancy is a time of excitement, anticipation, and transformation. As your body adapts to nurture new life, your needs evolve—including your dental care. At Stephens Dentistry, we’re passionate about supporting expectant mothers through every stage of this journey. Understanding the connection between oral health and pregnancy is not just important for your smile, but for the wellbeing of both you and your baby.  How Pregnancy Impacts Oral Health Pregnancy brings about a surge in hormones, especially estrogen and progesterone, which can have a profound effect on your gums and teeth. Many women notice changes in their oral health during pregnancy, including increased sensitivity, swelling, or bleeding gums. These shifts aren't just uncomfortable—they can also signal conditions that need attention to safeguard your overall health. Pregnancy Gingivitis: What You Need to Know One of the most common dental issues during pregnancy is pregnancy gingivitis. According to the Centers for Disease Control and Prevention , up to 60–75% of pregnant women develop gingivitis, which is characterized by red, swollen, and bleeding gums. This occurs because hormonal changes heighten the body’s response to the bacteria in dental plaque. If left untreated, gingivitis can progress to periodontitis—a more serious gum infection that can cause tooth loss and has been linked to health risks beyond the mouth. Oral Health and Birth Outcomes The importance of oral health during pregnancy goes beyond comfort and aesthetics. Research has shown a significant link between maternal gum disease and adverse pregnancy outcomes, such as preterm birth and low birth weight. A systematic review published in the Journal of Dental Research found that women with periodontal disease may be more likely to deliver prematurely or have babies with low birth weights. Although more research is ongoing, the potential connection means that taking care of your gums and teeth is an essential part of prenatal health. Why Dental Care Shouldn’t Wait Some expectant mothers worry about dental treatments during pregnancy. The good news is that routine dental care—including cleanings and necessary treatments—are not only safe but recommended during pregnancy. The American College of Obstetricians and Gynecologists confirms that preventive dental work is important and can be performed safely, especially in the second trimester. Delaying care can allow small problems to become bigger ones, and untreated infections can pose a risk to both you and your baby. If you are planning to become pregnant, scheduling a dental checkup beforehand is an excellent way to get ahead of any issues. Practical Tips for Expectant Mothers Maintaining oral health during pregnancy doesn’t have to be complicated. Here are some tips to keep your smile healthy throughout your pregnancy: Brush and Floss Regularly: Aim to brush twice a day with fluoride toothpaste and floss daily. This helps remove plaque and reduce your risk of gingivitis. Eat a Balanced Diet: Focus on nutritious foods rich in calcium, vitamin D, and protein, which support both your oral and overall health. Manage Morning Sickness: If you experience vomiting, rinse your mouth with water or a fluoride mouthwash rather than brushing immediately afterward, as stomach acid can soften tooth enamel. Stay Hydrated: Drinking plenty of water helps wash away food particles and bacteria, and can also help combat dry mouth, which is common in pregnancy. Schedule Regular Dental Visits: Let your dental team know you are pregnant so they can tailor your care. At Stephens Dentistry, we take extra precautions to ensure your comfort and safety during each visit. Learn more about our preventive dental services . Recognizing When to Call Your Dentist While mild gum sensitivity is common, it’s important to reach out to your dentist if you notice persistent bleeding, swelling, or pain. These symptoms could indicate an infection that needs prompt attention. If you develop a dental emergency during pregnancy, don’t hesitate to contact your dentist—timely care is always the best choice for both you and your baby. Supporting Your Health at Stephens Dentistry At Stephens Dentistry, we’re committed to providing compassionate, personalized dental care for every stage of life—including pregnancy. Our team stays up-to-date on the latest guidelines and safety protocols to ensure you receive the best care possible. For more information on how we support our patients during pregnancy, visit our dental care for families page. Pregnancy is a beautiful journey, and your smile should be a part of it. Prioritizing your oral health is a gift to yourself and your growing family. If you have questions or want to schedule your next dental visit, contact our office —we’re here to help you every step of the way.
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