Personalized Care for Healthier Gums

Bleeding, swollen or tender gums deserve attention. At Blissful Dental, Dr. Brenda E. Howard provides periodontal treatment in Lanham, Maryland, to help adults manage gum disease and protect the structures supporting their teeth. Treatment options include scaling and root planing and LANAP® laser therapy when appropriate.

Call 301-552-2662 to schedule a gum health evaluation.

Understanding Gum Disease

Plaque is a sticky film of bacteria that forms on teeth. When plaque and hardened deposits accumulate near and below the gumline, they can contribute to inflammation. Gingivitis affects the gums and may cause redness, swelling or bleeding. It can often be controlled with professional care and consistent cleaning at home.

Periodontitis affects the deeper tissues and bone that support teeth. It requires ongoing management to help control the disease and limit further damage. An examination is needed to determine which condition is present and how much support has been affected.

Signs That Your Gums Need Evaluation

Contact our office if you notice:

  • Bleeding when brushing or cleaning between teeth
  • Gums that are red, swollen or tender
  • Persistent bad breath or an unpleasant taste
  • Receding gums or teeth that appear longer
  • New sensitivity near the gumline
  • Loose teeth or a change in how your teeth meet

Gum disease can develop without obvious pain. Regular examinations help identify problems that may be difficult to notice at home.

Your Periodontal Evaluation

Dr. Brenda E. Howard examines the gums, measures the spaces around your teeth and evaluates tooth stability. Digital X-rays may be recommended to assess the supporting bone. Your medical history, medications, tobacco use and home-care routine also inform the plan.

We will explain the findings and discuss the next steps, including whether care in our office or a referral to a periodontist is appropriate.

Scaling and Root Planing

Scaling and root planing is a deeper cleaning used to treat deposits on tooth and root surfaces below the gumline. Scaling removes plaque and tartar; root planing addresses the root surfaces as part of that treatment. Local anesthesia may be used for comfort, and care may be divided across appointments.

A follow-up evaluation checks how your gums respond and whether further treatment is needed. Our team will also show you how to clean the areas that need extra attention.

LANAP® Laser Periodontal Therapy

Dr. Brenda E. Howard offers LANAP, short for Laser-Assisted New Attachment Procedure, as an option for appropriate periodontal cases. LANAP is a specific laser treatment protocol for gum disease. Its suitability depends on your diagnosis, the condition of your teeth and supporting tissues, and your overall treatment needs.

During your consultation, Dr. Brenda E. Howard will explain the proposed procedure, alternatives, recovery instructions and follow-up care. Laser treatment does not eliminate the need for daily cleaning or ongoing periodontal maintenance. Results vary, and no treatment can guarantee that every affected tooth can be retained.

Experience and Technology Supporting Your Care

Dr. Brenda E. Howard has been in private practice since 1985 and provides comprehensive adult dentistry. Her continuing education includes studies at the Pankey Institute and Stanley Institute. She has continued adopting technology throughout her career, including dental lasers, digital X-rays and intraoral cameras.

As a solo dentist, she takes a personal role in treatment planning. If your condition would benefit from specialist care, she will recommend an appropriate referral.

Maintaining Gum Health After Treatment

Periodontal care continues after the initial procedure. Your plan may include maintenance visits at intervals based on your disease history and response to treatment. These appointments help monitor gum pockets and remove deposits from areas you cannot clean effectively yourself.

At home, brush twice daily and clean between your teeth as instructed. Tell us if discomfort makes cleaning difficult or if you notice changes in your gums. Tobacco cessation and management of relevant medical conditions can also support your care.

Frequently Asked Questions

Is bleeding when I brush normal?

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Recurring bleeding should be evaluated. It may indicate gum inflammation or another issue. Our team can identify the cause and recommend a cleaning routine and appropriate treatment.

Can a regular cleaning treat periodontitis?

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A routine preventive cleaning may not address deposits and disease below the gumline. Your examination will determine whether scaling and root planing or another periodontal treatment is needed.

Is LANAP right for everyone?

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No. Dr. Brenda E. Howard evaluates the severity and pattern of disease, your supporting tissues and other health factors before recommending laser therapy or an alternative.

Will I need ongoing periodontal visits?

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Ongoing maintenance is commonly part of managing periodontitis. The recommended schedule depends on your condition and response to treatment.

Schedule Periodontal Treatment in Lanham, Maryland

Take the next step toward healthier gums with a personalized evaluation. Call 301-552-2662 or contact Blissful Dental to discuss periodontal treatment and whether LANAP may be appropriate for you.