DIPLOMATE AMERICAN BOARD of PERIODONTOLOGY
Specialist in Periodontics
There is no substitute for keeping your own natural teeth in health and comfort for a lifetime
Dr. Bleier can show you how

Pediatric Periodontal Dentistry

Healthy gums are the foundation for a healthy smile — even in children and teens. Pediatric periodontal dentistry focuses on evaluating and managing gum health, bone support, and developmental concerns during growth. While many people associate periodontal care with adults, children can experience gingivitis, early-stage periodontal disease, gum recession, excessive frenum attachments, and other conditions that benefit from early diagnosis and treatment.

A key component of our pediatric periodontal services is orthodontic prescreening for periodontal diseases prior to orthodontic treatment. Before braces or clear aligners are placed, it is critical to ensure the gums and supporting bone are healthy. Orthodontic movement in the presence of inflammation or undiagnosed periodontal concerns can lead to gum recession, bone loss, or long-term complications. Our comprehensive evaluation helps create a safe, stable foundation before orthodontic care begins, supporting both a beautiful and healthy result.

pediatric dental patient pointing at her teeth

Key Benefits of Pediatric Periodontal Dentistry

  • Early Detection of Gum Disease: Identifying gingivitis or early periodontal concerns allows for prompt, conservative treatment.

  • Orthodontic Prescreening for Periodontal Health: Ensures gums and bone are healthy before braces or aligners begin moving teeth.

  • Protection During Growth and Development: Monitoring gum tissue and bone levels during growth helps prevent long-term complications.

  • Prevention of Gum Recession: Evaluating thin gum tissue or prominent tooth roots can reduce the risk of recession during orthodontics.

  • Guidance on Proper Oral Hygiene: Education tailored to children and teens helps build lifelong healthy habits.

  • Coordination with Orthodontists and General Dentists: Collaborative care ensures treatment plans are comprehensive and biologically sound.

Who is a candidate for pediatric periodontal dentistry?

Children and teens who show signs of red, swollen, or bleeding gums — or who are preparing for orthodontic treatment — benefit from a periodontal evaluation. Even without obvious symptoms, orthodontic prescreening is strongly recommended before braces or aligners are placed to ensure the supporting structures are healthy.

What to Expect During the Treatment

The appointment is gentle and educational. We will evaluate the gums, measure pocket depths (when appropriate), assess bone levels with imaging if needed, and review oral hygiene habits. For orthodontic prescreening, we focus on gum thickness, inflammation, bone support, and any areas that may be at risk during tooth movement. We’ll discuss findings clearly with both parent and child and coordinate with the orthodontist if necessary.

What to Expect for Recovery

Many pediatric periodontal visits are preventive and require no downtime. If treatment such as a deep cleaning, minor soft tissue procedure, or frenectomy is recommended, recovery is typically mild and brief. Most children return to normal activities the same day or shortly after, with simple at-home care instructions to support healing.