At the practice of James R. Knochel, D.D.S., P.C., we want you to be as informed as possible about your treatment. To help answer your questions about periodontics in Tucson, Arizona, we have provided some of the most frequently asked questions. If you have further questions or concerns, please feel free to contact our office.

What is Periodontitis?
Also known as gum disease, periodontitis is a chronic oral disease that can cause gum recession, bone loss around the roots of the teeth, and eventual tooth loss.

Is periodontal disease curable?
Periodontal disease does not go away without treatment. The sooner its detected, the better chance for gingival health improvement.

What are the causes of gum disease?
Accumulated dental plaque and tartar initiate the disease process. Its progress is also dependent on family history, smoking, other medical problems, and bite issues.

What symptoms are associated with periodontal disease?
Early symptoms of periodontal disease include recession of the gum line, looseness/shifting of teeth, bad breath, and swelling/ bleeding of the gums.

How do I know if I have gum recession, and what is it?
Gum recession generally indicates a greater exposure of bone around the tooth. This can be caused by periodontitis, but can also be caused because of improper brushing techniques or even a lack of gum tissue.

If I’m not in pain, do I really have periodontal disease?
Unfortunately, periodontal disease frequently causes little to no pain. Do not wait to seek treatment until you are in pain, as this usually indicates a periodontal abscess.

What are dental implants?
Dental implants are artificial tooth roots used to replace missing natural teeth.

What are the benefits of dental implants?
Dental implants prevent further deterioration of bone levels in areas of tooth loss and renew a patient’s ability to chew, speak, and smile.

How long is periodontal disease treatment?
Treatment time will depend on your specific periodontal needs. Simple problems can be corrected in a single appointment while complex cases can take up to a year or more.

Does Dr. Knochel use nitrous oxide?
Dr. knochel prefers the superior option of intravenous conscious sedation compared to nitrous oxide. He is trained and licensed to administer this form of anesthesia, and his facility is inspected bi-yearly to be enable to provide this service. This form of sedation is superior in several respects to nitrous oxide which Dr. Knochel chooses not to use.

Does Dr. Knochel use laser gum treatment?
Dr. Knochel does not feel the evidentiary materials of laser gum treatment are sufficient enough to include in his own practice.

Why do I need X-rays again?
The standard of care in the practice of James R. Knochel, D.D.S., P.C. is to diagnose your particular needs with current X-rays. In addition, if your treatment involves implant placement, Dr. Knochel requires that a tomographic survey or Cone Beam Ct Scan to be performed of the area intended for implant placement. Digital X-rays, including panoramic films and tomographic surveys, are taken at Dr. James R. Knochel’s office. These X-rays are beneficial for our patients because they have minimum radiation and are immediately ready for interpretation.

Is conscious sedation safe?
Yes. Dr. Knochel has over 40 years of experience with sedation and considers this an indispensable option for his patients’ comfort.

How much does periodontal treatment cost?
The cost of treatment in our office is dependent on the type of work you need performed. Based on current X-rays and a complete oral examination, our periodontist can give you a cost estimation.

Is there a difference between the cleanings I receive at my general dentist’s office and a periodontal maintenance I would get at a periodontal office?
Patients with a history of periodontitis require maintenance cleanings that are more thorough and are often recommended at three-month intervals.