Gum disease is the primary cause of tooth loss for adults over age 30. To aid in the prevention of tooth loss regular periodontal exams and treatment are necessary. The periodontal exam will include measuring bone loss and evaluating the level of treatment needed. Conservative perio treatment usually begins with scaling and root planning along with instructions on how you can improve your home care to arrest active periodontal disease. Your perio status will be monitored over time to see if additional treatment is needed. The most current methods using ultrasonic instruments are used in order to maximize your periodontal health.