Q: What type of treatment is necessary when someone has gingivitis? Is surgery necessary?
A: Gingivitis is soft tissue inflammation. This is usually reversible with a thorough professional cleaning and excellent oral hygiene. However, before any gum treatment, including a cleaning, is started, a quality set of digital x rays should be completed with a comprehensive oral examination. A review of your medical history is also important. If the bone is not affected, then a soft tissue management program would be indicated. This might include some laser therapy, depending on the individual case. If the bone is affected, then more advanced treatment, including laser periodontal therapy, might be indicated. Diagnosis is the most important first step.