Non-Surgical Periodontal Therapy

Non-Surgical Periodontal Therapy Gum disease is an all-too-common condition that affects adults in our country. As much as 80 percent of our population has some degree of gum disease. More than the primary condition itself, there is a concern that this disease process has far-reaching effects on the body. Gum disease has been associated with numerous health conditions that are also inflammatory in nature. Some of these include heart disease, stroke, premature birth, low birth weight, diabetes, and more.

Dr. Viola and Dr. Whitcomb of Nashua Cosmetic and Restorative Dentistry, P.L.L.C. encourage patients to visit our New Hampshire practice on a six-month basis. The frequency of visits allows us to detect minute changes to the health of gum tissue and teeth. Studies suggest that adequate screening and oral hygiene have a major impact on the prevention and management of early gum disease, often saving patients from the need for surgical repair.



Plaque is a biofilm that has no odor and no color. It adheres to teeth at the gum line, providing a home for hundreds of different types of bacteria. The byproduct of bacteria is acidic, which can weaken healthy gums and teeth, and cause irritation and inflammation. As compromised gum tissue loosens around teeth, pockets form. This allows plaque and bacteria to collect beneath the gum line, directly against teeth roots. Ultimately, the disease process can damage both soft and hard tissues, including bone. Gum disease is the leading cause of tooth loss among American adults.

Treating gum disease conservatively in New Hampshire

Our dentists and hygienist have years of experience in the diagnosis and treatment of all stages of gum disease. Ideally, we can begin treatment very early in the disease process. Treating gingivitis, we can reverse infection and better manage oral health with routine cleanings and support for adequate home care. In some cases, we may perform a deep cleaning in which pockets around teeth are gently cleaned of plaque and roots are smoothed to encourage attachment of healthier gum tissue. Scaling and root planing may be combined with medication to manage oral bacteria.


Signs of gum disease can be easy to miss. Often, irritation produces only a slight change in color, from shiny pink to rough red. Two of the most prominent signs that gums are in trouble are chronic bad breath and bleeding when brushing and flossing. If you notice any of the signs of gum disease, or it has been more than six months since your last check-up, we encourage you to schedule your visit with Dr. Viola or Dr. Whitcomb at Nashua Cosmetic and Restorative Dentistry, P.L.L.C.

AAOSH Facts of Gum Disease


Dr. Randall G. Viola
Dr. Judith A. Whitcomb

Nashua Cosmetic and Restorative Dentistry

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At Nashua Cosmetic and Restorative Dentistry, P.L.L.C., dental care is provided by Dr. Randall Viola and Dr. Judith A. Whitcomb who both graduated from the Case Western Reserve University in Cleveland.

Dr. Viola is an established dentist and a member of the American Dental Association and the American Academy of Cosmetic Dentistry.

Dr. Whitcomb is renowned for her skills and expertise. She maintains memberships at the American Dental Association and the Women's Dental Association amongst other associations.

Call us at
New Patients: (855) 363-3793
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Current Patients: (603) 880-3000

Schedule an Appointment with Nashua Cosmetic and Restorative Dentistry today!

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After almost a year at another dentist, I had ongoing tooth sensitivity and pain. I had found Dr. Randy Viola at Nashua Cosmetic & Restorative Dentistry when looking for a wholistic dentist that practiced safe dental methods. His level of expertise, gentleness and giftedness had me pain free within a few visits. Dr. Viola is the kindest practitioner I've ever run in to. He practices with his wife and the two of them have set the tone in the office for excellence coupled with genuine care for their patients. It was a 4 hour round trip drive from Vermont, but without a doubt the best decision I could have made.
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