Gum Disease

Gum disease, also known as periodontal disease, is a common but serious oral health condition that affects millions of individuals worldwide.

Without proper management, it can cause infections and damage to the gum tissue and the underlying bone.

If left untreated, it can lead to tooth loss and systemic issues like heart disease.

Key Takeaway

Gum disease is an infection of the tissues that support and surround your teeth. If left untreated, it can lead to tooth loss and systemic issues like heart disease.

What is Gum Disease?

Gum disease is an infection of the tissues that support and surround your teeth.

The two main types of gum disease are gingivitis and periodontitis.

Gingivitis is the earliest and mildest form of gum disease, where the gums become inflamed due to plaque buildup. Without proper oral hygiene or regular dental cleanings, this sticky film of bacteria can harden into tartar, causing further irritation.

If gingivitis is not treated, it can progress to periodontitis, a more severe infection affecting the soft tissue and bone, leading to periodontal pockets and tooth loss.

Did You Know?

Gum disease can affect your overall health! Links have been found between periodontal disease and conditions like heart disease, diabetes, respiratory issues, and complications during pregnancy. Maintaining good oral hygiene and treating gum disease are essential for protecting your overall well-being!

Causes of Gum Disease

Gum disease can occur from various factors that lead to infection and inflammation in the gums, including:

  • Plaque buildup: A sticky film of bacteria that forms on the teeth, leading to infection if not removed with regular brushing and flossing.
  • Poor oral hygiene: Neglecting daily brushing and flossing and skipping regular dental checkups can lead to an accumulation of plaque where bacteria can thrive.
  • Smoking: Tobacco use is a major risk factor for periodontal disease because it reduces the body’s ability to fight off infection.
  • Medical conditions: Health issues like heart disease, diabetes, and other systemic diseases can increase susceptibility to gum disease.
  • Genetics: A family history of gum disease can increase your risk.
  • Diet: A diet high in starchy foods and low in nutrients can contribute to plaque buildup and poor gum health.
  • Crooked teeth: Misaligned teeth can make cleaning more difficult, leading to increased plaque and bacteria buildup.

Stages of Gum Disease

Gum disease progresses through different stages, each with its own symptoms and implications for oral health.

Early detection and treatment will prevent the advancement of gum disease and reduce the risk of tooth loss. The four stages of gum disease are:

1. Gingivitis

Gingivitis is the mildest form of gum disease, characterized by red, swollen gums that may bleed during brushing. 

It is primarily caused by plaque buildup due to inadequate oral hygiene. 

The good news is that gingivitis is reversible with proper dental care, including daily brushing, flossing, and professional cleanings.

The early signs of gingivitis are:

  • Red or swollen gums
  • Bleeding gums during brushing or flossing
  • Bad breath
  • Sensitivity in the gums
  • Mild discomfort when brushing

2. Early Periodontitis

As gingivitis progresses, it can lead to early periodontitis. 

At this stage, inflammation spreads deeper into the gums, causing mild bone loss and the formation of periodontal pockets. 

Symptoms of early periodontitis include:

  • Increased gum redness and swelling
  • Persistent bad breath
  • Gums that bleed more easily
  • Sensitive teeth
  • A bad taste in the mouth
  • Slight gum recession

3. Moderate Periodontitis

Symptoms become more severe at this stage, with noticeable bone loss and deep pockets forming around the teeth. 

Treatment becomes necessary to manage the condition and prevent further complications.

The symptoms of moderate periodontitis include:

  • Significant gum swelling and inflammation
  • Noticeable gum recession
  • Increased sensitivity and pain in the gums
  • Loose teeth or changes in bite alignment
  • Pus between teeth and gums
  • Persistent bad breath

4. Advanced Periodontitis

In this final stage, there is extensive destruction of gum tissue, jaw bone, and supporting structures. 

This stage poses a high risk for tooth loss and requires specialized care.

Symptoms of advanced periodontitis include:

  • Severe gum swelling and bleeding
  • Deep pockets between teeth and gums
  • Noticeable tooth mobility or loss
  • Pain while chewing
  • Changes in bite alignment
  • Advanced gum recession
  • Persistent bad breath

Signs of Healthy vs. Unhealthy Gums

FeatureHealthy GumsUnhealthy Gums
ColorLight pinkDark red or purple
TextureFirm and resilientSoft and swollen
BleedingNo bleeding during brushing or flossingBleeds easily during brushing or flossing
SensitivityNo sensitivitySensitive or painful when touched
RecessionNo gum recessionNoticeable gum recession (exposed tooth roots)
Bad BreathFresh breathPersistent bad breath (halitosis)
PocketsNo pockets around teethPresence of periodontal pockets
Overall HealthIndicates good oral hygiene and healthSigns of gum disease, risk of systemic health issues

Gum Disease Prevention

Gum disease is a preventable condition.

Here are key strategies to keep your gums healthy:

  1. Maintain daily oral hygiene: Brush at least twice daily with hydroxyapatite or fluoride toothpaste, paying special attention to the gum line. Floss daily to clean between teeth and beneath the gums. Use an antimicrobial mouthwash if your dentist recommends one. 
  2. Maintain a healthy diet: Eat a balanced diet rich in fruits, vegetables, whole grains, lean proteins, and dairy products. Stay hydrated with plenty of water, and limit sugary and starchy foods that promote plaque formation.
  3. Regular dental checkups: Visit your dentist every six months for routine checkups and professional cleanings. This helps monitor your gum health and remove tartar buildup.
  4. Address risk factors: Quit smoking, as it significantly increases the risk of gum disease. Manage any underlying medical conditions, such as diabetes, with your healthcare provider to lower your risk.

Treatment Options at Highlands Ranch Periodontics & Implant Center

We offer a range of periodontal disease treatment options to address gum disease and restore your oral health.

Each patient’s situation is unique, and our experienced team will evaluate your specific condition and health history. 

We create customized treatment plans that may combine various non-surgical and surgical options to achieve the best possible outcomes for your oral health.

Non-Surgical Treatments

  • Scaling and root planing: A deep cleaning procedure that removes plaque and tartar from beneath the gum line. It smooths the tooth roots and reduces inflammation, often serving as the initial treatment for gum disease.
  • Laser gum therapy: This minimally invasive treatment uses advanced laser technology to target infected gum tissue and encourage healing. Laser therapy offers reduced discomfort and quicker recovery times compared to traditional methods.

Surgical Treatments

  • Gum grafting: This procedure involves taking tissue from another area of your mouth to restore receding gums. Gum grafting improves the appearance of your smile and protects tooth roots from damage.
  • Gingival flap surgery: In cases of advanced gum disease, flap surgery may be performed to access and clean the roots of teeth. The gum tissue is then repositioned to reduce pocket depth and promote healing.
  • Dental bone grafts: If bone loss has occurred due to gum disease, bone grafting can help regenerate lost bone. 

Trust the Experts at Highlands Ranch Periodontics & Implant Center

We specialize in diagnosing, treating, and preventing gum disease.

Our highly trained periodontists bring extensive expertise and specialized knowledge to every patient interaction. 

Dr. Norouzinia, DDS, is a Board Certified Diplomate of the American Board of Periodontology. He focuses on the effects of biomaterials on healing and pain management after tooth extraction. He stays up-to-date with the latest research and clinical practices. 

Dr. Font, DDS, is recognized for her exceptional skills and dedication. She is a Diplomate of The American Academy of Periodontology. Her award-winning background reflects her commitment to providing the highest quality of care in periodontal treatments.

Check out our patient testimonials to see why patients trust us with their periodontal care.

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Eric R profile picture
October 24, 2026
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Dental Hygienist Anna was absolutely wonderful! She had a lot of work to do with a deep cleaning. I didn’t feel a thing, she was very personable which was a nice distraction throughout the procedure. I’d happily see her again!

Owner's reply
Eric, thank you — I'll pass this to Anna. Thorough, comfortable care is exactly what we aim for.
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Debra Johnson profile picture
October 21, 2026
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Dr. Mike is a skilled periodontist, and he and his team are very courteous and professional. An overall positive experience!

Owner's reply
Debra, thank you. We try to pair skill with an honest, clear assessment that's in your best interest.
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MMK
October 21, 2026
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Attentive and skilled providers, caring and supportive assistants, welcoming reception staff that takes time to answer questions. Dr. Jorgensen exemplifies patient-centered care. I would recommend this practice to anyone!

Owner's reply
Thank you — patient-centered care, with time to answer questions, is central to how we work.
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sherry timm profile picture
October 15, 2026
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Very thorough, knowledgeable, and friendly! I would highly recommend.

Owner's reply
Sherry, thank you. Thorough, honest explanations matter as much to us as the treatment itself.
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Jill Hall profile picture
October 15, 2026
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Extracted a tooth under difficult conditions and is guiding me through the process of replacing the tooth. I would recommend Dr. Mike to other patients for his expertise .

Owner's reply
Jill, thank you. We'll keep guiding you through each step, with clear options at every stage.
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Denise C profile picture
October 8, 2026
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I cannot recommend Highlands Ranch Periodontics and Dental Implants enough. Dr. Mike and his staff, Syn and Edward, were wonderful. Dr. Mike was the third doctor I’d seen about a gum issue, and the first to look beyond treating the symptoms. He took a tissue sample and sent it for testing, which helped identify the issue and provided a clear direction for exploring its underlying cause. I’m grateful for his thorough approach and the care I received from the entire team.

Owner's reply
Denise, thank you. Looking for the underlying cause — not just treating symptoms — is how we try to do right by patients.
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Scott Erickson profile picture
October 6, 2026
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Mike and his team do a great job. I saw Anna today for the first time for a cleaning. She was very thorough and professional. Highly recommend!

Owner's reply
Scott, Thank you so much for taking the time to provide a review! We really appreciate it!
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M T profile picture
M T
September 29, 2026
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Love a deep clean on my teeth

Owner's reply
Michael, Thank you so much for the 5 star review! We’re glad you had a great experience and enjoyed that fresh, deep-clean feeling. We appreciate you trusting our team with your care!
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Tony Nolan profile picture
September 28, 2026
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Very friendly, thorough and professional. I was presented with options for course of care needed.

Owner's reply
Tony, Thank you so much for the kind words. We really appreciate you taking the time to share your experience and, most of all, for trusting us with your care. It means a lot to our team.
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Shawn Werner profile picture
September 24, 2026
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Truly remarkable service and for someone that has anxiety around dental work, this practice made me feel at home and conquer my fears! Truly the best!!!

Owner's reply
Shawn, This means so much to us. Dental visits can be stressful, so knowing you felt comfortable, supported, and at ease with our team is one of the best compliments we could receive. Thank you for trusting us with your care and for sharing such kind words!
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Jill Hall profile picture
September 24, 2026
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Dr. Font is personable and made having a tooth extracted as good an experience as possible. She answered my questions and explained the procedure and options thoroughly.
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Bob M profile picture
September 23, 2026
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I had 4 teeth removed by Dr Mike I was pretty nervous but it wasn’t that bad he also removed some bumps that were in my mouth my follow up appointment has been a breeze I would go to him again

Owner's reply
Bob, Thank you so much for the 5-star review and for trusting our office with your care. We’re grateful for the opportunity to help.
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manqing wang profile picture
September 21, 2026
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I’ve had a really good experience with Dr. Mike and his team so far. I had periodontal surgery on my upper left side and everything went very smoothly. He explained my condition and treatment options clearly and never made me feel rushed. What I appreciate most is that he doesn’t push for unnecessary treatment. My treatment isn’t finished yet, and for now we’re waiting to see how everything heals before deciding what to do next. I really appreciate that approach. Everyone in the office has also been very nice and helpful. I still have more treatment ahead of me, but so far I’m very happy I chose Dr. Mike.

Owner's reply
Manqing, Thank you for the thoughtful review. Our philosophy has always been to recommend only the treatment that is truly needed and to look for the most appropriate solution for each situation. Periodontal care can be complex, and we believe patients deserve honest guidance, clear options, and a thoughtful plan rather than a one-size-fits-all approach. We’re grateful for your kind words and support.
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Alexa Hamm profile picture
September 19, 2026
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My experience at HR Perio was truly 5/5! From start to finish, the entire team made me feel incredibly comfortable, cared for, and at ease throughout my procedure and recovery. When I experienced some discomfort on day 5 post-op, Dr. Mike told me to come straight in and took care of me right away, at no additional charge. That level of care meant so much to me. I came in today for my two-week post-op appointment with my 5-month-old daughter, and all of the staff were practically fighting over who got to snuggle her! 😂 The entire team is kind, welcoming, and genuinely cares about their patients. Truly a one-of-a-kind experience. I couldn’t recommend HR Perio enough!

Owner's reply
Alexa, This absolutely made our day. Thank you for trusting us with your care and for sharing such a thoughtful review. And that photo of Edward holding your little one might be our favorite part 😂 She was clearly the star of the visit! We’re so glad you felt supported throughout the entire process, and we truly appreciate you choosing our team!
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Stuart Ritchie profile picture
September 15, 2026
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Dr. Mike was outstanding. Answered all my questions with calming expertise. I'm deftly afraid of dental surgery based on PTSD from barbaric childhood experience. Sedation dentistry is definitely the way to go. Dr. Mike proved himself to me with a flawless procedure. Couldn't be more impressed and frankly, relieved. Thanks team!

Owner's reply
Stuart, Thank you so much for sharing this. It genuinely means a lot to me. One of the most important parts of what we do is recognizing that every patient comes in with a different history, different concerns, and a different level of comfort with treatment. We don’t believe in a one-size-fits-all approach. We take the time to listen, tailor the treatment to the person in front of us, and do everything we can to make the experience feel calm, comfortable, and predictable. I’m grateful that you trusted me and our team with your care, especially knowing the experiences you had in the past. Providing a high level of surgical care while making patients feel safe throughout the process is exactly what we strive for. Thank you again for the trust and the incredibly kind words.
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Patricia Mercury profile picture
September 14, 2026
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Had a great experience, they took the time to explain what the issues were and the options. I would definitely recommend this place.

Owner's reply
Patricia, Thank you for the kind words and for recommending us. Taking the time to really listen, explain what we’re seeing, and walk through the different options is a huge part of how we practice. No two patients or situations are exactly the same, so we want every treatment plan to be thoughtful and tailored to the individual—not just the procedure. Our goal is to combine the highest level of surgical care with an experience where you feel informed, comfortable, and confident in the decisions we make together. We really appreciate you trusting us with your care.
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Kendra Kara profile picture
September 12, 2026
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Dr. Mike is the best! I’ve been told have a difficult case prone to complications. He performed my surgery with no complications. I now have a healthy mouth and jaw for the first time ever! I will always be grateful for Dr. Mike and his team.

Owner's reply
Kendra, Thank you for trusting us with your care. We’re grateful to have been part of your journey and are very glad you’re doing well!
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Archie Choudhary profile picture
September 3, 2026
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Dr Mike was very good and helpful in treating my teeth and answered all my concerns regarding my teeth.

Owner's reply
Archie, Thank you so much for the kind words. Taking the time to listen to your concerns and make sure you fully understand what’s going on is an important part of how we care for our patients. We want every patient to feel heard, comfortable, and confident in their treatment, while providing the highest level of care we can. I really appreciate you trusting me and our team with your care.
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Terry Geohegan profile picture
September 2, 2026
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Great people and great place

Owner's reply
Terry, Thank you! We really appreciate that. We’ve worked hard to build a team that genuinely cares about people and a practice where patients feel comfortable from the moment they walk in. We’re grateful you trusted us with your care.
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Riley profile picture
September 2, 2026
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The nurses and Dr. Mike were very helpful and informative.

Owner's reply
Riley, Thank you for the kind words and for trusting us with your care. We believe patients deserve to understand what’s happening and why, not just be told what to do. We’re grateful you chose our office and appreciate you taking the time to share your experience.
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Maritza Ortiz profile picture
August 30, 2026
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De. Mine and staff did an amazing job, explaining everything about the procedure.

Owner's reply
Maritza, Thank you so much. We really appreciate you taking the time to share this. I believe great surgical care starts with making sure you understand exactly what we’re doing, why we’re doing it, and what you can expect along the way. Our entire team works hard to listen to each patient, answer their questions, and tailor the experience so they can feel comfortable and confident in their care. Thank you for trusting us!
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Phil Ewing profile picture
August 30, 2026
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Dr. Mike took great care of me during my procedure and made sure I was comfortable. Dr. Mike and his Staff were very friendly and welcoming and that helped me to relax and feel comfortable. Thank you for taking great care of me.

Owner's reply
Phil, Thank you so much for sharing this. Making sure our patients feel comfortable, heard, and well cared for is just as important to us as the procedure itself. We take the time to understand each patient’s concerns, explain what to expect, and tailor the experience so treatment feels as comfortable and stress-free as possible. I’m very grateful you trusted me and our team with your care, and I’m glad we were able to make the experience a positive one.
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Matthew von Grabill profile picture
August 29, 2026
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Fantastic every time I go in. Just had surgery on back molar, and can’t even tell anything was done. No pain, no swelling. Office is super organized and structured. You definetely feel like you are in very good hands. Highly recommended!

Owner's reply
Matthew, Thank you so much for your feedback! We are thrilled to hear you had a pleasant experience. Our work culture is definitely aimed at creating a personable experience for everyone. So, we're happy to hear that resonated with you! Please don’t hesitate to let us know if there is anything we can do for your going forward.
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Archie Choudhary profile picture
August 23, 2026
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Nice Doctors and staff.

Owner's reply
Archie, Thank you so much for the 5-star review! We truly appreciate you taking the time to share your experience and are grateful you trusted our team with your care.
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Anthony Murphy profile picture
August 19, 2026
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This rating is from Cheryl Murphy Dr. Mike took over from my older dentist , he did a great job very personable, and knowledgeable , we would recommend him to everyone!

Owner's reply
Anthony & Cheryl, Thank you so muchl! We truly appreciate your kind words and recommendation. It has been a pleasure getting to know you and continuing your care. We’re grateful for the trust you’ve placed in Dr. Mike and our team!
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Scott Shackleford profile picture
August 15, 2026
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Hygienist seemed thorough and staff was friendly. Somewhat bothered however by new credit card surcharge that was not verbally disclosed and is in excess of allowable amount in Colorado.

Owner's reply
Scott, Thank you for the kind words about our hygienist and team, and we sincerely appreciate you bringing up your concern about the credit-card processing fee. This is such an important topic and its effects on small business's. We completely understand how frustrating it can be to see an additional fee when making a payment, and we’re sorry that it was not communicated clearly beforehand. We never want a patient to feel surprised by a charge. As an independently owned practice, we try to keep our fees as fair and transparent as possible. Rather than increasing treatment fees for every patient to account for credit-card processing costs, our system applies the processing cost only when a credit card is used. The amount is based on the processing rate associated with that specific card, and different cards can carry different rates. We do not add an additional markup to that amount, and the processing fee is retained by the merchant services provider rather than becoming revenue for our practice. We also want patients to know that there are ways to avoid the fee entirely. Debit-card payments do not carry the credit-card processing charge, and our team is always happy to review payment options before a transaction is completed. We are very grateful for the support of our patients and for the opportunity to remain a locally owned, doctor-led practice. Our goal is to continue providing personalized, high-quality care while being as transparent as possible about the costs associated with treatment. Thank you again for the feedback—it helps us improve our communication and our patient experience.
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Bruce Merritt profile picture
August 15, 2026
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Courteous, polite, informative, attentive listeners. Dedicated to providing services that provide for you and your unique set of needs and circumstances. Will make you feel like that special person they’ve been waiting to attend to. A comfortable and welcoming experience.

Owner's reply
Bruce, Thank you so much for the thoughtful review! We’re grateful you felt heard, cared for, and comfortable throughout your visit. Providing personalized care and making each patient feel genuinely welcomed is exactly what we strive for. We truly appreciate your trust in our team!
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P. Tsosie profile picture
August 14, 2026
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Happy about my progress! Feeling that my mouth is improving Mixed messages about post-op procedures. Got instructions about using gel, but nothing about brushing. Found out after 2 weeks that I shouldn’t use my electric toothbrush. I only used it lightly after 5 days. I used my own thoughts on my progress.

Owner's reply
Tsosie, Thank you so much for sharing this feedback, and we’re especially happy to hear that you’re seeing and feeling improvement in your mouth , that is always our primary goal. We also truly appreciate you pointing out the confusion regarding the post-operative instructions. Clear guidance after treatment is incredibly important, and we never want a patient to feel like they have to rely on their own judgment during the healing process. I’ll personally review this with our clinical team so we can continue improving the clarity and consistency of our post-operative communication. We truly appreciate your feedback and the opportunity to provide an even better experience for our patients.
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Jordyn Perreault profile picture
August 6, 2026
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Knowledgeable friendly staff made my appointment comforting.

Owner's reply
Jordyn, Thank you so much for your kind words! We’re glad our team was able to make your visit feel comfortable and welcoming. Providing knowledgeable care in a relaxed, supportive environment is exactly what we strive for, and we truly appreciate you taking the time to share your experience.
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Robert LaFalce profile picture
August 6, 2026
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From making the appointment to the final evaluation, my entire experience was that of warmth and comfort from Dr. Norouzinia and staff. I had sought a second opinion on a previous prognosis and Dr. Norouzinia confirmed my suspicions. He performed a more thorough examination than the prior provider with a much better prognosis. In a nutshell, this patient recommends Highlands Ranch Perio. 💯

Owner's reply
Robert, Thank you for such a thoughtful review and for trusting us with a second opinion. One of the most important parts of what we do is taking the time to understand the full picture before recommending treatment. Sometimes the best value we can provide is confirming a diagnosis, and other times it is questioning an assumption, looking more closely, or finding a different path altogether. Our goal is never to rush someone into treatment, it is to give them the clearest, most honest assessment we can so they can make the right decision for their situation. We truly appreciate the recommendation and the trust you placed in our team.
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Schedule a Consultation

Schedule a consultation with Highlands Ranch Periodontics & Implant Center today for a thorough evaluation and a personalized treatment plan.

To book an appointment at our periodontal clinic in Highlands Ranch, call (303) 683-1144 or complete the online booking form. 

We are committed to helping you achieve optimal oral health and look forward to supporting you on your journey to a healthier smile.

Learn More

Check out our blog to learn more about gum disease prevention and treatment.

FAQs

Is gum disease hereditary?

While genetics can play a role in gum disease, it’s not the only factor. Other risk factors, such as poor oral hygiene and smoking, also contribute to the development of gum disease.

Can I save my teeth with gum disease?

Early detection and treatment of gum disease can help save your teeth. It’s important to schedule regular dental check-ups and promptly address gum disease signs to prevent further damage.

Is my life over if I have gum disease?

No, gum disease is a common condition that can be effectively treated and managed. You can improve your gum health and maintain a healthy smile with proper care and treatment. Our team at Highlands Ranch Periodontics & Implant Center is dedicated to helping you achieve optimal oral health and supporting your journey to a healthier smile.

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