Holistic Gum Disease therapy
An Integrative Approach to Oral & Systemic Health!
Balance Your Gum & Your Health!
Minimal Invasive Non-Surgical or Surgical Gum Therapy with Ozone Therapy & Laser
If you have periodontal (gum) disease, bleeding gums, persistent bad breath, or sensitive teeth, you are not alone. According to recent findings from the Centers for Disease Control and Prevention (CDC), gum disease is one of the most common dental conditions affecting millions of Americans. However, we are here to help.
As the leading Orange County Holistic and Cosmetic dentist, Dr. Horiyat and his highly skilled periodontist and hygienist will help you get your mouth back in shape to support your award-winning smile. With innovative technology, superior holistic methods, and proven principles, we may not only save you from severe dental damage and tooth loss, but we may also help reduce the risks of developing overall health problems that can be attributed to gum disease.












Gum Disease Overview
Not quite sure about your periodontal health? Allow us to explain: the gums are a complex system containing the bone, ligaments, and soft tissue to hold your teeth. This complex system is also referred to as the periodontium.
A healthy periodontal condition is characterized by firm, pink gums that do not bleed when brushed or flossed. There should be no mobility in the teeth. Healthy individuals will have clean breath and a happy, confident smile.
When the periodontium is not healthy due to plaque and bacteria building up over time, your smile could be compromised aesthetically, structurally, and biologically, often threatening the health of your teeth without your knowledge. These issues are called “Periodontal (gum) Disease.”
Gum Disease is a progressive condition that begins with symptoms that many disregard as normal. Tender, red, and bleeding gums are the first sign of gingivitis. As the disease progresses, gums become more damaged, pulling away from the teeth, which could ultimately result in tooth loss and bone loss in your jaw and skull.
Have you ever wondered if you were at risk for gum disease? Maybe you’ve never thought about it, but there’s a chance you have one or more factors that could be putting you at risk. Ask our certified holistic and biological dentist, periodontist, or hygienist, who provides expert biological dental care to prevent, treat, and manage gum disease, helping you keep a healthy smile for life.
Healthy Gum Vs. Gum Disease
Stages of Periodontal Diseases
The Stages of periodontal disease range from simple gum inflammation or redness to severe gum disease that results in major damage to the soft tissue and bone that support the teeth. In the worst cases, teeth are lost.
Whether your gum disease is stopped, slowed, or gets worse depends a great deal on how consistently you attend your perio-maintenance appointments at Aria Dental and how well you care for your teeth and gums every day.
1. Healthy
2. Gingivitis
3. Periodontal Pocket
4. Periodontitis
gum disease pocket depth
Gingivitis
In its early stages, gum disease is often referred to as gingivitis, an infection caused by bacteria in the gums and plaque buildup on teeth. If plaque isn’t adequately removed, it can build up at the gum line, leading to gum inflammation. Gingivitis is a condition that needs to be addressed immediately at the first sign of a problem; It is characterized by swollen, red, bleeding, or receding gums. Gingivitis is reversible with professional treatment and good oral home care. If left untreated, it can lead to severe periodontitis (periodontal infection), which could ultimately lead to gum surgery or destroy the bone surrounding your teeth and may cause you to lose your teeth. Aria Dental utilizes the latest techniques and proven holistic ways to help our patients eliminate gingivitis and associated chronic inflammation. The treatment usually involves deep cleaning (scaling or root planing) with options of ozone therapy and gum laser treatments.
Periodontitis
Destructive Inflammatory periodontal (Gum) disease or periodontitis is the natural progression of gingivitis. Periodontal disease is a hidden danger, not only to your teeth but also to your overall health, because it is virtually pain-free. Periodontitis is the leading cause of tooth loss in adults. According to recent findings from the Centers for Disease Control and Prevention (CDC), half of Americans aged 30 or older have periodontitis. This equals approximately 64.7 million Americans. Your daily oral hygiene routine is your best defense against periodontal disease. Still, if you suffer from bleeding gums, receding gums, or loose teeth due to any form of gum disease, you need to receive professional dental care immediately. Although it cannot be cured, gum disease can be controlled with dental treatments such as gum therapy, ozone therapy, and Periolase LANAP®.
Do You Know What Type of Gum You Have?
different forms of periodontitis
- Aggressive Periodontitis occurs in patients who are otherwise clinically healthy. Common features include rapid attachment loss (separation of gums) and bone destruction, and familial aggregation (genetic predisposition, different bacterial exposures, different lifestyles, etc.
- Chronic Periodontitis results in inflammation within the supporting tissues (gum and bone) of the teeth, progressive attachment loss, and bone loss. This is the most frequently occurring form of periodontitis and is characterized by pocket formation and/or recession of the gingiva (gums). It is most prevalent in adults, but can occur at any age. Progression of attachment loss usually occurs slowly, but periods of rapid progression can occur.
- Periodontitis as a Manifestation of Systemic Disease often begins at a young age. Systemic conditions such as heart disease, respiratory disease, or diabetes are associated with this form of periodontitis.
- Necrotizing Periodontal Disease is an infection characterized by necrosis (death) of the gingival (gum) tissues, periodontal ligament, and alveolar bone. This form is commonly observed in individuals with systemic conditions such as HIV infection, malnutrition, and/or immunosuppression.
Factors Affecting the Development of Gum Disease
Have you ever wondered if you were at risk for gum disease? Maybe you’ve never thought about it, but there’s a chance you have one or more factors that could be putting you at risk.
Smoking & Tobacco
Plaque Buildup
Systemic Disease
Misaligned Teeth
Nutritional Deficiencies
Grinding & Clenching
Hormonal Shifts
Medication Use
Family History
Signs of Gum Diseases & how to prevent it
symptoms of Gum Disease
- Red Gum & Tooth Discoloration
- Bleeding During Brushing & Flossing
- Persistent Bad Breath or Foul Taste
- Pain & Sensitivity
- Teeth Shifting or Change in Bite
- Pus Discharge
- Enlarged Gum Pockets
How to Prevent Gum Infection?
Healthy Diet & Cutting Back on the Unhealthy Foods
Holistic Home Remedies
Maintain Good Oral health at Home
Visit Your Holistic Dentist & Hygienist Regularly
Spread of Problems That Start in the Mouth to the Rest of Your Body
Gum infections may increase the risk of many diseases, including:
- Hearth Disease
- Stroke
- Lung Disease
- Problem in Pregnancy
- Complications Related to Diabetes
- Alzheimer's Disease
- Autoimmune Diseases
The Link between Gum Disease & Covid-19 Mortality
The study published in the journal of Clinical Periodontology revealed that COVID -19 patients with gum disease (periodontitis) were not only more likely to die, but also 4.5 times more likely to require ventilator, and 3.5 time more likely to be admitted to intensive care. The study reports periodontitis shares common risk factors with most chronic inflammatory disease known to influence the severity of COVID-19.
gum disease treatments
Periodontics is the branch of dentistry that focuses on the health of the bones and tissues that support your teeth. Regular visits with Dr. Maryam Horiyat at Aria Dental of Mission Viejo will maintain the health of these vital structures. If any signs of gingivitis or gum disease are seen, she may recommend preventive care steps, so the condition does not worsen. If signs of advanced periodontal disease are present, Dr. Horiyat, together with our periodontist, can create a personalized treatment plan for you. The main goal of treatment is to control the infection. The number and type of treatments will vary, depending on the extent of the gum disease. Any type of treatment requires that the patient keep up good daily care at home. The doctor may also suggest changing certain behaviors, such as quitting smoking, to improve treatment outcomes.
When bacterial build-up is threatening the health of your smile, and if you have been diagnosed with gum disease, there are a variety of treatment options depending on the severity of the problem. The two main options that can be used to restore the health of your gum and bone tissues.
- NON-SURGICAL PERIODONTAL TREATMENTS
- SURGICAL PERIODONTAL TREATMENTS
As a holistic and biological dentist, Dr. Horiyat will always start with the least invasive and conservative options, which are non-surgical treatments including Diode Soft Tissue Laser and Ozone; However, in more serious cases, invasive gum surgery may be needed. However, our LANAP-certified dentist or periodontist could help you with non-invasive LANAP® Laser Gum Therapy as an alternative to traditional osseous surgery.
benefits of professional treatment
Comfortable solutions
Experience gentle treatment with advanced comfort options that put anxiety at ease.
prevention focus
Stops gum disease progression using a holistic, biological approach.
health protection
Reduces inflammation that affects both your smile and your overall wellness.
expert guidance
Learn simple and effective strategies and homeopathic methods for maintaining healthy gums.
renewed confidence
Eliminates bleeding gum and oral discomfort with lasting solutions.
non-Surgical Gum Treatments
(Mild to Moderate Gum Disease)
The first line of defense against gum disease is a unique type of non-surgical cleaning called “scaling and root planning (SRP).” During this procedure, our holistic dentist and hygienist utilize an advanced technique of ultrasonic scaler device and hand instruments to remove plaque or calculus from your teeth at or below the gum line. Root surfaces of the tooth may be smoothed using “Periodontal Debridement”, which is a procedure by which plaque and tartar that have accumulated on the teeth can be removed. This provides a healthy and clean surface that makes it easier for the gum tissue to re-attach to the tooth.
This type of cleaning is performed when a regular teeth cleaning is not enough. It is usually used for people who have put off dental visits or teeth cleaning for a while and have a significant buildup of plaque and tartar. During a gross debridement, plaque is first removed with a scaler tool. Since tartar is hardened, a special electric tool is usually required to loosen and remove tartar from the teeth. Once this is complete, a regular prophylaxis cleaning will be performed.
Periodontal maintenance cleaning is recommended for those who had a history of gum disease; it helps patients to maintain healthy teeth and gums long-term. Periodontal maintenance cleaning involves a careful inspection and a thorough cleaning to prevent gum disease. This includes:
1. Inspection: Teeth x-rays & visual examination of the mouth
2. Subgingival Cleaning: Calculus is removed along and under the gumline.
3. Supragingival Cleaning: Dental scaling tools are used to clean the area of teeth that is visible above the gum line.
4. Root Planing: The root of the teeth is gently smoothed to remove any remaining bacteria that persists.
Oxygen/ozone therapy is a holistic and natural treatment that safely and significantly reduces oral harmful microorganisms such as bacteria & fungus. Gum disease can be arrested without the use of pharmaceutical drugs and their associated side effects. There are different applications for ozone therapy: Ozonated Water, Ozonated Oils & Ozonated Gas while applying oxygen/ozone directly into the infected gum pockets.
The diode soft tissue laser can be used as an additional treatment to remove diseased tissues and bacteria that contribute to gum disease inside the pocket; it treats bacterial pockets along the gum-line in mild gingivitis to moderate periodontitis. This technique uses laser light to eliminate periodontal pathogens and promote the return of the periodontium to a state of health. For moderate to severe gum disease, we offer not only osseous surgery, but also LANAP® laser therapy, in which we treat your gum disease with the only FDA-approved laser that requires no cut, no stitch, no drill, and no fear.
Minimally invasive Perioscope technology allow your periodontist to thoroughly clean deep gum pockets without the need for surgery.
This technique is performed on patients with aggressive or chronic periodontitis affecting one or more periodontal pockets. It can also be used as a great tool for patients that have slight bone loss and are begin to show the progression of their disease.
Your periodontist uses a miniature dental endoscope (camera) with advanced video, lighting, and magnification technology to identify areas of bacteria present below the gum line and clean them with ultrasonically powered probes.
Arsenicum Album – For bleeding and unhealthy gums.
China – For bleeding gum tissues
Ferrum Phosphoricum – For poor gum tone or gums that bleed after brushing.
Hypericum – For tender gum tissue and to promote healing.
Kali Chloricum – For acute ulcerative tissue.
Naturium Muriaticum – Tissue integrity.
Hepar Sulphuris – Tissue with suppuration, chronic abscesses.
Silicea – Periodontal abscess with swollen glands.
Staphysagria – Loose teeth while pain is increased by pressure.
Symphytum – Injuries to the periosteum. Stimulates growth of epithelium on ulcerated surfaces.
Mercurius Solubilis – For acute ulcerative tissue with a coated tongue and metallic taste in the mouth.
Nux Vomica – For swollen painful gums when the back of the tongue has a whitish coating and when the patient consumes a lot of stimulants such as coffee and tea.
Phosphorus – For swollen gums that bleed easily, and when saliva is overproduced.
We use advanced DNA testing to identify specific bacteria, allowing us to personalize your gum disease treatment for optimal results.
Treat you beyond your dentist visit, but like any other medication, they come with side effects. Since our holistic dentist usually does not recommend medications due to the pharmaceutical drug side effects, she might recommend more natural and safe treatments such as ozone therapy or laser along SRO
Arestin® (Minocycline HCL) Microspheres is a concentrated antibiotic that remains active in your gum pocket for an extended period to reduce pocket depth by targeting periodontal bacteria to fight infection and ultimately helping your gum to heal. Arestin is incorporated into a routine oral maintenance program along SRP.
Medications may be used with treatment that includes scaling and root planning, but they cannot always take the place of surgery. Depending on how far the disease has progressed, Dr. Horiyat and her team of board-certified periodontists may still suggest surgical treatments.
The Perio Tray® by Perio Protect was developed to supplement and improve periodontal treatments. Perio Trays are versatile and non-invasive approach to threat bacteria and other problems that cause gum disease. The basic goal of Perio Protect is to help to restore your oral health by placing medication under the gums and into infected pockets and keep it there long enough for the medication to work.
Our patients describe the Perio Trays as comfortable and easy to use. A perio Tray needs to be designed to precisely fit each patient. thus, the prescription Perio Tray is customized for each patient to deliver medication deep under the gums to fight gingival infection, and it needs to be used for 10-15 minutes daily.
If you undergo this method of treatment, Dr. Horiyat will give detailed instructions on what you need to do. Most people only need to use it for a few minutes each day, but each person is different.
Natural Ozone Vs. Pharmaceutical Drugs
Surgical Gum Treatments
(Moderate to Severe Gum Disease)
Plastic Surgery for the Gum
What most people may not realize is how dramatically their oral and overall health can be affected by gum disease. When gingivitis and periodontitis are left untreated, they can harm more than just the soft tissue of the gums; they can also damage the bones that anchor teeth to the jaw and develop holes in the bones around your teeth. If the tissues or bone surrounding your teeth is too damaged to be repaired with non-surgical treatments or if no other periodontal treatment has worked to restore your teeth and a healthy smile, gum surgery is the standard for treating advanced periodontal infection.
There are two types of surgical periodontal treatments:
- Modern & Innovative LANAP® Gum Laser Technique (Minimal Invasive with No Cut & No Stitches... No Damage to Healthy Tissues)
- Traditional & Invasive Osseous Surgery (Flap Surgery, Pocket Depth Reduction, Gingivectomy, or Periodontal Surgery)
Innovative Non-invasive LANAP® Gum Surgery
Common Facts About LANAP® Laser Therapy
- True Regeneration of Bone & Gum
- Long-lasting Results with Proper At-Home Oral Care
- Little to No Gum Recession
- Less Post-op Infections
- Minimally Invasive
- Less sensitivity & discomfort afterwards
- Speed up the Gum Disease Therapy
- No General Anesthetic Needed
Modern Laser Gum Therapy Vs. Traditional & Invasive Surgery
Benefits of LANAP® Periodontal Treatments:
Less Bleeding
Faster Recovery
Minimally Invasive
Less Sensitivity
More Effective Gum Therapy
Ideal for hemophilia, HIV, or diabetes patients
No Cutting or Stitching of Gum
Traditional & Invasive Osseous Surgery
In a healthy mouth, the teeth are firmly surrounded by gum tissue and securely supported by the bones of the jaw. Periodontal disease damages these tissues and bones, leaving open spaces around the teeth that we call pockets. The larger these pockets are, the easier it is for bacteria to collect inside them, leading to more and more damage over time. Eventually, the supportive structure degrades to the point that the tooth either falls out or needs to be removed.
During pocket reduction procedures (also known as “flap surgery”), we fold back the gum tissue and remove the bacteria hiding underneath, as well as the hardened plaque and tartar that have collected. We may also remove any tissue that is too damaged to survive. We then sew the healthy tissue back into place. Now that the tooth and root are free of bacteria, plaque, and tartar, and the pockets have been reduced, the gums can reattach to the teeth.
When the bone and tissue supporting the teeth have been lost due to severe gum disease, we can restore these areas with a regeneration procedure. During this process, we begin by folding back the gum tissue and removing the bacteria, plaque, and tartar. Depending on your situation, we may then perform a bone graft to stimulate new bone growth, or we may apply a special kind of protein that stimulates tissue growth to repair the areas that have been destroyed by the disease.
A frequent symptom of gum disease is gum recession (also called gingival recession). As the gums recede, more of the roots are revealed. This can make teeth appear longer and can also create sensitivity to hot or cold liquids or food. It also exposes the tooth to increased damage from gum disease, as bacteria, plaque, and tartar attack the surface of the tooth and the root.
During a soft-tissue graft of gum grafting, tissue from the top of your mouth or another source is sewed to the gum area, covering the roots and restoring the gum line to its original, healthy location. This procedure can also be performed for cosmetic reasons.
World-Class & Premier Dentists, Specialists & hygienists
What Makes Us Unique?
- Our Certified Holistic and Biological Dentist
- Our Expert American Board-Certified Periodontist
- Our Holistic, Integrative, Preventive, & Regenerative Approaches
- Our Outstanding Success Rate & Satisfied Patients
- Our Personal Attention & Gentle Care
- Our Anesthesia & Sedation Options
- Our State-of-the-Art Technologies and Holistic Methods
Top 5-Star Cosmetic & Holistic Dentist
Dr. Maryam Horiyat
in Orange County, CA
Holistic & Integrative Treatments
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Our Patients Are Saying
EXCELLENT Based on 304 reviews Posted on Adin RuddTrustindex verifies that the original source of the review is Google. Cleaning was gentle and easy. The hygienist was kind and listened to my concerns, answered my questions and gave me good advise for my dental care. She was also very kind.Posted on Alyssa LewisTrustindex verifies that the original source of the review is Google. I received the best dental care at Aria Dental. The team is professional and kind. Through her knowledge and holistic approach, Dr. Horiyat was able to find the root cause of my dental issues. She worked with my schedule, made sure everything was completed with care and attention to detail before I left for college. I highly recommend Aria Dental.Posted on D NTrustindex verifies that the original source of the review is Google. Wonderful, caring, professional dental practice which finally steers me in the right direction with my oral care. Staff have the utmost care for new and existing patients. A friend recommended me and I will be bringing my kids from here on in. Doctor Maryam Horiyat has her heart in the right place and I’m very grateful for that.Posted on Justin FTrustindex verifies that the original source of the review is Google. If you are seeking an alternative approach to dental care, then Aria Dental offers it. In fact, I believe they are the only one in the area that does. The support personnel are quite kind as well. All the procedures are quite pricey due to the way they position the services (and most insurance doesn't cover it). After experiencing Aria Dental for a couple of years, I can confidently say that they use the holistic approach purely as a marketing niche, which allows them to charge higher prices and to "stand out" in a rather crowded market. It is worth noting that the dentist does not perform a number of the procedures. For example, when my wife received an implant (a multistep process), they shipped in another doctor who was certified for the extraction, as well as the nurse anesthetist. Then, when the implant was placed, one of the assistants performed that process instead of Dr. Horiyat. That was surprising. The entire thing was essentially outsourced. As mentioned by some others, you'll get a feeling that they are in a hurry for their appointments. Perhaps overbooked, or to maximize revenue. Either way, you'll be ushered in and out so that they maintain their tight schedule. On a personal note, in 2023 I was told by another provider, SoCal Perio Implants, that I needed gum flap surgery. My wife was going to Aria Dental, so I figured I'd ask for a second opinion. Dr. Horiyat was adamant that gum flap surgery was not needed, and that I'd be fine with LANAP Laser Gum Therapy. I opted for the LANAP procedure, but it didn't work. My issue came back after two weeks. I went back to SoCal Perio Implants and saw Dr. Caplanis (a well known and respected Periodontist in California). Highly recommended by the way. I told him what I did, and he was annoyed with me, understandably. He said that he does LANAP procedures too, and if he thought it would have worked, then he would have recommended it (and that he would have actually preferred to do LANAP because it's an easier procedure for him, but for a similar payment... making it an easy payday, but he knew it wouldn't work). I laughed when he told me that. He's confident and direct, and it's warranted. Anyway, I did the gum flap procedure with him and all was resolved. Afterward, I was pretty upset at myself for wasting my money on the first procedure, but honestly, that one was on me. I should have trusted my gut and went with the expert. However, I was a little bit annoyed that my experience wasn't even acknowledged by Aria Dental. They had my money, so they were happy. So should you choose Aria Dental? If your priority is purely holistic dental care, and none of what I shared gives you pause, then maybe you'll be more inclined to overlook how things work there.Posted on Louis AlvarezTrustindex verifies that the original source of the review is Google. I recently had an exceptional experience at Aria Dental when I went for a cleaning and revision of my Invisalign trays. I was very impressed with the professionalism, knowledge and clinical expertise of all the staff and especially with Dr Horiyat. She is a true perfectionist and did a great job in repairing my bad bite with Invisalign. I highly recommend Aria Dental to anyone looking for state-of-the-art dental care.Posted on Marla WelshTrustindex verifies that the original source of the review is Google. Excellent Doctor care with most caring staff ever!!! I’m so thankful to have the best care in dentistry!!!Posted on Naomi MachimuraTrustindex verifies that the original source of the review is Google. Jon has been taking care of me in last few times and I am very happy they found him. In last few times, I had to ask him not to use the machine to clean because my teeth are very sensitive. Today he used the machine the first time with me, and I barely felt discomfort. I strongly hope they keep him for a long time.Posted on Serena ChangTrustindex verifies that the original source of the review is Google. Aria Dental is the best dental office we have ever been to. We were looking for a holistic dentist and this office is it. Dr. Maryam Horiyat is extremely knowledgeable and gentle with toddlers. Her entire staff is very kind and competent - especially her front office Shima and Steve. I would recommend this practice without reservations.Posted on Carmen GarciaTrustindex verifies that the original source of the review is Google. Staff was very kind and professional especially Louis, my nurse and Dr Pham. They were very patient and answered all of my questions and concerns. I will definitely refer them to family and friends. Thank you all for a wonderful service !
Stop Gum Disease Before It's Too Late!
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