Periodontics in
White Plains, NY

Scaling and root planing (SRP) is the most common non-surgical treatment for gum disease and is usually the first step when pockets have deepened beyond what a routine cleaning can address. The procedure has two components:

• Scaling: Using specialized instruments — including ultrasonic scalers — to remove plaque, tartar, and bacterial deposits from the tooth surfaces, including well below the gum line where a regular cleaning can’t reach.
• Root Planing: Smoothing the surfaces of the tooth roots to remove rough areas where bacteria cling and to encourage the gum tissue to reattach firmly to the tooth.

Most patients need SRP divided across two visits—one side of the mouth per appointment—and the area is numbed for comfort throughout. After treatment, the gums begin to heal, inflammation subsides, and pocket depths typically reduce. In many cases, SRP alone is enough to stabilize mild to moderate gum disease. If pockets remain deep after healing, your periodontist may recommend a follow-up procedure.

Patients in White Plains, Yonkers, Scarsdale, and the surrounding Westchester area can schedule a scaling and root planing consultation directly at our office—no referral required.

For patients with moderate to severe periodontal disease, LANAP® (Laser-Assisted New Attachment Procedure) represents one of the most significant advances in gum disease treatment of the past two decades. It’s the world’s first and only FDA-cleared laser protocol specifically approved for periodontal regeneration—and it’s available right here at our White Plains office.

Traditional gum surgery involves cutting the gum tissue, folding it back, cleaning the roots, and suturing the tissue closed—a process that requires significant recovery time and often results in gum recession. LANAP® takes a fundamentally different approach:

1. A laser fiber — roughly the width of three human hairs — is gently guided into the space between your tooth and gum.
2. The laser energy targets and removes only the diseased, infected tissue while leaving healthy gum tissue completely untouched.
3. Ultrasonic instruments flush away calculus and bacterial deposits from the root surface.
4. The laser is passed over the area a second time, stimulating the body’s natural healing response and encouraging the gum and bone tissue to regenerate.
5. A stable clot forms, sealing the pocket and creating an environment for new tissue attachment.

The result: pocket depths reduce, bone can regenerate, and infected tissue is eliminated—without a single incision or suture. Most patients return to their normal routine within 24 hours. Published studies show that 80–90% of LANAP®-treated patients maintain stable results with proper maintenance — outcomes that rival or exceed traditional surgery.

Not all dental practices can offer LANAP®—the procedure requires specialized training at the Institute for Advanced Laser Dentistry. Dr. Ramos and our clinical team are certified LANAP® providers, bringing this cutting-edge treatment to patients throughout White Plains and Westchester County.

Gum recession is one of the most common consequences of periodontal disease—and one of the most misunderstood. As gum tissue pulls away from the teeth, it exposes the sensitive root surface, leading to increased tooth sensitivity, a higher cavity risk, and an aging appearance to the smile. For years, the only fix was a gum graft: harvesting tissue from the roof of the mouth and suturing it to the recession site.

Dr. Ramos is trained in the Chao Pinhole® Surgical Technique—a scalpel-free, suture-free approach to treating gum recession. Through a tiny pinhole entry point, specialized instruments gently reposition the existing gum tissue to cover the exposed root surfaces. Multiple teeth can be treated in a single session. There’s no donor tissue, no incisions, and minimal downtime—most patients see immediate visible improvement the same day.

Periodontal disease is a chronic condition—not something that’s ‘cured’ with a single treatment. After active therapy, your gums enter a maintenance phase designed to protect the progress you’ve made and prevent the disease from returning.

Periodontal maintenance visits are scheduled every three to four months (compared to the six-month interval for standard cleanings) and are more comprehensive: your periodontist or hygienist measures pocket depths, checks for any signs of recurrence, removes deposits that have accumulated since your last visit, and adjusts your home care recommendations as needed. Research consistently shows that patients who adhere to a structured maintenance schedule have dramatically better long-term outcomes than those who return to once-a-year cleanings after treatment.

Our hygiene team works side-by-side with Dr. Ramos to provide coordinated maintenance care—so you have both the specialist oversight and the consistent relationship with a hygienist who knows your history.

One of the most serious consequences of advanced periodontal disease is tooth loss. When gum disease destroys the bone and tissue that anchor a tooth, extraction sometimes becomes unavoidable. But losing a tooth doesn’t have to mean living without one.

As a board-certified periodontist and dental implant surgeon, Dr. Ramos is uniquely qualified to manage the transition from tooth loss to implant placement—because the same specialist who treated your gum disease is also the one placing your implants. This matters more than many patients realize: the success of a dental implant depends heavily on the health of the surrounding bone and gum tissue. Having your periodontist and implant surgeon be the same person eliminates communication gaps and ensures your bone is in the right condition before, during, and after implant placement.

We offer a range of implant solutions at our White Plains practice:

• Single Tooth Implants: A titanium post placed in the jawbone, topped with a custom porcelain crown—the closest thing to your natural tooth.
• Immediate Load Implants: In select cases, a temporary crown is placed the same day as the implant, so you leave with a full smile.
• TeethXpress® Full-Arch Implants: Four to six implants support an entire arch of permanent teeth—a life-changing solution for patients who have experienced extensive tooth loss. 

If you’ve been told your teeth are ‘too far gone,’ we encourage you to schedule a consultation before drawing any conclusions. Full-arch rehabilitation has transformed the oral health and quality of life of patients who believed they had no options left.