Treatment of the surrounding tooth area such as gums and root surfaces. For an individual with healthy gums cleaning is recommended every 6 months as a preventative measure. Most insurances will cover the expense. If there is evidence of periodontal disease (gum disease, tooth mobility) it is necessary to receive gum treatment to arrest the progression of the disease. This is done first conservatively by scaling and root planning. When this procedure is no longer feasible due to progression of the disease surgery is necessary which is performed by Dr. Botar at our facility.