What is a Periodontist?

What’s the Difference Between a Dentist and a Periodontist?

When it comes to dental care, most people are familiar with general dentists. But what happens when your gums need special attention or you’re considering a dental implant? That’s where a periodontist comes in. Below, we answer the most common questions people have about periodontists—what they do, how they differ from general dentists, and whether it’s worth seeing one.

Is a periodontist higher than a dentist?

Not exactly "higher," but more specialized. All periodontists are dentists, but not all dentists are periodontists. After earning a dental degree, a periodontist undergoes an additional 2–3 years of advanced training focused on the prevention, diagnosis, and treatment of gum disease, as well as the placement of dental implants.

Think of it like this: if your dentist is a trusted general practitioner, your periodontist is the gum and implant specialist you see for more complex concerns.

What can a periodontist do that a dentist can’t do?

While general dentists can handle cleanings, fillings, crowns, and even some mild gum disease, periodontists are trained to manage:

• Advanced periodontal disease (including bone and tissue loss)
• Gum grafts and regenerative procedures
• Dental implant placement and bone grafting
• Surgical treatments for gum disease
• Crown lengthening and aesthetics-related gum procedures

In short, they have the tools and experience to handle more severe or complex issues that go beyond the scope of routine dental care.

Does periodontics cover implants?

Yes! In fact, dental implants are a major part of a periodontist’s work. Periodontists are experts in the structures that support your teeth—namely your gums and jawbone—which makes them especially qualified to:

• Evaluate bone density and determine implant placement
• Perform bone grafts if needed
• Place implants with precision
• Manage the surrounding gum tissue for optimal aesthetics and function

So if you’re considering dental implants, a periodontist is often the best specialist to guide the process from start to finish.

Is periodontal work worth it?

Absolutely—especially if you’re dealing with gum disease or are at risk of losing teeth. Periodontal treatment isn’t just about your mouth; it's about protecting your overall health. Untreated gum disease has been linked to serious conditions like:

• Heart disease
• Diabetes complications
• Respiratory issues
• Preterm birth in pregnant women

By treating gum disease early and effectively, you’re not only saving your smile—you’re making an investment in your long-term wellness. And yes, it can also help prevent tooth loss and reduce the need for more invasive treatments later.

Can a periodontist do surgery?

Yes—surgical procedures are a big part of what periodontists do. Some common periodontal surgeries include:

• Flap surgery (to clean below the gumline)
• Gum grafts (to treat receding gums)
• Bone grafts (to regenerate bone lost to gum disease)
• Crown lengthening (to expose more of the tooth structure)
• Implant surgery (to replace missing teeth)

They use specialized techniques to ensure better outcomes, faster healing, and minimal discomfort.

Are periodontists more expensive?

Generally, yes—but for good reason. You're paying for a higher level of training and expertise, particularly when it comes to complex or surgical procedures. While a routine cleaning or filling might be more affordable at a general dentist's office, more involved treatments like gum grafts or implants benefit from the precision and experience of a periodontist.

That said, many periodontists work with insurance and offer financing options to make care more accessible. And in the long run, addressing gum issues early with a specialist can save you money by preventing future complications.

Dr. Albani and the Periodontal Difference

Whether you’ve been referred to a periodontist or are simply exploring your options, knowing what sets these specialists apart can help you make more informed decisions. Healthy gums are the foundation of a healthy smile, and a periodontist is your best ally when that foundation needs expert care. Dr. James N. Albani, DMD has been named one of America’s Best Dentists 2025 in Periodontics. We’re proud to deliver award-winning periodontal care you can trust!

Have questions about periodontal care or wondering if you need to see a specialist? Contact us today - we’re here to help you keep your gums (and your smile) in top shape.