Dental emergency? Seen today8175 Custer Rd, Suite A110 · Frisco, TX 75035Frisco, TXOpen today 9–6(469) 262-2111Book an appointmentBook now
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gum disease

Periodontics & Oral Surgery

A periodontist in Frisco, TX: gum disease treated by a Diplomate of the American Board of Periodontology, right in this building.

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Board-certifiedDiplomate, American Board of Periodontology
In this buildingseen by internal referral, no separate consult fee
Six readingsper tooth, tracked visit to visit
Laser therapyalongside scaling, less bleeding

Gum disease does not hurt until it is late.

Close to half of American adults over thirty have some degree of gum disease, according to the CDC. Most do not know it. It bleeds a little, which people explain away as brushing too hard.

Meanwhile the bone holding the teeth is quietly receding, and bone does not come back on its own. Gum disease is the leading cause of tooth loss in adults.

It is also the most treatable serious condition in dentistry, provided it is caught while it is still an inflammation problem and not yet a structural one.

Treatments in this area

Every periodontics & oral surgery treatment, on its own page.

Stages of Gum DiseaseIn the stages of gum disease, one is fully reversible and the next one is not. Few people are told which side of that line they are on — so this page explains how to find out.Read more Deep Cleaning (Scaling and Root Planing)The treatment patients most often suspect they are being upsold. Here is exactly when it is genuinely needed, how to check, and what we do to make the week afterwards bearable.Read more Periodontal MaintenanceThe least glamorous appointment in dentistry, and the one that decides whether the treatment you already paid for holds. Twelve weeks follows the biology of how quickly pockets repopulate.Read more Laser Gum TreatmentLaser gum treatment here means six specific procedures, named clearly, with an honest note on where a laser adds nothing.Read more Frenectomy — Tongue-Tie and Lip-Tie ReleaseA frenectomy is a short procedure with a lot of noise around it — done here from the teenage years onwards. Younger children are referred to specialists who see them more often, and this page says where to start.Read more Gingivectomy and Crown LengtheningCrown lengthening and gingivectomy are two related procedures that get confused constantly. One removes gum. The other removes gum and a little bone — and the difference decides whether the crown on top of it lasts.Read more Wisdom Teeth RemovalDone here by a board-certified periodontist, planned from a 3-D scan, and under IV sedation as standard — with an honest answer first about whether they need to come out at all.Read more Impacted Wisdom TeethImpacted wisdom teeth do not automatically have to come out. Impacted means a tooth cannot come through, and the four different ways that happens lead to four different recommendations.Read more What Wisdom Teeth Removal CostsAn explanation of how the fee is actually built, so you can read any estimate you are handed and tell whether it is complete.Read more Wisdom Teeth RecoveryEverything that happens in the first ten days, in the order it happens — including the one pattern of pain that means you should come straight in.Read more Receding Gums TreatmentRecession has four common causes and they need four different answers. Treating the wrong one is why people spend years watching it get slowly worse.Read more Gum GraftingA gum graft covers an exposed root and rebuilds a band of firm gum. Done here by a board-certified periodontist — and recommended a good deal less often than it is offered.Read more Osseous Surgery (Pocket Reduction)What happens when scaling and root planing has not been enough. Done here, many times, by a board-certified periodontist — with the trade explained before you agree to it.Read more
The process

Gum disease treatment in Frisco: how we measure, then treat

Six readings per tooth, taken before and after treatment, are what turn gum disease from a vague warning into a number you can watch improve.

  1. Measuring your gum pocket depths

    Six readings around each tooth with a calibrated probe. Healthy pockets are 1–3mm; four and above holds bacteria no toothbrush can reach.

  2. Scaling and root planing

    Hardened deposits removed from the root surfaces inside each pocket, and the root smoothed so tissue can reattach. Numbed, usually across two visits.

  3. Antibiotics placed in the pocket

    Applied directly where the concentration can be far higher than anything swallowed as a tablet.

  4. Laser therapy

    A soft-tissue diode laser disinfects the pocket and removes diseased tissue, with less bleeding and an easier recovery than a scalpel.

  5. Maintenance every three or four months

    Not upselling: bacteria repopulate a treated pocket in roughly twelve weeks, and the whole result depends on staying ahead of that.

Good to know

What to know about gum care and oral surgery in Frisco

A board-certified periodontist in our Frisco office

Dr. Holvin Louie is a Diplomate of the American Board of Periodontology — board certification, the real distinction from a general interest in gum treatment. And he practices in the same office as your general dentist. Diagnosis happens at the appointment where the problem is found. Planning is done by the surgeon and the restoring dentist together, so nothing falls through the gap between two offices, which is where a surprising number of periodontal cases quietly stall.

Meet Dr. Louie
A clinician seen from behind at a chairside monitor, attending to a pale three-dimensional scan of a lower dental arch on the screen.

Receding gums, and treating the right cause

Recession has more than one cause, and treating the wrong one wastes time. It can come from periodontal disease, brushing too hard, a tooth sitting outside the arch of bone, or grinding forces flexing the tooth at the gumline. Where a graft is indicated it covers the exposed root and restores a stable band of gum. Where the cause is technique or grinding, changing the cause matters more than any procedure.

Nine fine stainless periodontal instruments laid in an even row on a bone-white cloth in a surgical tray, with a folded gauze square at one end.

Gum health decides whether an implant will hold

Placing an implant is a periodontal procedure. It depends entirely on bone volume, bone quality and the health of the gum around it. An implant placed into an untreated mouth risks peri-implantitis: the same destructive process, now aimed at the implant. So gum treatment comes first, always.

Dental implants in Frisco
A chairside monitor showing a three-dimensional scan of a lower jaw segment, with a sage-toned implant standing in the gap between two molars.

Periodontal care near Frisco, Prosper and Plano

Looking for a periodontist near you? Gum care here happens at 8175 Custer Rd, Suite A110, Frisco, TX 75035, in the same building as your general dentist. We are open Monday, Tuesday, Thursday and Friday from 9 AM to 6 PM and Saturday from 9 AM to 3 PM, and our team still answers the phone on Wednesday. Patients come from Frisco and from nearby Prosper, Plano, Little Elm, Allen, Celina and McKinney. Dr. Louie is seen by internal referral, so the first step is a general appointment.

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Choosing between options

Gum disease treatment options: which appointment do you need?

The names sound similar and the treatments are not interchangeable.

Comparison of Routine cleaning, Deep cleaning, Perio maintenance
FeatureRoutine cleaningDeep cleaningPerio maintenance
Pocket depth1–3mm4mm and aboveAfter treatment
ReachesThe crownThe root inside the pocketBoth, on a shorter cycle
AnestheticNoUsuallySometimes
IntervalSix monthsAs treatmentThree or four months
In detail

What your gum pocket measurements mean

Gum disease is measured here, with six readings per tooth compared visit to visit, which turns a vague warning into something you can watch improve.

1–3mm14–5mm26mm+3
The probe reading, and what the bone is doing beneath it
  1. Healthy — the probe stops at 1–3mm and the bone sits high against the tooth. Nothing to treat.
  2. Early pocket — 4–5mm. The attachment has begun to detach and deposits are collecting where a brush cannot reach.
  3. Deep pocket — 6mm and beyond, with bone lost around the root. This is the stage that loosens teeth, and it is painless until it does.
In depth

Gum health and the rest of your body

Periodontal disease is a chronic inflammatory condition, and the mouth is not sealed off from the rest of you. The research linking gum disease to other conditions is substantial and continues to grow. It touches cardiovascular disease, poorly controlled diabetes, adverse pregnancy outcomes and respiratory infection. The relationship with diabetes appears to run in both directions. High blood sugar worsens gum disease, and periodontal inflammation makes blood sugar harder to control.

Gum treatment addresses your gums — it is not a cure for diabetes, heart disease, or anything else, and we will always be straightforward about that limit. If you are managing diabetes, pregnant, or being treated for heart disease, your gums are worth taking seriously as part of that picture. Your physician will generally agree.

Your part in gum treatment: what we ask of you

Periodontal treatment is genuinely a partnership, and the clinical part is the smaller half. It means brushing twice daily with a soft brush at the gumline. It also means cleaning between teeth every day with floss or interdental brushes, and keeping to the maintenance interval we set. The single biggest factor is not smoking. Smoking both accelerates the disease and masks it, because it suppresses the bleeding that would otherwise warn you.

None of this is delivered as a lecture. If home care is not going well, we would rather know, and adjust the plan around reality.

Every periodontal and oral surgery treatment has its own page. For gum disease, see the stages of gum disease, scaling and root planing, laser gum therapy, osseous surgery and periodontal maintenance. For gum shape and recession, see receding gums, gum grafting, gingivectomy and crown lengthening and frenectomy. For wisdom teeth, see wisdom teeth removal, impacted wisdom teeth, wisdom teeth recovery and wisdom teeth removal cost.

Holistic Gum Care in Frisco

Gum disease affects more than your gums, so our holistic care in Frisco treats your mouth as part of your whole health. Our board-certified periodontist measures your gums first, then recommends the gentlest treatment that will control the disease, and explains every option, including when surgery is and is not needed.

Treatment is aimed at your gums only. It does not treat diabetes, heart disease or other conditions, and we say so plainly. After treatment, we keep your gums stable with maintenance visits every three or four months. You can read about our whole-health approach to dental care.

Cost & insurance

Periodontal treatment cost in Frisco: what to expect

Commonly coveredDeep cleaning and periodontal maintenance are covered in part by most PPO plans, often at a set frequency. We file the claim for you.
Quoted by quadrantTreatment is priced by the area that needs it, so a localized problem is not billed as a whole-mouth course.
Coded as maintenanceAfter treatment, visits move to every three or four months and are coded differently from a routine cleaning — we will explain what your plan covers.
MembershipThe periodontal plan is $500 a year and includes four cleanings and four fluoride treatments, which suits patients in maintenance.

Surgical treatment and grafting are quoted separately in writing only once the response to the first phase has been measured.

You get the figure in writing before treatment starts. We accept all major PPO plans and file the claim for you, our membership plan takes a percentage off treatment, and CareCredit financing is available.

Using your insurance

How plans usually cover gum treatment.

Major — Class III on most plans

What plans pay
Commonly around 50% once the deductible is met, which means gum treatment is the kind of treatment where the plan covers about half and the annual maximum decides the rest.
Deductible
Usually applies, and for major work it is rarely waived.

What catches people out

  • Waiting periods. Six or twelve months of holding the policy before major work is covered is common, and it catches people who have just changed employer.
  • The annual maximum. At around 50%, one major procedure can consume most of a $1,000 to $2,000 benefit by itself — which is why the order treatment is done in matters.
  • Frequency limits by tooth. "Once every five years" or "once every seven years" is standard wording, and it counts from the date of the last one wherever it was done.

These are how dental plans usually classify this treatment — not a statement about your own plan. Yours is the one that governs, plans differ more than people expect, and the only reliable answer comes from reading your specific benefits, which we always do ahead of treatment and give you in writing.

And what changes out-of-network

A dentist who is in-network has signed a contract fixing what may be charged for each procedure and cannot bill you the difference. One who is out-of-network has signed nothing, so the full fee stands.

So the first difference is the price itself — the same treatment is simply allowed to cost more out-of-network, before anyone's plan is considered.

What you personally pay out of that depends on your own deductible and coinsurance, which is why there is no percentage here: it is not a property of the treatment, it is a property of your plan, and we verify yours before you commit. But two things follow for everybody. Your share is a share of a bigger number. And your annual maximum is spent by what the plan pays toward that bigger number, so the same treatment eats more of your benefit out-of-network.

The figures are on the treatment pages. This page covers several different procedures, and one chart here would have to average treatments that are not comparable — a filling against a full-arch case. Each treatment page carries its own allowed fee, in network and out.

Check the going rate yourself

FAIR Health's dental cost lookup is free, needs no account, and is not ours — it reports what a procedure typically costs in your area. It does not know your plan, so treat it as a ballpark figure — not a final answer.

Ask us for the number first

We verify your specific plan before your appointment and give you a written estimate: what the plan is expected to pay, and what you pay. If we get it wrong we tell you why.

Bring an Explanation of Benefits

Treated somewhere else? Your EOB shows exactly what the plan paid and what it counted against your maximum. Bring one in and we will read it with you — whether or not you become a patient here.

None of this says out-of-network dentists are worse dentists. Plenty are excellent, plenty are out-of-network for sound reasons, and people choose a dentist for who that person is. What we think you are owed is the information, so that whatever you choose, you chose it knowingly. The whole thing, explained properly, or call (469) 262-2111 and ask.

What happens next

Gum treatment timeline: from first visit to long-term care

Gum disease is a managed condition — not a cured one. What follows is what that actually involves.

  1. Visit oneFull-mouth gum measurements

    Six readings around every tooth, X-rays for bone level, and a record of bleeding points. This is the baseline everything later is compared against.

  2. Weeks 1–4Deep cleaning

    Scaling and root planing below the gum line, usually by quadrant and with anesthetic. This removes what a brush and a hygienist's routine clean cannot reach.

  3. Week 8Re-measuring after healing

    The same six readings again. Pockets that have shrunk tell us the tissue is responding; those that have not are where surgical or laser treatment is considered.

  4. If neededSurgery, laser or grafting

    Carried out here by Dr. Louie, a Diplomate of the American Board of Periodontology — not referred out and not delayed while you wait for an appointment somewhere else.

  5. Every 3–4 monthsOngoing periodontal maintenance

    The part that keeps the result. Patients who stop at this stage lose ground within a year, and it is the single strongest predictor of keeping teeth long term.

Getting here

Periodontics & Oral Surgery in Frisco, TX

Bring a list of your medications — several affect the gums directly, and diabetes control and gum health move together in both directions.

Hours
Weekdays 9–6
Saturdays 9–3
Languages
English, Telugu, Hindi, Urdu
Arabic with Saba, our hygienist, Tuesdays, Thursdays and Fridays
Vietnamese with Anh, our hygienist, Saturdays
Cantonese and Mandarin with Dr. Louie, our periodontist, on his scheduled days, by internal referral
Also serving
McKinneyPlanoProsperLittle ElmAllenCelina
Before you call

Periodontics and Oral Surgery FAQs in Frisco, TX

Grouped so you can go straight to the one you came for.

Periodontics & Oral Surgery — common questions

Do I need a referral to see the periodontist?
The referral is internal, from one of our general dentists. Dr. Holvin Louie sees patients of this practice after Dr. Peravali or Dr. Yarlagadda has examined you, and he does not take appointments directly. The consultation is complimentary, with nothing billed to your insurance and nothing charged to you. If you see another dentist now, start with a general appointment.
What are the first signs of gum disease?
Bleeding when you brush or floss is the earliest and most ignored sign. Other signs include red or puffy gums, persistent bad breath, tenderness, gums that have pulled back so teeth look longer, and sensitivity at the exposed root. Pain arrives late, which is why gum disease is usually caught later than it should be.
What is the difference between a regular cleaning and a deep cleaning?
A regular cleaning removes plaque and tartar from the crowns of the teeth, above and just below the gumline. Scaling and root planing, which is a deep cleaning, removes hardened deposits from the root surfaces inside a pocket. It then smooths the root so the gum can reattach. It is usually done with the area numbed, often over two visits.
Can gum disease be reversed?
Gingivitis, the early inflammatory stage, is reversible with treatment and better home care. Once it becomes periodontitis and bone has been lost, that bone does not grow back on its own. Treatment stops the progression and can regenerate bone in specific defects with grafting, but the goal shifts from cure to control.
Do you offer LANAP laser gum surgery?
We use a soft-tissue diode laser, not the LANAP protocol, which requires a specific Nd:YAG laser system. The diode laser disinfects pockets, removes diseased tissue and supports healing alongside scaling and root planing. If you have read about LANAP, Dr. Louie will explain where the two approaches overlap and where they differ for your case.
Does insurance cover periodontal treatment?
Scaling and root planing and periodontal maintenance are usually covered at least in part by PPO plans, though frequency limits apply. Surgical procedures and grafting vary widely by plan. We verify your specific benefits and give you the out-of-pocket figure in writing before treatment is scheduled.
What does a periodontist do?
A periodontist is a dentist who specializes in the gums and the bone that support your teeth. Periodontists diagnose and treat gum disease, perform gum grafting and place dental implants. At White Lotus Dental, Dr. Holvin Louie is our board-certified periodontist, and he treats patients here by internal referral.
Can I go straight to a periodontist?
Not at this practice. Our periodontist, Dr. Holvin Louie, sees patients of White Lotus Dental by internal referral from Dr. Peravali or Dr. Yarlagadda. The consultation with him is complimentary once you are referred. If you are not yet a patient, the first step is a general appointment, where one of our dentists examines your gums.
How much does a periodontist appointment cost?
The consultation with our periodontist is complimentary once you are referred, with nothing billed to your insurance. Treatment is priced by the area that needs it, so a localized problem is not billed as a whole-mouth course. Surgery and grafting are quoted separately in writing after the first phase of treatment has been measured.
Is there a periodontist at White Lotus Dental in Frisco?
Yes. Dr. Holvin Louie, who holds American Board of Periodontology certification, treats patients at 8175 Custer Rd, Suite A110, Frisco, TX 75035, in the building where your general dentist works. He sees patients by internal referral, so the first step is a general appointment with Dr. Peravali or Dr. Yarlagadda.
Dental emergency?

Toothache at 7am? You'll be seen today.

Same-day and Saturday appointments for toothaches, broken teeth, knocked-out teeth and lost crowns. Call us and we'll tell you what to do first, while you're still at home.

Other treatments

Everything else under this roof.

White Lotus Dental offers nine dental specialties inside one calm office on Custer Road. Having general dentists and an in-house periodontist on staff means your entire family can receive preventive, restorative, and surgical treatments in one familiar place.

IPreventive dentistry and cleanings in Frisco

Preventive Dentistry

Regular dental checkups, professional cleanings, night guards, and jaw-pain care. Every routine exam includes an oral cancer screening to protect your long-term health.

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IIChildren's dentist in Frisco, TX

Children's Dentistry

Gentle first dental visits, protective sealants, fluoride applications, and space maintainers. We accept Children's Medicaid and CHIP, and every young patient receives a toy-machine token at the end of their visit.

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IIIOrthodontics and Invisalign in Frisco, TX

Orthodontics

Clear aligners with Invisalign® and comprehensive traditional braces. Your treatment is fitted, monitored, and adjusted in-house by your trusted dentist.

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IVDental implants, bridges and dentures in Frisco, TX

Missing Teeth

Permanent dental implants, dental bridges, and customized dentures planned using 3-D CBCT scans. Because our team includes a board-certified periodontist, your implant surgery, placement, and final crown are completed in the same building.

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VCosmetic dentistry in Frisco, TX — whitening and bonding

Cosmetic Dentistry

Professional Zoom whitening, custom take-home whitening trays, and composite tooth bonding designed to brighten and refine your natural smile.

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VIICrowns, bridges and fillings in Frisco, TX

Restorative Dentistry

Custom porcelain crowns, bridges, tooth-colored fillings, and full-mouth restorations crafted to match the natural look, feel, and function of your teeth.

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VIIISedation dentistry in Frisco, TX

Sedation Dentistry

Relaxing dental care tailored to your comfort level. We offer nitrous oxide (laughing gas) for any routine clinic visit, as well as oral and IV sedation planned ahead with our periodontist.

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IXEmergency dentist in Frisco, TX — same-day appointments

Emergency Dentistry

Toothaches, broken teeth, knocked-out teeth and lost crowns — seen the same day, Saturdays included.

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