Our Services
in Troy, NY
Everything Troy Periodontics provides, from a single implant to surgical treatment of advanced gum disease, delivered in one practice by a board-certified periodontist. No referral needed.
One Practice, the Whole Range of Periodontal Care
A periodontist is the dental specialist for the gums, the bone, and the structures that hold teeth in place. That includes placing dental implants, because an implant lives in bone.
Many patients are sent between practices: one office diagnoses the gum problem, another places the implant, a third makes the crown. At Troy Periodontics the surgical and periodontal side is handled in one place, which means a single set of records, one treatment plan, and no gap where something gets lost between offices.
Dr. Mahogany Miles is a board-certified periodontist who completed three additional years of specialty training after dental school, focused entirely on periodontal and implant care. Patients come directly from the community and by referral from general dentists across the Capital Region.
If you are not sure which of the services below applies to you, that is normal and it is not something you need to work out in advance. A periodontal evaluation establishes what is actually going on, and the plan follows from the findings.
Common Reasons Patients Come In
- Gums that bleed when brushing or flossing
- A missing tooth, or one that cannot be saved
- Loose teeth, or teeth that have shifted
- A dentist has recommended a deep cleaning
- Receding gums or exposed roots
- Persistent bad breath despite good hygiene
- Dentures that no longer fit or feel secure
- A referral from a general dentist
Periodontal and Implant Services
Each service below has a full page explaining what it involves, who it suits, and what to expect.
Replacing one tooth or several with implants placed into the jawbone, restored with a custom crown. Placement by a periodontist means the bone and gum condition is assessed and managed as part of the same treatment.
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Replacing a complete upper or lower arch on a small number of implants, including All-on-4 and implant-supported dentures, for patients who have lost most or all of their teeth in one jaw.
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Treatment for gum disease at every stage, from scaling and root planing through to gum grafting and osseous surgery where non-surgical treatment has not been enough on its own.
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Bleeding is the earliest sign of periodontal inflammation and the most commonly ignored. What causes it, how it is measured and staged, and when it needs a specialist rather than a change of toothbrush.
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What a periodontal specialist treats, how the training differs from general dentistry, and the point at which a gum or bone problem is better handled by a specialist than managed in a general practice.
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Routine cleaning and periodontal maintenance. Because the provider is a periodontist, every cleaning includes an assessment of gum and bone health rather than a polish alone.
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Nitrous oxide and oral sedation, so that dental anxiety is not the reason necessary periodontal treatment keeps being postponed. Available across our surgical and non-surgical procedures.
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Cherry financing with 0% interest options, CareCredit, and in-house VIP Membership Plans, alongside insurance verification and an itemized estimate before treatment begins.
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Not Sure Which One You Need?
Most patients arrive with a symptom rather than a diagnosis. Bleeding gums, a loose tooth, a dentist who mentioned bone loss, or a gap where a tooth used to be. Working out which treatment applies is the job of the evaluation, not something you need to decide beforehand.
A periodontal evaluation involves measuring the depth of the space between each tooth and the gum, recording which sites bleed when probed, and taking radiographs to see bone levels. Those findings determine the stage, and the stage determines which of the services above is appropriate. Where more than one applies, they are sequenced so the foundation is treated first. Active gum disease, for instance, is treated before an implant is placed, because an implant placed into inflamed tissue is at a disadvantage from the start.
You do not need a referral. If you would rather start by reading, our patient resources explain several of the common situations in plain terms.
Questions About Our Services
Practical questions about getting started, for patients and for referring practices.
In most cases you will not know yet, and you are not expected to. Patients arrive with a symptom such as bleeding, a loose tooth, or a missing tooth, rather than a diagnosis. The evaluation establishes the stage of any gum disease and the condition of the bone, and the appropriate treatment follows from those findings. If several apply, they are sequenced so that the underlying condition is addressed before restorative work is placed on top of it.
Yes. A significant share of our patients are referred by general dentists across the Capital Region, usually for implant placement, surgical periodontal treatment, or management of gum disease that has not responded to treatment in a general practice. We communicate findings and treatment plans back to the referring dentist so that ongoing general care stays coordinated, and patients return to their own dentist for routine work.
Sometimes, and where it is appropriate it reduces both total treatment time and the number of visits. An extraction and a bone graft are frequently performed together, for example, because grafting at the time of removal preserves bone that would otherwise resorb. Other combinations are deliberately separated, because tissue needs to heal or an implant needs to integrate with bone before the next stage. Dr. Miles will set out the sequence and the reasoning at your consultation.
A first visit is diagnostic rather than treatment. It involves a full periodontal charting, which measures pocket depths around each tooth and records bleeding points, radiographs to assess bone levels, a review of your medical history and current medications, and a discussion of what you have noticed and what concerns you. You leave with an explanation of the findings and a written treatment plan. Treatment itself is scheduled separately.
It depends entirely on what is being treated. Non-surgical gum treatment is typically two appointments with a re-evaluation about four to six weeks later. Implant treatment runs over several months, because the implant needs time to integrate with the bone before a crown is attached. Surgical periodontal procedures are scheduled individually with healing time between stages. After active treatment finishes, most periodontal patients move onto a maintenance schedule of visits every three to four months.
Start With
an Evaluation.
One appointment establishes what is actually going on and what, if anything, needs treating. No referral needed.
500 Federal St, Suite 300, Troy, NY • Mon–Thu 8am–5pm