Fighting Gum Disease: How to Keep Your Teeth

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June 27, 2016

More than 75% of Americans over 35 have some form of gum disease. In its earliest stage, your gums might swell and bleed easily. At its worst, you might lose your teeth. The bottom line? If you want to keep your teeth, you must take care of your gums.

The mouth is a busy place, with millions of bacteria constantly on the move. While some bacteria are harmless, others can attack the teeth and gums. Harmful bacteria are contained in a colorless sticky film called plaque, the cause of gum disease. If not removed, plaque builds up on the teeth and ultimately irritates the gums and causes bleeding. Left unchecked, bone and connective tissue are destroyed, and teeth often become loose and may have to be removed.

A recent poll of 1,000 people over 35 done by Harris Interactive Inc. found that 60% of adults surveyed knew little, if anything, about gum disease, the symptoms, available treatments, and—most importantly—the consequences. And 39% do not visit a dentist regularly. Yet, gum disease is the leading cause of adult tooth loss. Moreover, a Surgeon General's report issued in May 2000 labeled Americans' bad oral health a "silent epidemic" and called for a national effort to improve oral health among all Americans.

The good news is that in most people gum disease is preventable. Attention to everyday oral hygiene (brushing and flossing), coupled with professional cleanings twice a year, could be all that's needed to prevent gum disease—and actually reverse the early stage—and help you keep your teeth for a lifetime.

In addition, several products have been approved by the Food and Drug Administration specifically to diagnose and treat gum disease, and even regenerate lost bone. These products may help improve the effectiveness of the professional care you receive.

What Is Gum Disease?

In the broadest sense, the term gum disease—or periodontal disease—describes bacterial growth and production of factors that gradually destroy the tissue surrounding and supporting the teeth. "Periodontal" means "around the tooth."

Gum disease begins with plaque, which is always forming on your teeth, without you even knowing it. When it accumulates to excessive levels, it can harden into a substance called tartar (calculus) in as little as 24 hours. Tartar is so tightly bound to teeth that it can be removed only during a professional cleaning.

Gingivitis and periodontitis are the two main stages of gum disease. Each stage is characterized by what a dentist sees and feels in your mouth, and by what's happening under your gumline. Although gingivitis usually precedes periodontitis, it's important to know that not all gingivitis progresses to periodontitis.

In the early stage of gingivitis, the gums can become red and swollen and bleed easily, often during toothbrushing. Bleeding, although not always a symptom of gingivitis, is a signal that your mouth is unhealthy and needs attention. The gums may be irritated, but the teeth are still firmly planted in their sockets. No bone or other tissue damage has occurred at this stage. Although dental disease in America remains a serious public health concern, recent developments indicate that the situation is far from hopeless.

Frederick N. Hyman, D.D.S., a dental officer in the FDA's dermatologic and dental drug products division, says that because people seem to be paying more attention to oral hygiene as part of personal grooming, the payoff is "a decline in gingivitis over recent years." Hyman adds that "gingivitis can be reversed in nearly all cases when proper plaque control is practiced," consisting, in part, of daily brushing and flossing.

When gingivitis is left untreated, it can advance to periodontitis. At this point, the inner layer of the gum and bone pull away from the teeth (recede) and form pockets. These small spaces between teeth and gums may collect debris and can become infected. The body's immune system fights the bacteria as the plaque spreads and grows below the gumline. Bacterial toxins and the body's enzymes fighting the infection actually start to break down the bone and connective tissue that hold teeth in place. As the disease progresses, the pockets deepen and more gum tissue and bone are destroyed.

At this point, because there is no longer an anchor for the teeth, they become progressively looser, and the ultimate outcome is tooth loss.

[Addendum from Dr. Robert Baratz: Periodontitis can also occur without gingivitis and can progress painlessly, producing few obvious signs even in its late stages.]

Signs and Symptoms

Periodontal disease may progress painlessly, producing few obvious signs, even in the late stages of the disease. Then one day, on a visit to your dentist, you might be told that you have chronic gum disease and that you may be at increased risk of losing your teeth.

Although the symptoms of periodontal disease often are subtle, the condition is not entirely without warning signs. Certain symptoms may point to some form of the disease. They include:

  • gums that bleed during and after toothbrushing
  • red, swollen or tender gums
  • persistent bad breath or bad taste in the mouth
  • receding gums
  • formation of deep pockets between teeth and gums
  • loose or shifting teeth
  • changes in the way teeth fit together on biting, or in the fit of partial dentures.

Even if you don't notice any symptoms, you may still have some degree of gum disease. Some people have gum disease only around certain teeth, such as those in the back of the mouth, which they cannot see. Only a dentist or a periodontist—a dentist who specializes in gum disease—can recognize and determine the progression of gum disease.

The American Academy of Periodontology (AAP) says that up to 30% of the U.S. population may be genetically susceptible to gum disease. And, despite aggressive oral care habits, people who are genetically predisposed may be up to six times more likely to develop some form of gum disease. Genetic testing to identify these people can help by encouraging early treatment that may help them keep their teeth for a lifetime.

Diagnosis

During a periodontal exam, your gums are checked for bleeding, swelling, and firmness. The teeth are checked for movement and sensitivity. Your bite is assessed. Full-mouth X-rays can help detect breakdown of bone surrounding your teeth.

Periodontal probing determines how severe your disease is. A probe is like a tiny ruler that is gently inserted into pockets around teeth. The deeper the pocket, the more severe the disease.

In healthy gums, the pockets measure less than 3 millimeters—about one-eighth of an inch—and no bone loss appears on X-rays. Gums are tight against the teeth and have pink tips. Pockets that measure 3 millimeters to 5 millimeters indicate signs of disease. Tartar may be progressing below the gumline and some bone loss could be evident. Pockets that are 5 millimeters or deeper indicate a serious condition that usually includes receding gums and a greater degree of bone loss.

Following the evaluation, your dentist or periodontist will recommend treatment options. Methods used to treat gum disease vary and are based on the stage of the disease.

Treatment

The goal of periodontal treatment is to control any infection that exists and to halt progression of the disease. Treatment options involve home care that includes healthy eating and proper brushing and flossing, non-surgical therapy that controls the growth of harmful bacteria and, in more advanced cases of disease, surgery to restore supportive tissues.

Although brushing and flossing are equally important, brushing eliminates only the plaque from the surfaces of the teeth that the brush can reach. Flossing, on the other hand, removes plaque from in between the teeth and under the gumline. Both should be used as part of a regular at-home, self-care treatment plan. Some dentists also recommend specialized toothbrushes, such as those that are motorized and have smaller heads, which may be a more effective method of removing plaque than a standard toothbrush.

John J. Golski, D.D.S., a Frederick, Md., periodontist, says that the rationale behind flossing is not "just to get the food out." From the periodontal standpoint, Golski says, "You're flossing to remove plaque—the real culprit behind gum disease," adding that proper brushing and flossing techniques are critical.

During a typical checkup your dentist or dental hygienist will remove the plaque and tartar from above and below the gumline of all your teeth. If you have some signs of gingivitis, your dentist may recommend that you return for future cleanings more often than twice a year. Your dentist may also recommend that you use a toothpaste or mouth rinse that is FDA-approved for fighting gingivitis.

In addition to containing fluoride to fight cavities, Colgate Total—the only toothpaste approved by the FDA for helping to prevent gingivitis—also contains triclosan, a mild antimicrobial that has been clinically proven to reduce plaque and gingivitis if used regularly. A chlorhexidine-containing rinse, also approved to fight plaque and gingivitis, is available only with a prescription.

If your dentist determines that you have some bone loss or that the gums have receded from the teeth, the standard treatment is an intensive deep-cleaning, non-surgical method called scaling and root planing (SRP). Scaling scrapes the plaque and tartar from above and below the gumline. Root planing smoothes rough spots on the tooth root where germs collect and helps remove bacteria that can contribute to the disease. This smooth, clean surface helps allow the gums to reattach to the teeth.

A relatively new drug in the arsenal against serious gum disease called Periostat (doxycycline hyclate) was approved by the FDA in 1998 to be used in combination with SRP. While SRP primarily eliminates bacteria, Periostat, which is taken orally, suppresses the action of collagenase, an enzyme that causes destruction of the teeth and gums.

Periodontal procedures such as SRP, and even surgery, are most often done in the office. The time spent, the degree of discomfort, and healing times vary. All depend on the type and extent of the procedure and the person's overall health. Local anesthesia to numb the treatment area usually is given before some treatments. If necessary, medication is given to help you relax. Incisions may be closed with stitches designed to dissolve and may be covered with a protective dressing.

Susan Runner, D.D.S., chief of the Dental Devices Branch in the FDA's Center for Devices and Radiological Health, says that devices have been approved both for diagnosing gum diseases and promoting regeneration of periodontal tissue.

"Periodontal membranes, along with bone-filling material, are used in treatment of the condition to help repair damage resulting from periodontal disease," Runner says. "Tissue engineering devices mimic the biological characteristics of the wound-healing process, and may help stimulate bone cells to grow."

Opinions about which treatment methods to use vary in the periodontal field. For some people, certain procedures may be safer, more effective, and more comfortable than others may be. Which treatment your dentist or periodontist chooses will most likely depend on how far your disease has progressed, how you may have responded to earlier treatments, or your overall health.

"Generally, we all have the same goals, but the methods for getting to them may be different," says Golski. "One size doesn't fit all." Professional treatment can promote reattachment of healthy gums to teeth, reduce swelling, the depth of pockets, and the risk of infection, and stop further damage.

"But in the end," Golski says, "nothing will work without a compliant patient."

Antibiotic Treatments

Antibiotic treatments can be used either in combination with surgery and other therapies, or alone, to reduce or temporarily eliminate the bacteria associated with periodontal disease.

However, doctors, dentists and public health officials are becoming more concerned that overuse of these antibiotics can increase the risk of bacterial resistance to these drugs. When germs become resistant to antibiotics, the drugs lose the ability to fight infection.

"The resistance we're worried about," explains Robert Genco, D.D.S., Ph.D., chairman of the oral biology department at The State University of New York at Buffalo, "is in association with antibiotics in the traditional use; those at higher levels in the blood that kill bacteria."

Jerry Gordon, D.M.D., of Bensalem, Pa., shares Genco's concerns. "There is a role for antibiotics in periodontal disease," Gordon says, "but you have to be very selective in your use."

Each time a person takes penicillin or another antibiotic for a bacterial infection, the drug may kill most of the bacteria. But a few germs may survive by mutating or acquiring resistance genes from other bacteria. These surviving genes can multiply quickly, creating drug-resistant strains. The presence of these strains may mean that the person's next infection will not respond to another dose of the same antibiotic. And this overuse would be detrimental to people if they develop a life-threatening illness for which antibiotics would no longer be helpful.

John V. Kelsey, D.D.S., dental team leader in the FDA's dermatologic and dental drug products division, says, "The widespread use of systemic antibiotics is generating resistant organisms, and that's a problem." And that fact, he says, "has prompted the industry to develop new strategies that would reduce the risk of resistance developing."

Other Common Measures for Treating Gum Disease

Curettage—a scraping away of the diseased gum tissue in the infected pocket, which permits the infected area to heal.

Flap surgery—involves lifting back the gums and removing the tartar. The gums are then sewn back in place so that the tissue fits snugly around the tooth. This method also reduces the pocket and areas where bacteria grow.

Bone grafts—used to replace bone destroyed by periodontitis. Tiny fragments of your own bone, synthetic bone, or donated bone are placed where bone was lost. These grafts serve as a platform for the regrowth of bone, which restores stability to teeth.

Soft tissue grafts—reinforce thin gums or fill in places where gums have receded. Grafted tissue, most often taken from the roof of the mouth, is stitched in place over the affected area.

Guided tissue regeneration—stimulates bone and gum tissue growth. Done in combination with flap surgery, a small piece of mesh-like fabric is inserted between the bone and gum tissue. This keeps the gum tissue from growing into the area where the bone should be, allowing the bone and connective tissue to regrow to better support the teeth.

Bone (osseous) surgery—smoothes shallow craters in the bone due to moderate and advanced bone loss. Following flap surgery, the bone around the tooth is reshaped to decrease the craters. This makes it harder for bacteria to collect and grow.

Medications—in pill form are used to help kill the germs that cause periodontitis or suppress the destruction of the tooth's attachment to the bone. There are also antibiotic gels, fibers or chips applied directly to the infected pocket. In some cases, a dentist will prescribe a special anti-germ mouth rinse containing a chemical called chlorhexidine to help control plaque and gingivitis. These are the only mouth rinses approved for treating periodontal disease.

Other Potential Factors That Contribute to Gum Disease

While plaque is the primary cause of periodontal disease, the American Academy of Periodontology (AAP) says that other factors are thought to increase the risk, severity, and speed of gum disease development. These can include:

Tobacco use—one of the most significant risk factors associated with the development of periodontitis. People who smoke are seven times more likely to get periodontitis than nonsmokers, and smoking can lower the chances of success of some treatments.

Hormonal changes—may make gums more sensitive and make it easier for gingivitis to develop.

Stress—may make it difficult for the body's immune system to fight off infection.

Medications—can affect oral health because they lessen the flow of saliva, which has a protective effect on teeth and gums. Some drugs, such as the anticonvulsant medication diphenylhydantoin and the anti-angina drug nifedipine, can cause abnormal growth of gum tissue.

Poor nutrition—may make it difficult for the immune system to fight off infection, especially if the diet is low in important nutrients. Additionally, the bacteria that cause periodontal disease thrive in acidic environments. Eating sugars and other foods that increase the acidity in the mouth increases bacterial counts.

Illnesses—may affect the condition of your gums. This includes diseases such as cancer or AIDS that interfere with the immune system.

Clenching and grinding teeth—may put excess force on the supporting tissues of the teeth and could speed up the rate at which these tissues are destroyed.

FDA-Approved Products for Gum Disease

A number of products are available to control infection and reduce inflammation.

 

Name What It Is Why Its Used How Its Used
Colgate Total
triclosan and fluoride toothpaste
Over-the-counter toothpaste containing the antibacterial triclosan The antibacterial ingredient reduces plaque and resulting gingivitis. The fluoride protects against cavities. Used like a regular toothpaste
Peridex or generic
chlorhexidine mouth rinse
Prescription mouth rinse containing an anti-microbial called chlorhexidine To control bacteria, resulting in less plaque and gingivitis Used like a regular mouthwash
Periochip A tiny piece of gelatin filled with chlorhexidine To control bacteria and reduce the size of periodontal pockets Chip is placed in the pockets after root planing, where the medicine is slowly released over time.
Atridox A gel that contains the antibiotic doxycycline To control bacteria and reduce the size of periodontal pockets Placed in pockets after scaling and root planing. Antibiotic is released slowly over a period of about seven days.
Actisite Thread-like fiber that contains the antibiotic tetracycline To control bacteria and reduce the size of periodontal pockets These fibers are placed in the pockets. The medicine is released slowly over 10 days. The fibers are then removed.
Periostat A low dose of the medication doxycycline that keeps destructive enzymes in check To hold back the bodys enzyme responsetif not controlled, certain enzymes can break down bone and connective tissue. This medication is in pill form. It is used in combination with scaling and root planing.

Carol Lewis

This article is reprinted from the May-June 2002 issue of FDA Consumer magazine.

 

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Gregory Sutton (Wellington, FL)

Very gentle. Did not feel the needles. Dr. Gorbatov has great bedside manners. Explain the treatment in detail.

qspasalon hollywood beach florida

Love Dr. Gorbatov! He is skilled, professional, thorough, nice, and always keeps me comfortable. The assistants and office staff are great too. I highly recommend Dr. Gorbatov!

fannabl (Hallandale Beach, FL)

Hello, Dr.Gorbatov is truly THE BEST ,so please just forget about all the rest! I truly witnessed MIRACLE IN MAKING!!! My sister now have a MOVIE STAR SMILE! Thank you... Read more

Valnea Del Bianco (Hallandale Beach, FL)

If you're looking for an Exceptional dentist then you should visit Dr. Gorbatov Dentistry. I've only been going to this dentist office a little over two months to obtain a... Read more

S Jackson

I was very fortunate to find Dr. Gorbatov right when I had a major issue with an old crown that fell off and led to a major infection just a... Read more

Octavian Miron (Aventura, FL)

I've been looking for a good dentist since So. FL lacks them. Not anymore, great professional services, and best of all, you will find a personal touch. You will truly... Read more

ML GG (Hollywood, FL)

Excellent job! Very professional and friendly ... that’s my personal experience and actually if I could, I would give 5+ stars. Will recommend it to everyone!

Janetta Smilowska Matyinko

Thank you doctor for my beautiful smile!

V V (Hollywood, FL)

I had an amazing experience with Dr Gorbatov and his excellent staff. I went to him for a second opinion and he told me I did not need any work... Read more

James Borelli

Outstanding customer and dental services. The Doctor is very professional and knowledgeable. Thank you . Alla S.

Vadim Broytman

A crown fell out and needed to be cemented back in place. Called this morning and left message. Returned call and got an appointment 1.5 hour later.Friendly staff and everything... Read more

Stephen Waldman

Excellent Service! Friendly, Clean and Prompt!

Deidre Reid-Thomas (West Palm Beach, FL)

My experience was very smooth. When I called for appt, the next available time was in two days, I didn’t expect it will be that soon.Everybody in the office is... Read more

Daria Tis

The best confortable dental officeHighly recommendedVery nice and professional Doctor and assistant

62511aveful

I absolutely loved my experience with Dr G and his amazing staff 🌸 so very welcoming and thorough 🌸🌸🌸

Kelly Spillman

FIVE STARS! I left my pre you’d Hollywood dentist because she refused to do a simple noninvasive ADA recommended preventive treatment, and insisted I needed an implant. In addition her... Read more

therese costa

This dentist and his staff went way above and beyond to not only remedy my issue with my teeth but made me feel extremely comfortable as well as giving me... Read more

George Cavros

This is the best dental office I’m attending. The dentist and his staff was very knowledgeable. I would recommend this office to my friends.

Irene Fishberg

I know Dr. Gorbatov and use his service already for 15 years since we moved to Florida. He is an amazing doctor capable to do all types of dental and... Read more

Eugenia Aulov-Volchek (Sunny Isles Beach, FL)

Im from out of state visiting Florida. Broke my front crown. Searched the internet and Dr Gorbatov came up first. I walked in the next morning and they fixed my... Read more

Michael Jonas

This is the best dental office!!!. Everyone is very nice and professional. Dr Gorbatov and the Hygienist Lilia have golden hands. No discomfort at all. I Highly recommend Dr Gorbatov... Read more

Al Chaviano

Fantastic service. Dr. Gorbatov is very skilled, and make your experience such a pleasure. Definitely go to Dr. Gorbatov for your dentistry needs.

Raul Alvarez

Very high professionalism, excellent atmosphere and responsiveness of employees have made this business one of the best. A well-functioning team led by one of the best professionals of the US... Read more

Lili Ivanova (Sunny Isles Beach, FL)

Jessica at the front has helped me tremendously and the Dr has made the large amount of work that I have had done painless

Celeste Clossin (Wellington, FL)

Great office. Dr. Gorbatov is an excellent dentist. The staffs are really nice and helpful.One of the best experience. Highly recommend.

Phicha M

I've been looking for a good dentist since So. FL lacks them. Not anymore, great professional services, and best of all, you will find a personal touch. You will truly... Read more

ML GG (Aventura, FL)

Let me start by saying Dr Gorbatov is amazing, a true credit to the art of dentistry. He is a perfectionist and his assistant Lidi is amazing also in her... Read more

Keith Miller

Dr. Gorbatov and staff are WONDERFUL! Highly skilled, innovative, up to date with the most updated technology. The entire staff is warm, friendly, kind, and extremely helpful. I came across... Read more

Dr. Dee

I usually don't like to go to dentists, but they were very professional and good

Ann Marie Caruso

Top-notch and high-quality services are provided at Dr. Gorbatov’s office. Since my last visit, I can't stop smiling ever after. I think I found the dentist for life. My highest... Read more

Val Lovechild

Absolutely the best doctor and staff. I was afraid of any and all oral procedure. Dr Gorbatov did all my oral surgery without any pain involved. I do not even... Read more

Sharon Shields

Very impressed with Dr. Gorbatov's ethics. He truly cared about my situation, the fact that I was from another city and had limited time off of work to address my... Read more

Tatiana Safonova (Sunny Isles Beach, FL)

I had a wonderful experience at the office of Dr Gorbatov , great attitude of all here , the work I have done was painless, I would highly recommend Dr... Read more

Hans Werner

The best dentist ever!!! I have been living with a drill lodged in my mouth for more than two years after it snapped off during a routine visit to the... Read more

Kristina Rakova

The atmosphere in this office is beyond believe, I instantly felt comfortable with Dr Dimitiri and his assistant Yuri. They work great together. I had 6 veneers put in and... Read more

Ruslan Gahramanov (Sunny Isles Beach, FL)

Dr. GORBATOV is the most charismatic, cheerful Dentist with tremendous energy. Today I can confirm that he is the best dentist in Florida. He had been looking for a good... Read more

Myriam Harter

I have been having a lot of issues with my teeth for quiet some time, including broken molars and bad procedures at other dental facilities. I came to Dr. Gorbatov... Read more

Felix Spengler (Miami, FL)

First time here the staff and Dr were so informative and professional thank you for making my experience run so smooth ?

Evelyn Garcia (Greenacres, FL)

Great Dentist and Team. Fantastic experience and service. My husband had a dental emergency while on vacation and Anna got us in immediately. Dr. Gorbatov is very attentative and caring... Read more

Giannotti Jessi

Every time I visit its always a pleasant experience, the employees are welcoming and the service is outstanding. Its the only dentist i recommend to my friends and family

Alejandro Figueredo

Dr. Gorbatov placed an implant for me, I am extremely happy with the result, I had absolutely no pain during the procedure after few month doctor put a crown, looks... Read more

Sergey Kasatkin (Sunny Isles Beach, FL)

Excellent professionals and Dr Gorbatov was the one in Miami who helped me with the toothache. Excellent Job!

A. El Dani

It was my first visit to this clinic and I am soooo happy I came here! The doctor Dmitry Gorbatov big professional and wonderful person! Hygienist Lilia is the best!!!... Read more

Tatyana Rodina

Dr Gorbatov and his team are very professional. Very happy with the whole experience.

Yelena Khalif

My wife went to doctor Gorbatov in case of emergency and pain. Hi offer fast help and resonable price for a future job such a removing tooth and built implant.... Read more

lev figman

I came to Dr. Gorbatov as a referral and everyone has been so friendly, kind, helpful and understanding about my nervousness. I greatly appreciate everyone’s kindness during both of my... Read more

Rachel Fludd

My experience, couldn’t ask for any better, great office, wonderful people. Professional in his field, with pleasant energy in his office Dr. Gorbatov and all his team members where AWESOME!!... Read more

William Hunt

Great service Knowledgeable doctor Friendly staff 5+ stars!! Someone hacked into my account and gave false review. Not me!!! Outstanding service @ Dr Gorbatov Dentistry!!!!

Ellen Zlobinskiy (Hallandale Beach, FL)

Great staff. Extremely helpful. Dr Gorbatov very professional and did a fantastic job.

Joseph Volpe

I want to say that this office and the staff are by far the best professionals in dentistry in Hollywood!! they become family!! I want to thank you all for... Read more

norma masoud

I love this dentist office the service here is very fast and comfortable. The staff is extremely nice and caring. I recommend this dentistry to everyone :)

Анна Anna

I feel I have the best care possible under Dr. Gorbatov and his team. His work is top quality and because of him I know my teeth and the health... Read more

Alex P. (Fort Lauderdale, FL)

I have been Dr. Gorbatov's patient for over 8 years and have always received excellent service. The facility and staff are wonderful. I would highly recommend A Center for Dental... Read more

Teresita Camacho (Lake Worth, FL)

First time ever giving a dentist visit 5 stars. The staff was very kind and attentive. Albina was very professional and I would recommend her to anyone who visits! Definitely... Read more

Alejandro Figueredo

This is the first time I’m writing a review for anyone. I decided to share as this office and practice deserves the the 5 stars for the 5 stars service... Read more

Oksana Libovych

Awesome service. Highly recommended

Iliana Gonzalez (Royal Palm Beach, FL)

The clinic employs professionals in their field, received assistance efficiently and promptly, I advise.

Egor Fedorov

Very professional office , sweet people. Love this place . I really recommend it . I went for an emergency dentist issue and I would hoped tolived in this city... Read more

Ingry Rodriguez

Wonderful dental office and staff. Dr. Gorbatov is one of the best in the industry, very knowledgeable and patient. Highly recommend.

Eugenia Mize

Very happy with quick service, suggestions & prices. Will be a repeat customer

Jaclyn Franceschini (Fort Lauderdale, FL)

I am extremely happy I found Dr.Gorbatov! He saved my vacation and helped me in emergency mode(I broke my front tooth) I am changing my dentist to Dr.Gorbatov, convenience, no... Read more

Tatiana Vaccaro

Incredible how I was just taking my mother to her dentist appointment to me ending up becoming a patient, Jessica greeted me with such warmth and compassion and immediately noticed... Read more

Aracelis Figueroa (Wellington, FL)

I highly recommend Dr.Gorbatov dentistry . I tried so many doctors and finally I found people who knows what they do, I can trust my and my family to them.... Read more

Nuriya Deberdeeva

The dentist is very friendly and gentle during procedures.

Sofie M (Sunny Isles Beach, FL)

Fantastico me atendieron como en ninguna parte. Excelent Servicio . Atentencion y profesionales' los recomiendo ampliamente. Dr. Gorbatov es un Sol . Su asistente un Amor, y todo su equipo.... Read more

Mery Sanchez

I had a wonderful experience at the office. I had a root canal done. The dentist was very gentle and soothing. His hygienists were super nice and friendly. Would recommend... Read more

Nellie

Amazing experience! The office is beautiful, the staff is knowledgeable and super friendly.

Maria Slomka

Today I visited Dr. Gorbatov office for the first time. I am from Moscow, last time I had my dental exam in Russia I was pleased however coming to this... Read more

Roman AR

Highly recommend this dental office. Dr. Gorbatov provides high quality, state of the art dental services. He has a very calming demeanor and the entire staff is professional, warm and... Read more

Valerie

Dr Gorbatov is the best dentist, hands down! First, he has the rarest skill for virtually painless anesthesia, which is huge deal for someone who is afraid of shots, like... Read more

Iryana Tsyrina

I had an amazing experience here. Lily the hygienist is the best she’s so nice and didn’t stop until my teeth were perfect. I love her I’ll be back soon... Read more

Auto Sales

Dr. Gorbatov was very thorough and went over all concerns I had (I'm not really a fan of the dentist). He is definitely the nicest Dentist I have ever been... Read more

Sofia Rodriguez (Hallandale Beach, FL)

I am grateful to reach the hands of Dr. Gorvatov,my dental surgery has been successful, he was very professional when deciding what to do with my tooth, thinking about the... Read more

EP TECH USA

Been going here forever and they do an excellent job with all your dental needs and even with cosmetic dentistry as well!

Lauren Harris (Lake Worth, FL)

My experience, couldn’t ask for any better, great office, wonderful people. Professional in his field, with pleasant energy in his office Dr. Gorbatov, his assistant, Lidi, without whom all the... Read more

Kirill Krassikov

I was very pleased with the service, the staff was awesome, especially Lidi the assistant that was very professional and made me feel comfortable during my appointment. I will definitely... Read more

Roman Sidler

Excellent service , friendly & professional !!!

Mauricio Bonifacio (Sunny Isles, FL)

I’m very grateful for the work that Dr. Gorbatov did! Very professional and knowledgeable.Highly recommended!☺️

V P

I'm very thankful with the doctor and the entire office staff. Very professional work and excellent treatment.

Guillermo Ricard

I have been a patient of dr.Gorbatov for almost 10 years. His approach to every dental problem or concern is extremely professional and very compassionate. My complicated oral surgery went... Read more

Serguei Eremkine

I would like say that this office is at the TOP of my list. The staff is awesome, it is very clean and you made at home as soon as... Read more

Jazlyne Jimenez (Lake Worth, FL)

Had a great experience with Dr.Gorbatov, he is really professional and doing great his job always with a smile)) Definitely recommending him

Tanya Kusiumova (Sunny Isles Beach, FL)

Good quality office, and dental work.

Igor Gonchar (Hallandale Beach, FL)

S u p e r b ...Immaculate dentistry! I was impressed with a GREAT attention to details! His work is truly an ART and priceless! Everyone in the office is... Read more

Gordana Skracic (Aventura, FL)

The best dental office and dentist Highly recommend for my friends and family ❤️

Valentina Zhdan

I am very happy that i got to the Dr.Gorbatov, it was my dream to get such a nice smile like i have now.He is professional in his job.Everything was... Read more

Mila Zbarzhevetska

Doctor always helps me with everything and the atmosphere is always amazing and welcoming. I would recommend this office to everybody!

Edgar Gorodetsky

I always have a great experience when I come here, the staff is wonderful and I would not change my dental office for anything in the world.. Jessica is amazing... Read more

Shiloh Robinson (Wellington, FL)

I had a procedure done by Dr. Gorbatov, it was amazing, I didn't feel anything, he has very gentle hands and techniques and I didn't even feel the shot! I... Read more

Jessica Y Montero (West Palm Beach, FL)

The best Doctor and assistants, who really care about their patients and work professionally. They helped me to save a tooth, when other doctor refused to do so, and what... Read more

A

Dr Dmitry Gorbatov is simply the best! Super professional, fixed my issues in few minutes without any pain or discomfort. Thank you so much! Staff is very friendly. I’m definitely... Read more

Alyona M

God bless this dentistry! Nice team, professional doctors. Gorbatov has golden hands

Nanna Stormin

I recommend to all ! Fast, high quality!!! Very, very good doctor Dmitry! Top notch professional!!!! Very attentive staff! Thank you !!! I was satisfied and recommend to everyone!

Miami Dance Academy

They have the best physicians and hygienists possible. I have never had a cleaning as thoroughly as lily. They also did an amazing job on my Invisalign

Jamal Mustafa

Very professional office. Good dentist.Clean dental office

Anna K. (Hollywood, FL)

Friendly and the caring stuffOK gentle professional careComfortable and election dental experience

Albert Volchek

The dentist fit me in last minute when my normal dentist was unavailable I tried them on the recommendation of a friend after I broke a veneer and had 3... Read more

Mark Krawiec (Hollywood, FL)

I love this place. The staff is wonderful...friendly and very accommodating! I highly recommend.

amanda powell

Excellent Care, Excellent Costumer Service, Good quality office, and Professional Doctor.

Zbigniew Krawiec

I’ve been coming here for almost 10 years now and can surely say that the customer service provided is one of the best in town. Make sure to be nice... Read more

Hype Kay (Royal Palm Beach, FL)

Great experience! Really felt like Dr Gorbatov and his staff took time to explain and perform my procedures on a very short notice. Highly recommend!

Suzanne Ireland

My experience was great.Doctor is very professional.I really recommend.The best place to go for your dental.

Olga Meverden (Sunny Isles Beach, FL)

This is IT!!!! As good as it gets!!! If you want a celebrity smile call his number.

Jacob F. (Miami)

I recommend this place to anyone that needs any type of dental work done , I always feel welcome from the moment i sign in untill my visit is over... Read more

Lyn F (Wellington, FL)

Had an amazing experience. Staff was very caring and nice. They are very honest

Billie Selinsky (Wellington, FL)

I always have a good experience here with the Doctor. He is always helping me and is always assisting me with anything I may need. Thank you!

igor gorodetsky

I just moved from California and immediately fell into the "trap" of Dr.Gorbatov. Was very pleasantly surprised. Firstly, a knowledgeable sociable Doctor with "golden hands". Secondly, the wonderful staff, especially... Read more

Naum Berdichevsky

This was my first visit at Dr. Gorbatov office and I could not be more pleased with the excellent customer service they provided for me. The entire staff was extremely... Read more

Katherine Barrenechea

Absolutely loved the staff and doctor! Right when you walk through the door they greet you with such a big smile and kindness. Thank you doctor I will never stop... Read more

epasco12

This is the Best Dental Office I ever was. Great personality, gentle touch and perfectionism in all aspects of cosmetic dentistry. Thank you Dr. Gorbatov for creating Smile I always... Read more

Yuriy Gorobets (Hallandale Beach, FL)

Dr. Gorbatov Dmitry - Doctor with a capital letter. Many thanks to the doctor and his team. The clinic employs real experts in their field.It's amazing, but after visiting Dr.... Read more

Yulia Dobrynina

Dr. Gorbatov is an outstanding dental surgeon and professional in every sense of the word. He and his entire staff are wonderful--- by far the most knowledgeable and compassionate of... Read more

Salt&Light (West Palm Beach, FL)

Dr Gorbatov is an amazingly talented dentist. I had the porcelain veneers done in his office and have a feeling like I have never had such beautiful smile in my... Read more

Julia Soldatova

Everyone was kind, Professional and very concerned for my best interest and well being. They double check everything to make sure it is correct. Dr. Gorbatov is a first class... Read more

Mark Krawiec

Amazing experience! Everyone in the office is so sweet and friendly! My husband was freaking out because he had a bad experience somewhere else but the whole team worked together... Read more

Laura Painchault

I'm so happy . This place are so Profesional. Doctor and assistant Lidy was wonderful. Amazing cosmetic dentist office. I 100% recommend doctor Gorbatov and His assistant Lidy. Thank you... Read more

Sosima Sanabria

The receptionist goes above and be on for the customers. Excellent service the doctor treats you with all his attention feels like I’m right at home and explain everything detailed.... Read more

Sophie Garcia (Royal Palm Beach, FL)

I had an urgent dental issue while on vacation in Miami and was able to schedule an emergency visit for my treatment with Dr. Gorbatov. The staff was friendly, the... Read more

Marina Greenberg

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