Your gums don’t look or feel quite right. There may be bleeding, soreness, loose teeth, and bad breath. You may have noticed it yourself or we may have seen the signs during a regular hygiene and examination visit. In any event, we define your problem as “periodontal disease” and recommend further evaluation and treatment.
Periodontal care takes many forms, including soft tissue curettage, exquisite cleaning of the sub-gum root surfaces (“root planing”), bite adjustment and the insertion of antibiotics directly into the periodontal defects called “pockets.” When the disease is modest, these procedures, along with good home care, a balanced diet, and regular, frequent hygiene services may be all that is required. However, when the disease is advanced, when substantial bone has been lost and the pockets are deep, surgery may be recommended as a viable option. Should we support the surgical solution and advise you to accept it?
Herein lies a conundrum, because the general trend in medicine is away from purely surgical solutions. Researchers and advanced technology is calling into question the value of many common surgeries, periodontal included. Behind the change in mind set are growing numbers of studies which demonstrate that the side-effects of periodontal surgery are too often worse than the disease or injury itself. These studies have huge implications because so many of the procedures are now routinely covered by insurance.
Having said this, however, not all patients are willing to give up the surgical option when presented with other choices. The alternatives often involve unappealing life and habit changes that many people simply can’t sustain over the long term. This is especially true with the non-surgical control of periodontal disease.
Periodontal Surgery immediately provides a healthy environment, which needs support, of course, but can be well maintained by a person of ordinary motivation and digital skills. On the other hand, the non-surgical alternatives require a life-time of dedicated, time-consuming home care and more frequent visits for evaluation and hygiene services. Overall, our experience suggests that only a small percentage of people have the will to follow through with the rigorous, essentially self-help programs necessary to control the disease without surgery.
If you’ve been diagnosed with periodontal disease and, having heard all the pros and cons, must make a decision between a surgery and a non-surgery alternative, we suggest that you base your decision largely on what you know about yourself. Only you know if you have the discipline to follow a difficult program for life, or if you respond better to direct solutions, like surgery, to simplify the control of your disease. Of course, we will offer objective guidance, but in the final analysis, it’s your call.
Back to Periodontal TreatmentGreat service Knowledgeable doctor Friendly staff 5+ stars!! Someone hacked into my account and gave false review. Not me!!! Outstanding service @ Dr Gorbatov Dentistry!!!!
I had been looking for a dentist for a few months and I was referred to Dr. Gorbatov and I can certainly see why. I've always been a little skeptical...
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...
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....
Good quality office, and dental work.
Well I’ve been going to Dr. Gorbatov since 1996.... Yes ! I’m a loyal. With all the dental issues I’ve had, he’s been able to resolve them and been keeping...
I went to the office to get teeth cleaning! The receptionist was overwhelmed with something, but she was the sweetest. My dental hygienist did great job, made sure I feel...
Had a great experience with Dr.Gorbatov, he is really professional and doing great his job always with a smile)) Definitely recommending him
Painless, professional and efficient. Dr Gorbatov is great!
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Had an amazing experience. Staff was very caring and nice. They are very honest
The dentist is very friendly and gentle during procedures.
Thank you doctor for my beautiful smile!
Entire office & staff is very accommodating and attentive to all your needs. The dentist was very nice and professional and really took the time to explain to me everything...
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...
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...
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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...
A Center for Dental Excellence is fantastic. They’re understanding and extremely competent. Not only is the dental care itself excellent, but their quality of caring about their patients is unparalleled....
My experience was great.Doctor is very professional.I really recommend.The best place to go for your dental.
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...
I switched my dentist because i was dissatisfied with their service and decided to go to Dr.Gorbotov's office for my wisdom tooth extraction. I never thought I would see the...
Absolutely amazing. Jess and Jessica at the front made me feel so comfortable and helped me conquer my fear of the dentist. The office is clean and welcoming I completely...
This is the best dentist in the world who really cares about each and every patient and makes your smile look perfect! After visiting the new office you will be...
Dr. Gorbatov is an excellent dentist whose main priority is making sure his patients are comfortable and get the best dentistry he can offer. He provides an attentive service, and...
I want to say that I never write reviews. However I have to say that this dentist center is amazing! From the moment you enter you feel like family. Everyone...
Thank you Dr. Gorbatov for the great experience, your gentle touch and quality work you have done on my teeth. I have been very pleased with your professional, yet personable...
Thank you personally and from the bottom of my heart for the kindness and consideration you showed my mom, Catherine the other day! ?
I have been going to Dr Gorbatov at A Center For Dental Excellence for many years now and their use of "Excellence" isn't just a marketing ploy and they definitely...
Jessica at the front has helped me tremendously and the Dr has made the large amount of work that I have had done painless
Awesome service. Highly recommended
When I first found this office I was terrified of the dentist and I had constant anxiety when seeing dentists. Now I look forward to cleanings and my anxiety is...
Since me and my wife moved to Florida from Nj several years ago, we were looking for good dentist, the one we can trust. We tried a few but were...
Love the staff and great service!!
Dr. Gorbatov is an excellent dentist. I went to several other dentist and they all wanted to do a root canal, but Dr. Gorbatov was able to save my tooth....
From the minute I walked in the dr Gorbatov office till the and of my treatment I was pleasantly surprised with professionalism and care of Dr and his staff. I...
Been going here forever and they do an excellent job with all your dental needs and even with cosmetic dentistry as well!
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...
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...
Loved coming here, very nice Doctor and wonderful experience with a great cleaning. Receptionist is awesome too.
For me, dental work always came with the presumption of pain and discomfort. That's why it was always very difficult to get any recommended work done, because all I'd have...
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...
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...
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...
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...
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...
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...
Everyone in the office is super amazingly fantastic! They're informative and understanding. Dr. Gorbatov has done great work on my teeth! The dental hygienist has been a charm, makes every...
I take my 90yr great grandmother to this office and they are so kind and she feels so loved here. Every visit she receives excellent service and quality work. Thank...
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...
No teeth fell out mid cleaning. 10/10
Excellent Service! Friendly, Clean and Prompt!
You are the best guys! You definitely make me smile more :) Thank you sooooo much! Olga Aksenova ❤️
Very helpful and amazing response time! Found them on Instagram and I'm happy I did!
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...
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...
Very happy with quick service, suggestions & prices. Will be a repeat customer
I have been with the dentist for a few years now and love the care I receive. You are taken care of from the front desk person, through your visit!...
Wonderful service
Excellent service , friendly & professional !!!
I have been going to this office now for the past 3 years. From Jessica working the front, to having my teeth cleaned, and both Drs. working on my teeth,...
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!
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...
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I had a great experience with Dr. Dmitry Gorbatov. He was able to save my tooth from getting a root canal. All the staff was really nice, and attentive. I...
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...
Great staff I was nervous but they made me feel at ease. I am confident that they will give me the smile that I airways wanted. The receptionist personality is...
First time here the staff and Dr were so informative and professional thank you for making my experience run so smooth ?
What a great experience at the dentist!! I wish I had found these guys years ago, maybe I wouldn't be so afraid of the dentist. Thought I needed a root...
Fast service and the best staff! I highly recommend this Dentist. I've been going to this Dentist for 2 years and I travel far now just to come here. They...
Wonderful facility and staff, very professional.
Very professional nice staff great service.
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...
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...
I have lived and worked all over North America. One of the greatest challenges of relocating is finding the best dental practice. "Center For Dental Excellence" was recommended to me...
Very professional office. Good dentist.Clean dental office
I are retired dentist and visit dr Gorbatov,s office like a patien for dental works. We graduate the same school New York university and l can tell you the dr...
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...
I finally found a great dentist who does its all, root canals, caps, and implants. I needed major work on my mouth all at once, although it was expensive because...
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...
Very good cleaning