As periodontal disease progresses, different warning signs will appear. In its early stages, many people don’t notice these signs, or don’t think about them. The earliest stage of periodontal disease is gingivitis, an inflammation of the gums (the gingiva). At this point, the disease is reversible with the right care. If it progresses, it becomes periodontitis, where the tissues around the tooth become infected. The disease can still be stopped at this stage using special techniques like Scaling and Root Planing (SRP), but the damage to the teeth roots cannot be undone. The final stage is chronic periodontitis. At this stage, periodontitis is widespread and affecting multiple areas of the mouth. The infection can cause bone loss in addition to tooth root decay and tooth loss, and this damage cannot be undone.


This is one of the earliest warning signs of periodontal disease, and one that far too many people overlook. If you don’t floss regularly, you might notice your gums bleed slightly when you try. This leads many people stop flossing all together, but this is the opposite of what you should do. Bleeding gums are the result of inflammation, which means the bacteria around and between teeth are irritating the gums. Regular flossing in addition to brushing stops these bacteria from accumulating and this will help to stop the inflammation.
This symptom alone is a warning sign of the earliest stage of periodontal disease, gingivitis, however this will persist and worsen through latter stages as well.
Healthy gums should have a pink color. If your gums are red, purple or otherwise discolored, this is a warning sign of periodontal disease. Your gums may also be puffy and swollen. These are all indications of inflammation, and signs that bacteria are damaging your gums. These signs may appear uniformly throughout your mouth, or they may appear in certain areas. If you notice these signs, see your dentist as soon as you can. Make sure you are brushing twice a day and flossing once a day, even if your gums bleed. Replacing sugary drinks with water can also help reduce the inflammation and correct the problem.
Gum Disease TreatmentLearn why, when, and how we combat gum disease. |
View Treatments › |
As periodontal disease develops, bacteria often hide and multiply in the spaces between the roots and the teeth. The bacteria produce acids and plaque which, if not removed through flossing or dental care, can become a hard substance called calculus. This causes the spaces between teeth to deepen and the gums to recede from the teeth. At this stage, you may notice that your teeth appear slightly longer in some areas.

As the gums recede, you may also notice more sensitivity in some of your teeth. This is because parts of the teeth roots are exposed, which are directly connected to nerves in the tooth. Normally, the surfaces of your teeth which contact hot or cold substances are covered by tough enamel, so these sensations don’t cause pain. However, when cold or hot foods or drinks touch the exposed tooth root, the nerves send pain signals to the brain.
This is a warning sign of more advanced periodontal disease, periodontitis. As periodontitis persists, bacteria erode the gums, teeth roots, and even the jaw bone, all which hold teeth firmly in place. When these structures weaken, teeth will become loose, or their positions may shift slightly. If you notice this, it’s very important to see your dentist as soon as possible to prevent tooth loss.
A number of different diseases can cause sores to appear inside your mouth and one of them is periodontal disease. As the infection in and around the gums gets worse, sores or abscesses can appear as your body struggles to fight back. These are another sign of advanced periodontal disease, and you should see your dentist immediately if you notice them.
Bad breath happens to all of us periodically, but persistent bad breath that does not go away when brushing or using breath mints is a sign of a problem. As bacteria multiply, they produce gasses which cause bad breath. This can be a sign of periodontal disease or other conditions linked to bacterial, viral, or fungal infection.
Pain from periodontal disease does not usually appear until the teeth roots or the jaw bone are damaged. At this stage, the damage is advanced; bone loss and tooth loss may be irreversible. Since pain does not appear until later stages, this makes it easier to ignore other warning signs of periodontal disease. However, the absence of pain does not mean an absence of disease.
Detecting periodontal disease in its early stages can protect your teeth from damage later on. When the first warning signs of periodontal disease appear, the disease can be reversed with diligent oral hygiene and gum treatment from a dentist. If calculus has formed underneath the gum line, this too can be reversed with deep cleaning, also called Scaling and Root Planing (SRP). Even advanced periodontal disease can be stopped with the right treatment, but the damage it causes to teeth, teeth roots and the jawbone is permanent. To stop periodontal disease from damaging your teeth, brush twice daily, floss once daily, avoid sugary drinks and foods, and see your dentist twice a year.
Our staff at Boston Dental Group operates many dental offices throughout Southern Nevada and Arizona. If you think you are showing signs of periodontitis, please schedule an appointment at one of our offices. We provide frequent discounts for the treatment of mild and moderate periodontal diseases, and can provide you with a recommendation to a trusted periodontist in advanced cases.
Make an appointment today for quality, affordable dental care at any of our state-of-the-art BDG dentist offices, located throughout Las Vegas, Henderson and Laughlin, Nevada.
Clarissa Punzalan was born and raised in Manila, Philippines. She earned her degree in dentistry from Manila Central University, where she became a licensed dentist in her country. After moving to the United States with her husband, Ronald, who served in the United States Air Force, Clarissa continued her dental career by earning her degree in Dental Hygiene from Concorde Career College in San Bernardino, California.
Throughout her journey, Clarissa has lived in various locations, including North Dakota, Okinawa, Japan, South Korea, and Maryland, before settling in Las Vegas. These experiences have given her a diverse mindset, allowing her to connect with patients from all walks of life and adapt to various cultural contexts with ease.
Clarissa is dedicated to provide the highest standard of care to her patients. She is deeply committed to ensuring that every patient receives personalized, thorough, and compassionate treatment. By staying current with the latest advancements in dental hygiene and continuously honing her skills, Clarissa strives to make a positive impact on her patients’ oral health and overall well-being. Outside of work, she enjoys spending time with her family, traveling, and singing karaoke. She’s also a proud pet parent to Loki, her beloved Pomsky.
Dr. Hashtroudi was born in Sacramento, California and moved to Reno, Nevada at the age of 10. He received a Bachelor of Science in Biology from the University of Nevada, Reno. It was there he discovered the Dental club with a passion. He then shadowed his local dentist and fell in love with the art of dentistry.
His love of the Silver State prompted him to accept entry at the University of Nevada, Las Vegas School of Dental Medicine. Upon graduating with a Doctor of Medicine in Dentistry, he then completed an additional year of Advanced Education in General Dentistry with the Lutheran Medical Center in Flagstaff, Arizona.
Dr. Hashtroudi enjoys attending ongoing training each year to perfect his skills in all aspects of general dentistry including dental implants, emergency treatment, cosmetic and restorative dentistry.
During his free time, Dr. Hashtroudi takes pleasure in playing tennis, snowboarding, swimming and spending time with his adorable son and wife.
Bio coming soon
Karolina attended Southwestern University in San Diego, where she earned her degree in Dental Hygiene. Her attention to detail and her gentle touch is appreciated by our patients. She enjoys working closely with her patients to ensure they receive the best treatment and are comfortable during their visit.
Karolina was born in Poland and grew up in Chicago. She then moved to Nevada, making Las Vegas her home. In her spare time, Karolina likes to spend time with her family. She enjoys cooking, craft making and traveling.
Minerva has been with BDG Dental Services since 2013. She graduated from Indiana University in 2007 with an Associate of Science in Dental Hygiene and a Bachelor in General Studies. She is bi-lingual, fluent in English and Spanish.
Minerva is passionate about hygiene and strives to ensure that patients always feel 100% informed and comfortable during their visit to help them overcome their dental fears. She strives to provide the highest standard of care for her patients including modern laser technology.
Minerva grew up in Chicago and moved to Las Vegas after graduating in 2007. In her spare time loves to travel, go hiking, but most of all spend time with her son and daughter.
Bio coming soon
Dr. “Jonathan” Minyong Pak was born in Seoul, Korea and came to America as a 5 year old child in 1974.
He was raised and educated in Southern California. He graduated from La Salle High School in Pasadena, CA. It’s a Christian Brothers preparatory school that is actively involved in fostering leadership, and encouraging civic involvement in the community. He was involved in campus ministry, while attending the school, and participated in community events such as the Tournament of Roses and Boy’s State.
Jonathan received his bachelor of science in Biological Sciences from UC Irvine. While attending there in his junior year, he decided to pursue a dental career, after volunteering at the “SOS” (Share Our Selves) Dental clinic in Costa Mesa. He received his doctorate of dental surgery from UCLA School of Dentistry in 1996. Jonathan went through extensive training in esthetic dentistry while there. He still enjoys designing and crafting a beautiful smile to this day.
Jonathan is licensed to practice in AZ, NV, and CA. He’s been a member of the American Dental Association since graduation. He’s had dental offices over the years in San Francisco, Reno and Las Vegas. Dr. Pak is certified to provide “Invisalign” treatment, laser treatments, and is trained to place implants.
Jonathan lives in Clark County, NV with his wife and 4 chihuahuas. He and his beautiful bride love to travel. Their favorite spot on earth is Lahaina, HI. Mahalo.
A native to Las Vegas, Dr. Glenn Justice received his Bachelors of Science degree from the University of Nevada, Las Vegas. He then obtained his Doctor of Dental Surgery degree from the Marquette University School of Dentistry in Milwaukee, WI. Dr. Justice’s goal is to help patients reach the highest level of oral health possible so they may enjoy the benefits of a functional, attractive smile.
After completing dental school, Dr. Justice passed the National Written Boards and the Central Regional Dental Testing Board. Dr. Justice practiced as an Associate Dentist in Wisconsin, before moving back to Las Vegas where he worked as a dentist on staff for the College of Southern Nevada. He then moved to Colorado to further develop his craft, making him a licensed DDS in Wisconsin, Colorado, and Nevada.
After a few years as an Associate Dentist in Colorado, Dr. Justice came back to Las Vegas where he has been practicing dentistry for 15 years. He was a member of the Southern Nevada Dental Society Peer Review Committee, where he also served as the committee’s Chairman. He was also on the Nevada State Board of Dental Examiners as a Disciplinary Screening Officer. Dr. Justice obtained training and certification in Dental Implant placement from California Academy of Implant Dentistry, certification in implant training from the Midwest Implant Institute, and has completed multiple courses in Advanced Restorative Dentistry from Frank Spears.
Dr. Justice’s goal is to help patients reach the highest level of oral health possible so they may enjoy the benefits of a functional, attractive smile. He takes pride in making dental visits a pleasant experience and makes sure that each of his patients leaves his office in a better state than when they first walked in. Dr. Justice shows genuine concern for his patients’ well being and prides himself in treating each of his patients as he would a member of his own family.
When he is not practicing dentistry, Dr. Justice enjoys playing baseball, softball, hiking, camping, rappelling and rock climbing, wood working, and spending time with his kids.
Victoria, known as Vicki by most, is originally from the Northern Suburbs of Chicago. She graduated from Marquette University in Milwaukee WI with a Bachelor of Science degree in Dental Hygiene. After working in Highland Park, IL for 10 years, she moved to Las Vegas, where she worked in a private practice for 14 years before joining Dr Ting at Boston Dental in 2006.
As a veteran in her field and through countless hours of continuing education, Vicki’s passion for Dentistry helps her strive to provide the highest standard of care for her patients using modern, state- of-the-art technology including ultrasonics, lasers, and Oral DNA testing. Her extensive experience, exceptional skill level, friendly personality, and gentle, caring touch keep her patients returning to her year after year.
Vicki has two young adult daughters and when not taking care of patients, enjoys traveling, cycling, and spending time with friends.
Bio Coming Soon
A Nevada native, Dr. Rosales was born and raised in Las Vegas. He attended the University of Nevada, Las Vegas where he received both his undergraduate degree in biology and his degree of Doctor of Dental Medicine. Dr. Rosales’s passions include cosmetic dentistry and oral surgery but is very skilled in all aspects of dentistry.
Dr. Rosales remains up-to-date in the latest technologies and advancements in the field and utilizes laser treatment in his office, as well as Invisalign, an alternative to conventional braces.
Certification/Professional Memberships
As a patient of Dr. David Chung, you will not only receive the best care but you will love his chair-side manner and soft touch. Dr. Chung has been practicing dentistry in Las Vegas since 2002. He received his degree from New York University College of Dentistry. His passion for dentistry and learning has led him to many years of advanced training in cosmetic and implant dentistry.
Dr. Chung and his staff strives to provide the highest quality dentistry for his patients. Improving oral health and creating beautiful smiles. Our state of the art dental office is equipped with the latest technologies including E4D that allows for fabrication and delivery of crowns on the same day.
In his leisure time, he enjoys basketball, movies, and cooking. With a camera in tow, his adventurous spirit has taken him to many exotic places. His travel photography is showcased around the office.
Certification:
Kristen was born in Edwards Air Force Base located in California, where her mother was a Crew Chief for the United States Airforce. When she was six years old, Kristen and her family relocated to Laughlin, Nevada where she graduated high school. She then pursued dental hygiene at Mohave Community College and obtained her degree in 2014. She later joined BDG at Affordable Dental II and has been working with the company since then.
When she isn’t working or attending conferences, you can find her wandering through the antique stores tucked away in the corners of Las Vegas. She has a love for old Victorian houses, classic films, a passion for sharks, and has included England in her travels, as well. Kristen enjoys spending time with her friends, family, and her beloved eleven-year-old Chihuahua, Ivory who enjoys naps, cuddling, and Kristen of course.
Dr. Tiburcio attended the University of California at Riverside where he received his undergraduate degree in biology. He then spent the following two years as a chemist before deciding to pursue Dentistry. Dr. Tiburcio received his doctorate from New York University College of Dentistry in 2007.
Dr. Tiburcio is dedicated to advance, postdoctoral study and provides his patients with a gentle, caring, comprehensive approach to oral health. He believes in providing state of the art, relationship-based, comprehensive care that is tailored to fit into the lives and budgets of his patients.
In his free time, Dr. Tiburcio likes to spend time with his lovely wife and three children.
Dr. Hossain is a dedicated and talented general dentist with a passion for pediatric dentistry. He strives to provide gentle and personalized preventive care (and when necessary restorative treatments) to young patients using specifically tailored behavior management techniques, making each visit to the dentist a positive and comfortable experience.
Although Dr. Hossain now calls Las Vegas home, he was born in Bangladesh and grew up travelling around the globe as the child of a diplomat! He moved to Los Angeles, California to earn his bachelor’s degree at UCLA, completed a masters degree in Global Medicine at their rival USC and was awarded his Doctorate degree in Dentistry with high honors from USC’s famous Herman Ostrow School of Dentistry
At our clinic, Dr Hossain and his team create a warm and welcoming environment where children feel at ease from the moment they walk through the door. With a focus on education and prevention, he empowers families to maintain optimal oral health and instill lifelong dental habits.
Outside of dentistry, Dr. Hossain enjoys spending time with family and friends, trying different cuisines, and traveling.
Dr. Vann grew up in the Chicago area where he went to school until he moved to Arizona to attend ASU. He graduated with a B.S. in1972 . After holding down several various jobs which let him less than inspired, he decided to go back to school and become a dentist.. While working during the day, he went to ASU at night to pick up the pre-dental courses he needed to apply to dental school. In 1976 he was accepted to USC and in 1980 he graduated with a D.D.S. degree.
Dr. Vann is dedicated to providing compassionate, comprehensive and affordable dentistry to his patients. Utilizing his 40+ years of practicing dentistry, aids his patients in obtaining the best possible outcomes for his patients.
In his free time, Dr. Vann likes to paint. He also likes to go on road trips to explore different parts of the Southwest that he’s never been to.
Bio Coming Soon
Coming Soon!
Dr. Darlene Teddy earned her Bachelor’s degree in Environmental Studies from Pacific Union College before completing her Doctorate of Dental Surgery at Loma Linda University. She has a special interest in restorative, preventative, and cosmetic dentistry and is committed to delivering high-quality, personalized care to each of her patients.
She understands that visiting the dentist can be a source of anxiety for many people, and she takes extra care to ensure that every patient feels heard, respected, and at ease. By combining clinical excellence with compassion, she builds trust with her patients and ensures they feel supported every step of the way.
Bilingual in English and basic Mandarin, Dr. Teddy enjoys connecting with a diverse patient community. Outside of the office, she is a proud wife and mother of two, and shares her home with two beloved dogs—a Chow Chow and a Mini Australian Shepherd. She enjoys traveling, sewing, and finds great fulfillment in the hands-on, detail-oriented nature of dentistry. For Dr. Teddy, the greatest reward is seeing her patients smile with confidence.
Bio Coming Soon
Bio Coming Soon
Dr. Phui was born in Reno and was raised in Las Vegas. He earned his undergraduate degree as a Biology Major at UNLV. Before pursuing dentistry, he obtained his Masters degree in Biochemistry. Dr. Phui didn’t have to travel very far for his DMD degree, which he obtained at UNLV School of Dental Medicine.
Whether you need a routine dental care, cosmetic, Invisalign or Implant dentistry, he can fit your every need. Dr. Phui truly believes that communication is very important when trying to establish exactly what the patient is trying to achieve. In order to keep up with the high demand of dentistry, Dr Phui enjoys taking continue education courses.
Dr Phui is married to his high school sweetheart, they have a boy and a girl together. He and his wife enjoy their weekend tradition of cooking breakfast and taking the kids to the park. His hobbies include bowling, playing cards with his family, and eating.
Steve Roe is a military veteran serving with the United States Air Force. He continued serving the community in the health care field pursuing dental education at the College of Southern Nevada, UNLV, and The Ohio State University. Attaining licensure as a registered dental hygienist in 2004. Steve has 20 years of experience. He is dedicated to achieving exceptional results in patient health. Working in conjunction with the dental team for comprehensive care. Focusing on prevention Steve uses gentle and thorough technique in treatment to achieve optimal health. Additionally, teaching patient education to help develop good life long habits to support and maintain dental health.
In his free time Steve enjoys: time with family, race cars, motorcycles, sports, and writing/illustrating.
Dr. Louis Tran, DDS, is a dedicated practitioner specializing in orthodontics and dentofacial orthopedics in Las Vegas, NV. With a passion for creating beautiful, healthy smiles, Dr. Tran is committed to providing exceptional care to his patients. His expertise in the field allows him to address a wide range of orthodontic needs, from traditional braces to the latest in orthodontic technology.
Dr. Tran graduated from the New York-Columbia University College of Dental Medicine in 1998 with his dental degree, then received his orthodontic certificate in 2001 and has been practicing orthodontics since. He has been the primary orthodontist with BDG since 2009 and has helped thousands of patients achieve beautiful new smiles. He is also a certified Invisalign orthodontist, offering clear aligner therapy to patients seeking a discreet alternative to traditional braces.
His patient-centered approach ensures that each individual receives personalized treatment tailored to their unique dental needs. He stays current with the latest advancements in orthodontics, including iTero intraoral scanning and smile makeovers, through continuous education and professional development.
When he’s not transforming smiles, Dr. Tran enjoys spending time with his family and being outdoors. His dedication to his practice and his patients makes him one of the top trusted and respected orthodontist in the Vegas Valley area.
Dr. Monica Ponce has devoted her 27-year career to educating and treating her patients with gentle and minimally invasive dental care. She received her Bachelors in Science from Loyola Marymount University with a minor in Philosophy. As a graduate of the University of California, Los Angeles (UCLA), Dr. Ponce is extremely proficient in the field of dental sciences. She continues to stay current with the latest technology and research on the safest dental methods and materials available. Her gentle approach and focus on comfort in a pleasant environment are delivered as an integral part of your visit.
Dr. Monica Ponce is very passionate about dentistry and providing the best treatments to her patients. She is a firm believer that everyone can obtain a healthy and beautiful smile. With the proper treatment options available today, she is able to obtain the best dental results helping patients boost self-esteem and confidence. She practices all phases of dentistry and offers IV sedation, general anesthesia, and treats special needs patients.