First Visit

Please assist us at the time of your initial visit to the office by providing the following information:

  1. Your referral slip and x-rays from your referring dentist
  2. A list of medications you are currently taking
  3. Insurance card and information

Dr. Berwald will complete an in depth medical and dental health history.  She will complete a thorough clinical and radiographic periodontal examination. An oral cancer screening will also be done at this time.

Frequently Asked Questions

Will it hurt?

We will be as gentle as possible. The periodontal exam can be completed with no discomfort.

Do I need x-rays?

We will need current x-rays in order to do a comprehensive periodontal exam. If your referring dentist has taken x-rays, you may request that they be forwarded to us.  We can also call your dental office prior to your initial visit to have x-rays transferred to our office.

What will it cost?

Since all patients are different, Dr. Berwald must complete your examination before establishing your treatment plan and corresponding fee for care. The fee for periodontal treatment can vary considerably depending on the type of problems and the complexity and length of treatment. An approximate fee can usually be determined at the initial visit; but on occasion, some initial treatment or further diagnostics must be completed before the final treatment plan can be established.  Our practice participates in many insurance plans.  Feel free to contact the office regarding you insurance carrier.

Will I need surgery?

Not everyone needs periodontal surgery. If treated early, gum disease can be controlled without surgery. We will make recommendations based on your individual situation.  Dr. Berwald believes in conservative treatment to obtain treatment goals and periodontal health when indicated.

Can my teeth be saved?

The recent advances in periodontal treatment allow us to successfully treat most teeth.  Dr.Berwald will make a complete diagnosis and prognosis of your case, and will discuss treatment options with you.

When will I go back to my general dentist?

Our office and your Dentist will work closely together. If crowns and fillings are needed your Dentist will provide them. Regular visits to your Dentist are an important part of periodontal maintenance.

What if I don’t have gum treatment?

Periodontal disease is a progressive, painless infection. Delay can cause you further bone loss and more expense.  The longer you wait to seek treatment the more destruction will occur and you will lose teeth that could otherwise been saved.