We use procedures like endoscopy and laser treatment. Endoscopy allows us to do "deep cleaning" (root planing) in case of sever priodontitis. Endoscopy involves the use of miniaturized fiber-optic camera that illuminates the tiny spaces occupied by tartar (calculus). This endoscopic scaling is just as effective as surgery in removing tartar, the bacterial deposits that lead eventually to loss of tooth. The thorough removal of tartar by endoscopic scaling and the antibacterial action of the lasers remove the destructive bacteria/ microbes associated with periodontitis. In addition to this, we also use anti-bacterial home therapy coordinated with an intense, in-office program of infection control to address severe or hopeless cases. Most importantly, our success has been built upon our relationship with our patients. Our patients with sever, hopeless gum disease are informed of their critical role in infection control. We consistently teach our patients on various new ways to clean and remove infection from their teeth and gums with special FDA devices. We especially emphasize the need for regular follow-up treatment that is indispensable to a successful outcome. We are grateful for so many diligent, compliant patients with severe, hopeless gum diseases who have been able to save their teeth for the long-term without surgical intervention.