In most cases, patients that are forced to have full dentures suffer from chronic severe periodontal disease. Periodontal or gum disease, also commonly known, affect all teeth by weakening there bone foundation. This happens because chronic low grade gum infection, which causes gum tissue to swell red, extremely sensitive, painful and bleeding easily, will ultimately causes underlying bone structure to degenerate or 'melt' away. If this periodontal condition is not diagnosed in timely manner and treated appropriately, eventually, teeth will become mobile and non-functional. Treatments of gum diseases are mainly classified as non-surgical therapy, also known as deep scaling and surgical therapy, including laser based surgery. When a patient with periodontal disease presents at my office, I make diagnosis and based on that, 3 major treatment recommendations are made. First is provide patients with non-surgical deep scaling followed by 3 month cleaning also known as periodontal maintenance. Second is refer to a periodontist, a specialist that can evaluate and provide surgical treatments. Third is when the teeth are determined non-salvageable, extractions are performed either at my office or by a specialists depends on the type and the level of complications involved with particular extractions. In my opinion, successful outcome of periodontal treatments depends on good patient education, good and timely clinical diagnosis and treatments and patient commitments on diligent home care and 3 month periodontal maintenance. I always tell my patients deep scaling is only a small portion of the overall treatment scheme of periodontal disease, persistent home care and perio maintenance is the vital key to successful outcome.