During a periodontal exam, your dentist checks the health of your gums. When gum disease is present at the top of the gum line, the tooth becomes separated from the gums. The pockets that separate them contain bacteria and indicate gum disease.
A periodontal probe placed gently under the gums of that tooth will measure the depth. Any pocket greater than 3 millimeters contains significant bacterial buildup. At this point, the gum will start to pull away from the tooth. If left undetected and untreated, it would eventually lead to the loss of that tooth and perhaps bone damage as well.
Blog | Bryant St Dental
Palo Alto families choose Bryant St Dental for three reasons: a dentist with more than 21 years of experience, a genuinely calm office built around reducing dental anxiety, and one practice that covers everything from routine cleanings to Invisalign under one roof. The practice has also won the Best Dentistry Award in both 2023 and 2024. Quick Takeaways One dentist, 21+ years of experience, treating every age from toddlers to grandparents Best Dentistry Award winner in both 2023 and 2024 Diamond Plus, Top 1% Invisalign provider for teens and adults Private treatment rooms designed to reduce dental anxiety Most major insurance accepted, with financing options for larger treatment plans Finding One Dentist Your Whole Family Actually Wants to See Juggling separate dentists for kids, teens, and adults gets old fast. Different offices, different schedules, different comfort levels with a squirmy six-year-old or an anxious teenager staring down their first set of aligners. Bryant St Dental was built to solve exactly that problem. At Bryant St Dental's Services page , the practice lists routine cleanings, cosmetic dentistry, dental implants, Invisalign for teens and adults, and emergency care all under Dr. Chad Abed's supervision, so a family in University South or anywhere else in Palo Alto can bring every generation to the same address. The Track Record Behind the Trust A practice doesn't win back-to-back local awards by accident. Bryant St Dental was named winner of the Best Dentistry Award in both 2023 and 2024, and the American Dental Association notes that consistent, ongoing dental visits are one of the strongest predictors of long-term oral health across a family's lifespan, from childhood cavity prevention through adult gum disease screening. That consistency shows up in the numbers. The practice has built a base of more than 880 patient reviews, and Dr. Abed's team completes more than 400 Invisalign cases each year as a Diamond Plus, Elite Top 1% provider, alongside general dentistry, cosmetic work, and emergency visits for the same families year after year. What Actually Changes the Experience for Families Beyond the credentials, a few practical details are what parents mention most often: Private treatment rooms instead of open bays, which matters for anxious kids and adults alike Same-day emergency care for the inevitable chipped tooth or after-school fall Digital iTero scanning instead of messy physical impressions for Invisalign and other treatments Most major insurance accepted , with Sunbit financing available for treatment plans that need it A holistic, preventive philosophy that treats the whole mouth, not just the immediate complaint Frequently Asked Questions About Invisalign in Palo Alto
Most Invisalign patients need somewhere between 20 and 40 trays, worn in sequence for one to two weeks each, over a total treatment window of 12 to 18 months. Mild crowding or small gaps can wrap up in as few as 14 trays. Complex bite corrections can run past 40. Your exact number depends on how much movement your teeth need, not on a fixed formula. Quick Takeaways Tray count tracks with case complexity, not with age or how "bad" your smile looks to you Mild cases: roughly 14–26 trays over 6–18 months Moderate cases: roughly 28–36 trays over 12–18 months Complex cases: 36 or more trays, sometimes 18–24+ months You'll typically switch trays every one to two weeks and see your dentist every four to six weeks The Question Every New Invisalign Patient Asks You've booked a consultation. Maybe you've already had your teeth scanned. And somewhere between the excitement of a straighter smile and the reality of wearing a retainer-like device for over a year, one number keeps nagging at you: how many trays is this actually going to take? It's a fair question, and it deserves a real answer rather than a marketing brochure. At Bryant St Dental , our team handles more than 400 Invisalign cases a year as a Diamond Plus, Top 1% provider, so we see the full range — five-tray touch-ups and forty-plus-tray reconstructions alike. Here's what actually drives that number. What Determines Your Invisalign Tray Count Every plan is built around movement, not appearance. An orthodontist doesn't count how crooked your teeth look. They count how many stages of movement it takes to get from your current bite to your target bite, and each tray only shifts teeth by about 0.25mm. That means two people with similar-looking smiles can end up with very different tray counts, because the underlying tooth roots, bite alignment, and jaw spacing aren't the same. According to the American Association of Orthodontists, clear aligner systems like Invisalign move teeth through a series of custom, incremental stages, and the number of stages is set individually for each patient's treatment plan. Three things move that number the most: Case complexity — spacing and mild crowding need far fewer trays than crossbites, rotated teeth, or significant crowding Jaw bone density — denser bone (more common in older adults) slows tooth movement and can add trays or extend wear time per tray Consistency — Invisalign is built around wearing each tray 20 to 22 hours a day; skipping that adds trays or restarts stages, not fewer Typical Tray Counts by Case Type Bring these ranges to your consultation as a benchmark, not a promise — your dentist's scan will give you the real number. Mild cases (small gaps, minor crowding): about 14–26 trays, 6–18 months Moderate cases (uneven bites, moderate crowding): about 28–36 trays, 12–18 months Complex cases (large gaps, crossbites, severe crowding): 36+ trays, often 18–24 months or more Most patients land in the moderate range and change trays every one to two weeks, with a check-in visit every four to six weeks to confirm things are tracking to plan. Frequently Asked Questions About Invisalign in Palo Alto
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