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Specialist Periodontal Care

Healthier gums
start here. Explore LANAP®
Laser Treatment
for Gum Disease.

Board Certified Periodontist Specialty periodontal care
Save Natural Teeth Preservation-focused treatment
Failing Implant Care Evaluate before replacement
Second Opinions Welcome Know your options first
Preservation First

Personalized Care
for Gum Disease.

Gum disease affects the gums and bone that support your teeth. Professional evaluation can help identify the extent of the condition and the appropriate treatment.

Dr. Al Manesh specializes in periodontal care, including LANAP® laser treatment. His approach focuses on treating gum disease while preserving healthy tissue and supporting your natural teeth.

Target gum disease with
specialized periodontal care.
Get A Second Opinion
Periodontal gum disease
When To Get A Second Opinion

Have You Been Told It's Time To Remove A Tooth Or Replace A Failing Implant?

Before making an irreversible decision, a periodontal specialist can help you understand the health of the surrounding gums, bone, tooth or implant.

Extraction Recommended

Find out whether a natural tooth may have additional treatment options before it is removed.

Bone Loss

Understand how periodontal bone loss is affecting the long-term stability of your teeth.

Advanced Gum Disease

Bleeding, recession, deep pockets and loose teeth may indicate advanced periodontal disease.

Failing Implant

Swelling, bleeding, discomfort or bone loss around an implant deserves specialist evaluation.

Dr. Manesh with a patient
One More Opinion Can Matter. Especially before tooth extraction or implant removal.
A Specialist's Perspective

Explore a Modern Approach to Gum Disease Treatment.

LANAP® is a minimally invasive laser procedure for treating periodontal disease without scalpels or stitches.

Dr. Manesh evaluates your gums and supporting bone to determine whether LANAP or another periodontal treatment is appropriate for your needs.

Evaluate gum and bone health
Understand the extent of gum disease
Discuss LANAP and other treatment options
Receive a personalized care recommendation
Understanding Gum Disease

Periodontal Disease Can Progress Before It Becomes Painful.

Gum disease begins with inflammation but can progress into damage of the gum tissue and supporting bone that hold your teeth in place.

As that support is lost, teeth can shift, loosen or become increasingly difficult to maintain. A periodontal evaluation helps determine how advanced the condition is and what can still be preserved.

Don't wait for severe pain. Advanced periodontal disease can be present even when symptoms seem manageable.
Stages of periodontal disease
Advanced Periodontal Technology

Certified LANAP® Laser True Regeneration Surgeon

Experience elite periodontal care from a certified LANAP clinician specializing in true tissue and bone regeneration. Using the FDA-cleared LANAP protocol, we don’t simply manage gum disease—we target the infection, preserve natural teeth, and help regenerate the supporting structures damaged by periodontal disease.

Save Teeth. Regenerate Bone. Restore Health.
Specialist Experience Matters

Your Care Is Led By A Periodontist.

Dr. Al Manesh is a Board Certified Periodontist with decades of advanced training and experience in periodontal and implant care. After earning his dental degree from Oregon Health Sciences University in 1993, he completed a general medicine residency at Lutheran Medical Center before pursuing postgraduate periodontal training at Louisiana State University.

He returned to Orange County in 1998 and later founded Mission Dental Implant Center in Mission Viejo. Dr. Manesh is a published author, lecturer, Fellow of the International Congress of Oral Implantologists and founder of the Ceramic Implant Institute, where he trains dental professionals in advanced implant-related periodontal and prosthodontic techniques.

Board Certified Periodontist
Advanced Periodontal Training
Published Author & Lecturer
Fellow, ICOI
Founder, Ceramic Implant Institute
Implant & Regenerative Experience
Get A Second Opinion
Dr. Al Manesh
Al Manesh, DMD Board Certified Periodontist
Start Risk-Free

Understand Your Options Before Making A Decision.

An evaluation or second opinion gives you an opportunity to understand what is happening before committing to treatment.

1

Tell Us What's Happening

Request an evaluation or complete the second-opinion survey and tell us about your concerns.

2

Meet With A Specialist

Dr. Manesh evaluates your gums, supporting bone, natural tooth or dental implant.

3

Review Your Options

Understand what may be preserved, what may require treatment and how to move forward.

Have Questions About Gum Disease Treatment? Call Today!

Speak directly with our team about your concerns and take the first step toward understanding your treatment options.

Frequently Asked Questions

Questions About Periodontal Treatment?

It depends on the amount of remaining bone and tissue support, the severity of periodontal disease, tooth mobility and other clinical factors. An evaluation is needed to determine whether preservation is a realistic option.
Periodontists receive advanced specialty education focused on gum tissue, supporting bone, periodontal disease, regenerative procedures and implant-related care.
You can still request another opinion before moving forward. A second opinion allows you to better understand the condition, prognosis and whether preservation options may be available.
Treatment depends on the cause of the complication, the condition of the implant and the amount of remaining bone and tissue support.
Possible signs include bleeding, swelling, persistent bad breath, gum recession, deep periodontal pockets, tooth sensitivity, shifting teeth, loose teeth or periodontal bone loss.
No. An evaluation gives you an opportunity to understand the diagnosis and available options before deciding how you would like to proceed.
request a periodontal evaluation

Take the First Step Toward Healthier Gums.

Answer a few quick questions about your current diagnosis or concerns. Your responses help our team understand what you're experiencing before your evaluation.

Tooth extraction recommendations
Gum disease and bone loss
Loose or shifting teeth
Failing or infected implants
Start Your Assessment
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