Periodontitis or gums disease, is a common infection that damage the soft tissue of the bone supporting the tooth. Without treatment, the alveolar bone around the teeth is slowly and progressively lost. The main aim of treatment is to clean out the bacteria from the pockets around the teeth. We do that through utilization of hand and ultrasonic instruments, antibiotics and laser.
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Gum Care Basics

If you are experience some or all of the following signs, you might have a form of periodontal disease:

  • Bleeding gums
  • Persistent bad breath (halitosis)
  • Gum pain
  • Gums that look swollen or unusually red
  • Discharge from gums
  • Loosening of teeth or any unusual change in their appearance
  • Receding gums (appearing to separate from teeth)


The least invasive form of a periodontal disease; features minimal symptoms, such as reddening, swelling and easy bleeding along the gum line.

Dealing with Periodontal Disease?

If you or someone you know is in need of periodontal dental service, call our office immediately!

Did you know…

According to the American Academic of Periodontology systemic conditions such smoking or diabetic can contribute to the periodontal disease and vice versa periodontal disease has been linked to heart disease, respiratory disease, cancer, low birth weight, osteoporosis, and multiple other systemic condition. During your initial or periodic visits, Dr Ostrovsky and her hygiene team will evaluate the health of your gums and discuss appropriate treatment for you.


The most serious form of a periodontal disease; causes loss of supportive structure and eventually loss of teeth. Both Gingivitis and periodontitis are bacterial diseases that are treated using specialized instruments by removal of hardened plaque and tartar from the areas below the gum line. Along with utilization of antibiotics, antimicrobial rinse or laser, we are able to stop the progression of the disease. If more extensive treatment is appropriate, Dr Ostrovsky will discuss surgical options.

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New Patients

We know that your time is valuable. That’s why we offer a simplified office experience with online patient forms that you can complete prior to your appointment. You’ll spend less time in the waiting area, streamlining your initial visit. These forms help us better understand your background, allowing us to provide you with the most effective care possible. As always, please do not hesitate to contact us is you have any questions about patient forms or your appointment.

Please note that you’ll need the latest version of adobe acrobat to download all patient forms.

"Very lucky to have found Cable Car Dental. Dr. Ostrovsky knows her stuff!"

“She and her staff are all incredibly personable, sharp, and always on top of their game. The office is consistently clean and smooth, and I’ve never felt better about my dental health”

Cameron G. San Francisco

“I would recommend this practice to anyone.”

“I have had nothing but positive experiences with Dr. Y and ALL of her staff. I have had a lot of major dental work done with her and after seeing many different dentists throughout my life”

Debra N. San Francisco

"This is my all-time favorite dentist"

“With a great staff that has taken great care of my face for many years! They helped me through dealing with my crappy insurance fantastically and did great work every time.”

Ethan P. Oakland

"Dr. Yelena is quite frankly the best dentist I have every had."

“Good dentistry is both an art and science, and Dr. Yelena personally cares about how your teeth look and feel. Not only the basics but the aesthetics as she is a perfectionist and wants the best for her clients. “

Michael B. San Francisco