Closing the periodontal treatment gap

Learn about the benefits of integrating Solea Perioguide into dental practices, including expanded treatment capabilities, improved periodontal health, and enhanced collaboration with the hygiene team.

Key Highlights

  • Solea Perioguide fills a critical clinical gap by allowing in-office treatment of deep periodontal pockets, especially those resistant to traditional scaling and root planing.
  • The procedure is minimally invasive, often avoiding stitches and reducing postoperative discomfort for patients.
  • Using the 9.3μm Solea laser, dentists can perform precise treatments on both hard and soft tissues, expanding their clinical capabilities.
  • Patients benefit from receiving care from their trusted dentist, leading to better healing and periodontal health improvements.
  • The system also supports other procedures like closed-crown lengthening, enhancing overall practice efficiency and patient care.

As a general dentist, one of the most frustrating situations I face is feeling like my hands are tied when it comes to patient care. For years, when periodontal cases did not respond the way I wanted after scaling and root planing, I referred those patients out. If they did not want to see a periodontist, we were left trying to manage deep pockets and ongoing disease the best way we could. In some cases, that meant watching conditions progress to the point where extractions became likely. That is why Solea Perioguide has been such a meaningful addition to my practice.

I have used the Solea dental laser for nearly a decade, and it has become an essential part of how I practice. Earlier in my career I worked with other lasers, including 10.6µm CO2 and diode lasers, so I believed in what laser dentistry could offer. What stood out about the 9.3µm Solea laser was how precisely it worked on both hard and soft tissue. That versatility enabled me to integrate it into many workflows, from restorative procedures to implants and digital dentistry. Using it to address periodontal disease felt like the natural next step.

A new option for pockets that don’t respond

Perioguide filled a clinical gap. It gave me a way to treat periodontal pockets within my own office, especially those 6mm and deeper or cases not responding to scaling and root planing. Instead of feeling like referral is my only option, I can now address those situations myself and keep care in-house.

Less invasive care with measurable results

The procedure itself is straightforward and minimally invasive. Patients typically do not have stitches and experience far less postoperative discomfort than is commonly associated with scalpel procedures. As an added bonus, they appreciate being treated by the doctor they already know and trust. From their perspective, it may not seem dramatically different from a scaling and root-planing visit, but the difference shows up in healing.

When these patients return, we see significant pocket reduction and measurable improvements to periodontal health. The results are encouraging for both our patients and our clinical staff. Our hygiene team has embraced Perioguide as an important, collaborative part of how we manage periodontal disease.

In addition to treating periodontal pockets, I also use Perioguide for closed-crown lengthening, which further expands what we can accomplish efficiently. It has contributed to practice production while helping us provide a higher level of care. 

For general dentists evaluating how to expand what they can do in-house, the ability to treat periodontal disease more effectively is a meaningful opportunity. For me, Solea Perioguide has helped close a treatment gap that once felt frustrating. It has made a real difference in how I care for my patients.


Click here to watch Dr. Stinchfield perform a Solea Perioguide procedure.


Editor's note: This article appeared in the May 2026 print edition of Dental Economics magazine. Dentists in North America are eligible for a complimentary print subscription. Sign up here.

About the Author

David Stinchfield, DDS

David Stinchfield, DDS, owns a private practice in Washougal, Washington, and has been practicing dentistry for over 25 years. He earned his doctorate of dental surgery from Case Western Reserve University School of Dentistry. He is an instructor for CEREC® CAD-CAM restorations and a Solea trainer. He regularly takes courses in implant surgery, restoration, and orthodontics, knowing the importance of staying at the front of dental technology and advances in treatment options.

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