Visit your dentist for an exam. Your dentists will examine your teeth and gums, take x-rays, and assess the extent of your gum disease. She will then have you schedule a deep cleaning and give you instructions on oral hygiene and home care leading up to that appointment.ndergo surgical treatment, if needed. In severe cases, periodontal disease must be addressed with surgery. The most basic surgical option is called flap surgery, in which your dentist or periodontist will make an incision in your gums, lifting them back to clean and remove the tartar underneath.