Periodontal treatment methods depend upon the type and
severity of the disease. Your dentist and dental hygienist will evaluate for
periodontal disease and recommend the appropriate treatment.
Periodontal disease progresses as the sulcus (pocket or
space) between the tooth and gums gets filled with bacteria, plaque, and tartar,
causing irritation to the surrounding tissues. When these irritants remain in
the pocket space, they can cause damage to the gums and eventually, the bone
that supports the teeth!
If the disease is caught in the early stages of
gingivitis, and no damage has been done, one to two regular cleanings
will be recommended. You will also be given instructions on improving your
daily oral hygiene habits and having regular dental cleanings.
If the disease has progressed to more advanced stages, a
special periodontal cleaning called scaling and root planning
(deep cleaning) will be recommended. It is usually done one
quadrant of the mouth at a time while the area is numb. In this procedure,
tartar, plaque, and toxins are removed from above and below the gum line
(scaling) and rough spots on root surfaces are made smooth
(planning). This procedure helps gum tissue to heal and pockets to
shrink. Medications, special medicated mouth rinses, and an electric tooth
brush may be recommended to help control infection and healing.
If the pockets do not heal after scaling and root
planning, periodontal surgery may be needed to reduce pocket depths, making
teeth easier to clean. Your dentist may also recommend that you see a
Periodontist (specialist of the gums and supporting bone).
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