We can use modern
techniques to help rebuild lost bone
support. The emphasis in our practice
is conservative periodontal therapy. Many
times, the early stages of periodontal
disease are best treated with non-surgical
periodontal therapy. This usually consists
of placing a fine ultrasonic tip and hand
instrument in between the tooth and gum
tissue to remove any plaque and calculus
below the gum line. This procedure is called
root planning. Four to six weeks later, mild
to moderate periodontal pockets are often
eliminated due to gum shrinkage. Then the
patient can personally maintain these areas
with routine brushing and flossing.
Even
in most severe cases of periodontal disease,
non-surgical periodontal therapy most often
precedes surgical therapy. This is done so
that the overall tissue quality is improved
prior to surgery and also limits the areas
of required surgery.
Treatment Methods:
Treatment methods depend upon the type of
disease and how far the condition has
progressed. The first step is usually a
thorough cleaning that may include scaling
to remove plaque and tartar deposits beneath
the gum line. The tooth roots may also be
planed to smooth the root surface allowing
the gum tissue to heal and reattach to the
tooth. In some cases, the occlusion (bite)
may require adjustment.
Antibiotics or irrigation with anti-microbials
(chemical agents or mouth rinses) may be
recommended to help control the growth of
bacteria that create toxins and cause
periodontitis. In some cases, We may place
antibiotic gels in the periodontal pockets
after scaling and planing. This may be done
to control infection and to encourage normal
healing.
When deep pockets between teeth and gums
are present, it is difficult for us to
thoroughly remove plaque and tartar.
Patients can seldom, if ever, keep these
pockets clean and free of plaque.
Consequently, surgery may be needed to
eliminate harmful bacteria and restore
periodontal health.