Periodontal Treatment

Scaling and Root Planing

Following a diagnosis of periodontal disease, a periodontal treatment with scaling and root planing, better known as “deep cleaning”, may be recommended. Scaling and root planing is done to remove the hard deposits of tartar below the gum tissue that harbor bacteria.

Because this procedure is deeper than a regular cleaning, we use topical anesthetics to help keep you comfortable. Occasionally local anesthetic is needed. Most patients require two appointments to complete the procedure. We will use an ultrasonic scaler which is beneficial in removing the hard deposits and bacteria under the gums.

When the deep cleaning is complete we will schedule an appointment in one month to check your gums to ensure the gum disease is improving. If pockets of 5mm or greater are detected we may recommend local antibiotic treatment. Atridox is an antibiotic gel used to treat chronic periodontitis. The gel is placed in the infected pocket below the gum using a syringe. The gel hardens when it comes into contact with saliva. The antibiotic is slowly released into the infected pocket killing the bacteria and giving your gums a chance to heal. Atridox is beneficial in helping stop the progression of gum disease.

Gum Disease Laser Therapy

The latest treatment for periodontitis is gum disease laser therapy. The laser gently disinfects and evaporates disease tissues inside the gum pocket. This treatment interrupts the bacterial destruction of the tissues and bone giving the gum pockets a chance to heal. Systematic repeated visits, generally 2-8, allow the gum pocket to be disease-free and sometimes allow tissues to reattach to the pocket back to a normal or near-normal depth. This new laser therapy is gentle, less painful, and has a quick recovery. While surgery may still be indicated for severely advanced periodontal cases, laser therapy is a much more conservative, effective and comfortable option for beginning to moderate periodontal cases.

It is important to follow all recommended treatment and maintenance for gum disease. If gum disease goes untreated, the disease will progress as the bacteria attacks the gum and bone tissue that support your teeth. This can result in tooth loss.

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