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Types of Periodontal Therapy

Types of Periodontal Therapy

Our team offers a few, non-surgical methods for managing advanced stages of gum disease. Utilizing the latest technology, we can help clean away and remove infected tissue while also removing tartar accumulation above and below the gum line.

One common method for treating gum disease involves deep cleanings such as root scaling and planing. This treatment involves removing tartar buildup that accumulates below the gum line and along the roots of teeth. Root scaling and planing is necessary for removing tartar, a calcified form of plaque that cannot be removed with flossing or brushing alone.

Another way to access the innermost areas of the gums and remove infected gingival tissue is with the help of a laser. Using a specific wavelength of light with tiny fibers attached to it, lasers can open the gums and seal them without the need for sutures. Laser therapy also helps regenerate new gum tissue and healthy reattachment to teeth.

With regular deep cleanings through laser therapy and root scaling or planing along with proper oral hygiene, patients can enjoy a reduction in the size of periodontal pockets while improving overall gum health.

For those who have lost significant gum tissue to periodontal disease, soft tissue grafts may be necessary. Soft tissue grafts are conducted by taking tissue from another area of the mouth and transplanting it to the affected area to replace lost gum tissue.

Arestin

You may have heard about gum disease, also known as "periodontitis" or "periodontal disease." Maybe a dental professional or hygienist recently told you that you have this infection.

Arestin is an antibiotic that is used to treat periodontal disease.  Periodontal disease is, in part, an infection that has formed below the gum line.  Arestin is applied directly to these pockets of infection, stopping the infection very quickly.

But do you really know the difference between periodontal disease and other types of complications that can affect your mouth, such as gingivitis?

Do you know why it's so important to treat periodontal disease-and why brushing and flossing alone won't do the trick?

And did you know that periodontal disease is today's  number one cause of tooth loss among American adults? Although a causal relationship between periodontal disease and an elevated risk for systemic events has not been established,recent data suggest a possible association between periodontal disease and other health issues including cardiovascular disease, diabetes, and preterm low birth-weight babies?

Arestin® (minocycline hydrochloride) Microspheres, 1 mg is an effective antibiotic treatment that comes in powder form. This powder is placed inside infected periodontal pockets just after the dental professional finishes the scaling and root planing procedure.

Non-Surgical Periodontal Therapy

Non-Surgical Periodontal Therapy

Non-surgical periodontal therapy can be used during the beginning stages of gum disease. We clean the infected area thoroughly, removing debris and bacteria to detoxify the soft tissue. We then modify the tooth root to make it harder for problem-causing bacteria to make a home in the area going forward.

Periodontal Disease Risks

Periodontal Disease Risks

Several risk factors can increase a patient’s chance of developing periodontal disease. First, poor oral hygiene can contribute to the occurrence of periodontal disease, as well as tobacco use.

Patients who have diabetes or other systemic diseases may be at a higher risk for gum disease, as well as those who are on specific types of medications, such as oral contraceptives, steroids, and cancer therapy drugs.

Patients who are pregnant and experiencing a drastic change in their hormones may also notice an increase in inflammation and bleeding which signals that periodontal disease is forming.

Crown Lengthening Procedure

Crown Lengthening Procedure

When decay occurs below the gumline, it may be necessary to remove a small amount of bone and gum tissue. Your dentist may ask for this procedure before he or she makes a new crown for your tooth.

Crown Lengthening procedures are done for both restorative dentistry and/or to improve the esthetics of your gum line. General practitioners often refer for crown lengthening procedures prior to restoration of broken or severely decayed teeth. Crown lengthening procedure adjusts the gum and bone level to expose more of the tooth so it can be restored.

Sometimes crown lengthening is done to improve a "gummy" smile because the teeth appear short. The teeth may actually be the proper length but excess gum tissue may be covering these teeth. During this procedure, excess gum and bone tissue is reshaped to expose more of the natural tooth.

Stop Gum Disease

Stop Gum Disease

Oral hygiene. Gum disease affects millions of Americans and is the leading reason why teeth are lost. Treating it early can change this, but patients need to be diligent about practicing good oral hygiene and catching gum disease early with regular dental checkups and professional treatment. To prevent a recurrence of gum disease, patients must remain committed to practicing good oral hygiene at home and schedule regular dental checks and periodontal maintenance cleanings. He may also recommend gargling with an antimicrobial rinse to control bacteria, and tobacco users are strongly advised to stop, as smoking can cause gum disease to worsen.

Scaling and root planing. The only way to stop gum disease is with professional treatment. Scaling and root planing is commonly used to reduce pocket depths and remove bacteria, plaque, and tartar during the moderate to advanced stages of gum disease. At this stage, gum tissue is affected and tenderness, bleeding, and swelling may occur. Bone loss has also begun, but treating periodontal disease early on can help to prevent further loss of bone and mobility of teeth. Scaling and root planing is a simple non-surgical treatment that requires a local anesthetic and the use of dental instruments and ultrasonic scalers to remove the deposits beneath the gum line and clean the tooth roots and smooth the surfaces. After the plaque and tartar are removed and your mouth is healthy again, your gum tissue should start to reattach to the surfaces of the teeth.

How Periodontal Disease Progresses

How Periodontal Disease Progresses

To prevent the progression of periodontal disease, oral bacteria need to be removed daily with good brushing and flossing techniques. But for some, these important steps are still not enough to keep bacteria under control. Plaque is the white sticky substance that is always forming in the mouth and harbors the bacteria that cause gum disease. If plaque is not removed, it turns to tartar and causes even more damage. Gum recession, tooth loss, and bone deterioration are some of the consequences of untreated gum disease.

Gingivitis. The initial stage of periodontal disease is called gingivitis. This occurs when patients are experiencing red, inflamed gums, and bleeding when brushing and flossing their teeth. These are signs that the condition is starting to develop, at this point; patients should visit their dentist for an examination, proper diagnosis, and treatment. Some patients are simply more prone to developing gingivitis, treatment of which in this stage can avoid the need for more invasive periodontal therapies. For these patients, getting early gingivitis treatment is critical.

Periodontitis. When left untreated, gingivitis can worsen into periodontitis, in which the gums recede and the bones begin to disintegrate. This can result in lost teeth, and the only way to restore a smile after periodontal disease is through treatments such as dentures or dental implants. Patients must address their oral health issues before being able to enjoy the benefits of restorative treatments. If periodontal disease developed and treatment was rendered, a periodontal maintenance is critical to preventing further progression of the disease. Beyond 90 days or so, the bacteria responsible for periodontal disease grow very rapidly. Periodontal maintenance appointments at three to four month intervals will help mitigate this growth and further protect your teeth, bone, and gums.

Keeping a close eye on gum pocket depth is also important. Periodontal pockets are caused by bacteria and the deeper they are the more damaging they can be to the oral structures that protect teeth from falling out.