Treatment

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 an infection in the surrounding tissues.  When this infection remains in the pocket space, it can cause damage to the gums and bone that supports the teeth, and can lead to eventual tooth loss! 

Gingivitis...Prophy

In the early disease stages, when no recession or bone loss has occurred, gingivitis is reversible.  If the disease is caught in time, the dentist will recommend regular prophylaxis appointments.  You will  be given instructions on improving your daily oral hygiene habits and having two hygiene visits per year.

Periodontal Disease...Scaling & Root Planing

If the disease has progressed to periodontitis, a special periodontal treatment called scaling and root planing will be recommended to control disease progression.  It is usually done in two appointments, and while the area is numb, half of the mouth is treated.  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 (planing).  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).