Periodontal Disease Treatments

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Fortunately, periodontal disease isn’t a major reason of concern, as it can be effectively treated. There are several treatments available, the choice depending on the stage of your condition, but also on your response to previous treatments and on your overall health.

These treatments include non-surgical procedures designed to limit the bacterial growth, but also surgery to restore supportive tissues.

Here are a few non-surgical gum disease treatments:

Professional Dental Cleaning

Your dentist or your dental hygienist remove the plaque and tartar deposits from your teeth, both above and below the gum line. If you show gum disease symptoms, your dentist may recommend professional detail cleaning more often than the usual twice-a-year procedure. Although professional dental cleanings aren’t a treatment for active periodontal disease, they can work very well as preventative measures that can stop the evolution of the condition.

Scaling And Root Planing

This is a non-surgical treatment that involves deep-cleaning, in which plaque and tartar from both above and below the gum line are removed (process known as scaling) and the irregularities on the tooth root are leveled (planing). By smoothing these irregularities, the dentist removes also bacteria and provides a clean surface to the gum to adhere to. Your dentist or your periodontist will examine your mouth and will assess the opportunity of performing a scaling and root planing procedure to remove your plaque and calculus from under the gums.

Here are a few of the surgical gum disease treatments:

Flap Surgery (Pocket Reduction)

This procedure involves lifting back the gums and removing the tartar. Sometimes, the irregularities of the diseased bone are also smoothed, in order to prevent bacteria from accumulating in those spaces. Next, the gums are positioned in a way that enables the tissue to fit around the tooth as closely as possible. This procedure reduces the size of the space between the gum and the tooth, leaving no room for bacteria to grow. This is a very good preventative measure against the further development of the periodontal disease.

Bone Grafts

This treatment uses small pieces of bone that can be wither yours, synthetic, or donated by someone else. The purpose of the procedure is to replace bone that has been damaged by periodontal disease. These grafts enable the regrowth of the bone, thus improving the stability of the teeth. The new technology known as tissue engineering stimulates your body to accelerate the bone and tissue regeneration process.

Soft Tissue Grafts

This treatment is meant to fill in the places where gums have receded too much. Grafted tissue is usually harvested from the roof of the mouth. It is stitched in the desired place, with the purpose to add tissue to the damaged areas.

Guided Tissue Regeneration

If the bone supporting the teeth has been destroyed, guided tissue regeneration can stimulate the regrowth of bone and tissue. Done at the same time with flap surgery, this procedure involves the insertion of a small mesh-like fabric between the gum and the bone. This will prevent gum tissue from growing into the area where the bone should be. Like this, the bone and the connective tissue will have space to regrow to offer better support for the teeth.

Bone Surgery

This procedure levels irregularities in the bone due to moderate to severe bone loss. After flap surgery is performed, the bone around the tooth is leveled to reduce the craters. Like this, bacteria will have less space to develop and grow.

In some cases, the typical scaling and root planing procedure is everything that’s needed for the patient to heal. Surgery is needed in more advanced cases, when the tissue around the teeth is compromised and can’t be restored with non-surgical methods.

Drugs Used In Treating Gum Disease

Antibiotics are often used, wither alone or in combination with surgery or with non-surgical therapies. The goal is to reduce or even temporarily eliminate bacteria that cause periodontal disease. Antibiotic treatments can also be effective in stopping the destruction of the connective tissue that keeps the tooth attached to the bone.

Clorhexidine is an antimicrobial which can be very effective in the management of plaque and gingivitis. It is available as mouth rinse, but also as gelatin-filled chips that need to be placed in the periodontal pockets after the root planing procedure. These chips will release the active substance gradually, over a seven day period. Your dentist may recommend you other antibiotics such as doxycycline, tetracycline, and minocycline.

Furthermore, most dentists recommend their patients a fluoride-based toothpaste and triclosan, an antibiotic meant to reduce plaque and to alleviate gingivitis.

Things To Know Before The Gum Disease Treatment

Your dentist or your periodontist will be able to perform these treatments in their office. The time needed to complete the treatment will depend on the severity of your disease and on your overall health. If needed, the dentist will numb the treatment area, in order to minimize your discomfort.

To make a free valuation of your periodontal situation

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