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Periodontal Disease
Systemic Effects of Periodontal Disease

Periodontal Disease Treatment

Scaling and Root Planing

The first step for the treatment of periodontal disease is a non-surgical procedure called Scaling and Root Planing or a “deep cleaning”. This therapy is initiated when disease pockets are greater than 3 millimeters in order to remove plaque and tartar below the gum line. Using a local anesthetic is recommended to reduce discomfort. Treatment is typically done over one to two visits but more time may be needed depending on the extent of the disease. Medications may also be recommended to help control infections and aid in healing such as an antibiotic or a mouthrinse. Following this treatment gum tissue will heal and the disease pockets will shrink. After completion of Scaling and Root Planing you will be seen for a re-evaluation appointment 4 weeks later to examine how your gums have healed and how the disease pockets have decreased. If periodontal disease pockets are still present surgical treatment may be necessary in order to gain better access to fully clean the roots and reduce the periodontal disease pockets. Patients who do not need further periodontal treatment will then receive maintenance care.

Pocket Reduction Surgery

Pocket reduction surgery is done when pockets are too deep to clean both at home and with professional care. This procedure involves surgically reflecting back the gum tissue in order to gain better access to remove the bacterial plaque and tartar build up on the tooth root surfaces. Excess infected tissue may be removed at the time of surgery as well in order to reduce the deep pocket depths allowing for easier access for cleaning after surgery. Damaged bone from periodontal disease will also be recontoured to remove bony craters between the teeth to allow the gum tissue to reattach to healthy bone.

Guided Tissue Regeneration

Guided Tissue Regeneration may be recommended when the bone supporting your teeth has been destroyed and some repair of the damage can be done by regenerating bone and soft tissue for the stability and function of teeth. With this procedure the gum tissue is reflected back to remove bacterial plaque and tartar build up on the tooth root surfaces and then a bone graft or growth factor is added to the current bone defect to help regenerate bone and soft tissue. The benefits of this procedure include the removal of bacteria as well as regenerating bone and soft tissue to repair the damage from periodontal disease. This will provide better support for your teeth and reduce the pocket depths around your teeth.