More often than not, scaling and root planning or deep cleaning, performed by our specialist periodontist, will be enough to treat the majority of the areas where you might have bleeding, pocketing, inflammation, bad taste or smell and bone loss. You should know that scaling and root planning done by our periodontist will be significantly different to the one done by the hygienist or general dentist, as this will likely be targeted to the areas where the plaque and calculus full of damaging bacteria like to hide, and hence hopefully more effective. This is the reason they study and practice for so many years!
However, there will be a handful of cases, where the area with gum disease will simply not respond as good as it should to the initial periodontal treatment, or perhaps the bone loss has progressed too far for the area to resolve fully. In those instances, there are 2 other types of treatments. Whilst these may sound scary, they really aren’t. The only difference for you is that some stitches would be placed for about 7 to 10 days before the area fully recovers.
Pocket depth reduction treatment: During this procedure, the periodontist (gum specialist) is able to access the affected gum tissue to remove the harmful bacteria from inside the pockets. After the bone and gum that hold the teeth are fully cleaned, then we secure the gum tissue in an adequate place over the tooth, thus eliminating the lingering pockets or reducing their size significantly.
Guided Tissue Regeneration: If the bone supporting your teeth has been destroyed severely as a result of gum disease, a procedure to regenerate lost bone and tissue may be recommended. As in pocket depth reduction, the periodontist will access the inside of the pocket to remove any lingering bacteria. A regenerative biomaterial, will then be applied to encourage your body to naturally regenerate bone and tissue in that area. After the regenerative material is put in place, the gum tissue is secured over the root of the tooth or teeth.
If you would like to know more about these treatment, or would like advise on how to treat your gum disease, don’t hesitate to contact us for a consultation. We would be more than happy to help.