Periodontal gum disease include gingivitis and periodontitis, which are chronic bacterial infections that affect the gums and the bone supporting the teeth. They begin with the bacteria in the plaque (the sticky, colorless film that forms on your teeth on a daily basis), which causes the gums to become red and swollen and to bleed easily.
Periodontal treatment is based on reducing the inflammation and infection that is taking place below the gum level. Our goal is to control the infection and stop further bone loss. The number and types of treatment will vary, depending on the extent of the gum disease. The most common treatment modality is scaling and root planning which is based on removing the bacteria from the root surface below the gum level, please bare in mind this will be a very different treatment to what you´ve had done by the hygienist in the past. Any type of treatment requires that the patient keep up good daily care at home which is why we will make sure that each patient recieves the appropriate oral higiene intructions. Don´t be scared to about having it. The best thing you can do is come for an initial diagnosis appointment where we can provide with advise tailored to your particular situation.
Scaling & Root Planning is a common non-surgical treatment for periodontal disease. By using special instruments, we will remove the bacteria and infection from the unhealthy deep pockets around the teeth below the gum line. This is often referred to as a “deep cleaning.” First the tooth is scaled to remove the plaque and tarter that has accumulated on the tooth. Then the root is planed or smoothed. This eliminates any rough areas on the root that can easily trap plaque and bacteria. A smooth clean root provides a healthy environment to allow the gums to heal naturally and re-attach to the tooth. This will create a reduced pocket, therefore eliminating areas for bacteria to hide and cause further disease. Scaling and Root Planning combined with a strict home care routine and more frequent periodontal cleanings and exams will increase your chances of keeping your own teeth.
Normal, healthy gums have small pockets around each tooth. The bacteria and infection associated with gum disease (periodontitis) causes these pockets to become deeper, trapping more bacteria and causing more bleeding, redness and bad breath. When the pockets become too deep for scaling and root planning, a Pocket Depth Reduction procedure is often a solution. During a Pocket Depth Reduction procedure, we can remove the disease-causing bacteria and infection and we will then thoroughly clean and smooth the tooth surfaces. If necessary, we sometimes reshape the gum and bone to allow the gums to settle nicely. This will allow the gums to heal, resulting in smaller, healthier pockets.
Damage from periodontal disease can result in severe loss of gum and bone around your teeth causing them to become loose and/or shift position. To correct this problem, a Bone and Tissue Regeneration procedure may be necessary to reverse this loss and save your teeth.
Just as teeth, implants can also develop gum disease. In order to prevent peri-implantitis, it is essential that good hygiene care takes place at home, as well as with regular hygiene visits. If you notice bleeding, you have difficulty cleaning your implants, you smoke, or if your implants were placed more that 5 years ago, you should consider having a periodontal visit to make sure that your dental implants are free of gum infection. If you have any gum infection around the implants it is best to treat it sooner rather than later in order to prevent future bone loss.
Maintenance or Periodontal Cleanings, are continued periodontal therapy. Periodontal (Gum) Disease is a chronic problem, much like diabetes, and must be controlled through regular periodontal cleanings (even though you may have had periodontal surgery or non-surgical treatment). The schedule will vary from case to case, but typically periodontal cleanings are required on a more frequent basis than the six month interval often recommended for patients with healthy gums. The interval between cleanings that’s right for you will be determined following your initial periodontal treatments.