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Periodontal treatment methods depend upon the type and severity of the disease.  We 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 irritation to the surrounding tissues.  When these irritants remain in the pocket space, they can cause damage to the gums and eventually, the bone that supports the teeth is slowly lost.

If the disease is caught in the early stages as gingivitis, no damage has been done to the underlying bone, and the calculus level is typical then one to two cleanings will be recommended.  You will also be given instructions on improving your daily oral hygiene habits and having regular dental cleanings.

If the disease has progressed to more advanced stages, a special periodontal cleaning called scaling and root planing (deep cleaning) will be recommended as the major component of initial therapy.  It is usually done over half of the mouth at a time while the area is numb.  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.  Periodontal disease cannot be cured but can me arrested and controlled with initial therapy and regular followup care.

If the pockets do not heal sufficiently after scaling and root planing, periodontal surgery may be needed to reduce pocket depths, making teeth easier to clean.  We may also recommend that you see a Periodontist (specialist of the gums and supporting bone) should your condition need complex treatment after scaling/root planing.