Treatment
The treatment for periodontal disease varies based on the type and severity of the condition. Your dentist and dental hygienist will assess for periodontal disease and suggest the most suitable treatment. Periodontal disease advances as bacteria, plaque, and tartar accumulate in the space between the tooth and gums, leading to irritation of the surrounding tissues. If these irritants are not removed from the pocket space, they can harm the gums and eventually the bone supporting the teeth.
If the disease has progressed to more advanced stages, a special periodontal cleaning called scaling and root planing (deep cleaning) will be recommended. It is usually done one quadrant 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 toothbrush may be recommended to help control infection and healing.
If the pockets do not heal after scaling and root planing, periodontal surgery may be needed to reduce pocket depths, making teeth easier to clean. Your dentist may also recommend that you see a periodontist (specialist of the gums and supporting bone).
