Periodontal treatment methods depend upon the type and severity of the disease.  Your dentist and dental hygienist 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, to the bone that supports the teeth!

If the disease is caught in the early stages of gingivitis, and no damage has been done, one to two regular cleanings per year will be recommended.  You will also be given instructions on improving your daily oral hygiene habits and the advantages of regular dental cleanings.

If the disease has progressed to more advanced stages, a special, conservative periodontal therapy 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.  During 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 therapy helps gum tissue to heal and pockets to shrink.   Often, it is beneficial for the hygienist to place an antibiotic directly into the pocket.  We use Arestin in our office because it has been proven to remain effective for several days.  Prescription medications, special medicated mouth rinses, and an electric tooth brush may be recommended to help control infection and to promote 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.  At that time, we will recommend that you see a Periodontist (specialist of the gums and supporting bone) to try to control the disease.