It includes oral hygiene instruction and advice,scaling and root planing (careful cleaning of the root surfaces to remove plaque and calculus from deep periodontal pockets and to smooth the tooth root to remove bacterial toxins).
It could be followed by additional therapy such as local delivery antimicrobials and host modulation, as needed on a case-by-case basis.
- After scaling and root planing the majority of patients will require ongoing maintenance therapy to sustain health.
- Collection and control of systemic diseases (diabetes, Sjogren’s disease, osteoporosis…) and lifestyle habits (smoking, nutrition, alcohol, obesity …) which may cause or accelerate the periodontal diseases.
Reassessment: after several weeks (6-8) your dentist or periodontist will make a full assessment of your gums to check the progress of the treatment. An instrument called “periodontal probe” will be used to record the depth of any periodontal pockets and check the bleeding of the gums. If periodontal pockets are still present, further treatment options may be suggested, including surgical corrective therapy.
Osteo-Resective Surgery: A periodontal pocket reduction procedure, recommended where the pockets are too deep to be cleaned with daily at-home oral hygiene and a professional care routine. During this procedure, your periodontist folds back the gum tissue and removes the disease-causing bacteria before securing the tissue into place. In some cases, irregular surfaces of the damaged bone are smoothed to limit areas where disease-causing bacteria can hide. This allows the gum tissue to better reattach to healthy bone. Reducing pocket depth and eliminating existing bacteria are important to prevent damage caused by the progression of periodontal disease and to help you maintain a healthy smile.
Regenerative Procedures: with the use of membranes, bone grafts or enamel matrix proteins we can stimulate the tissues to regenerate lost bone or supporting tissues damage due to periodontal disease. Muco-gingival Surgery: we can use gum grafts to reduce further recession and bone loss. In some cases, it can cover exposed roots to protect them from decay. This may reduce tooth sensitivity and improve the esthetics of your smile. Aftercare – supportive periodontal therapy: The long-term success of periodontal treatment depends both on your own efforts with oral hygiene and those of the practice team who provide your regular care and ongoing assessment. After the first phase of treatment has been completed, our staff will need to review the condition of your gums at regular intervals to check that the inflammation has been halted. Regular follow-up appointments are vitally important to ensure that the disease process does not recur, causing further destruction of the gums and supporting bone.