Periodontal Treatment at Our Office Less Pain, Less Bleeding, Less Recovery Time

Treatment Choices

Periodontal disease is an ongoing, slowly progressing disease. Unless it is treated, it will continue to destroy your dentition. Research shows that periodontal disease is related to causing heart disease, strong, and diabetes.

The following information describes the various treatments for periodontal disease, from least to most aggressive.

1. No Treatment. If you elect to do nothing to treat your periodontal disease, it will continue to progress slowly until you lose the involved teeth. Tooth loss can require a few months to years. Routine dental hygiene appointment can increase the possibility of increase tooth longevity, but more comprehensive treatment is usually indicated.

2. Increased frequency of typical oral hygiene appointments and use of additional conservative treatments. Although normally tooth cleanings or scalings are performed once ever 6 months, patients with minimal periodontal disease can often control its progress by increasing the frequency of scalings and exams to once every two or three months, often accompanied by medication, tongue cleaning, rinses, and other treatments.

3. Deep scaling, root planning, and soft tissue curettage (removal of inflamed tissue) and increase frequency of oral hygiene appointments. Removal of tartar from the deepest areas of the periodontal pockets, planing of the tooth root surfaces and removal of the diseased soft tissue by curettage, usually decreases pocket depts and slows the progress of periodontal disease. Scaling, polishing, and examination are increased to once every tow or three months. Systemic and local antibiotics, tongue cleaning, rinses, and other treatments including laser therapy may be included in this treatment.

4. Periodontal surgery. In advanced cases it may be necessary to gently reflect the gums from the underlying bone tissue, clean out the infection, sometimes add bone grafts in deficient areas, and replace the gums to allow healing This surgical treatment is followed by frequent cleaning/scaling appointments.

In addition to the above treatments, patients should improve their oral hygiene procedures and diet.
Smoking is an extremely negative factor related to periodontal disease, and it should be reduced or, preferably, stopped.

Periodontal Disease Treatment: Surgery or a Conservative Approach?

If you have periodontal disease, the condition will slowly progress, eventually weakening bone support of the teeth, causing the need for tooth extraction. There are two options for treatment of this condition:

  • Surgical, in which the diseased gum and bone tissue are removed and/or reshaped to allow proper cleaning.
  • Conservative, explained below, in which you must have an active role in carrying out the procedures described below.

The following are procedures included in conservative periodontal therapy:

  • We will provide information for you to better understand the disease.
  • We will provide hygiene instruction to allow you to upgrade your oral cleaning habits.
  • We will demonstrate tongue cleaning to you. The tongue is a reservoir for billions of microorganisms that cause periodontal disease.
  • Daily antimicrobiologic rinses will be suggested from the first appointment of your conservative therapy.
  • Professional scaling, root planning, and polishing of the teeth will be provided for you every two or three months. This may be augmented with laser treatments.
  • Low level systemic antibiotic therapy to control the organisms causing periodontal disease will be prescribed for you if periodontal disease is still active in your mouth after two or three months of the previous treatments.
  • Local antibiotics will be delivered to the most affected areas of your mouth if you do not respond positively after two or three months of previous treatments.

Both surgical and conservative therapy can be successful in treating periodontal disease. We will help you decide which is the best for you.