Periodontics

Periodontal Treatment

Periodontal (gum) diseases include gingivitis and periodontitis, these are serious infections of the gum and supporting structures of the teeth that - if left untreated, can lead to tooth loss. Periodontal diseases can affect one or several teeth, it is mainly caused by bacterial plaque, a sticky, colorless film that constantly forms on your teeth and harbors millions of microorganisms.

 

However, factors like the following also affect your gum health.

  • Smoking/Tobacco Usage
  • Genetics
  • Hormonal changes during puberty
  • Pregnancy and Menopause in Women
  • Stress
  • Medications

 

To determine whether you have periodontitis and how severe it is, our Consultant Periodontist may:

  • Review your medical historyto identify any factors that could be contributing to your symptoms, such as smoking or taking certain medications causing a dry mouth.
  • Examine your mouthto look for plaque and tartar buildup in addition to easy bleeding.
  • Measure the pocket depthof the groove between your gums and teeth by placing a dental probe beside your tooth and beneath your gum line, usually at several spots throughout your mouth.
  • Providing dental X-raysto check for bone loss in areas where your dentist observes deeper pocket depths.

 

Treatment
The goal of periodontitis treatment is to thoroughly clean the pockets around the teeth and prevent damage to surrounding bones. The best chances for a successful treatment are adopting a daily routine of good oral care, managing health conditions that may impact dental health and stopping the use of tobacco.

 

Nonsurgical Treatments

If periodontitis isn't advanced, treatment may involve less invasive procedures, including:

  • Scaling.
  • Root planning.
  • Antibiotics.

 

Surgical Treatments
If you were diagnosed with advanced periodontitis, treatment may require dental surgery, such as:

  • Flap surgery (pocket reduction surgery).
  • Soft tissue grafts. Loss of gum tissue leads to gum line recession. You may need to reinforce some of the damaged soft tissue.
  • Bone grafting.This procedure is performed when periodontitis has damaged the bones surrounding your tooth root.
  • Guided tissue regeneration. This allows bone regrowth in case of its loss due to bacterial infection.

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