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Periodontitis

What is periodontal disease? Periodontal disease in a chronic infectious disease which destroys the periodontal tissues. These tissues consist of gums and bone that support the teeth. Periodontal disease is caused by a growing colony of living bacteria called plaque. The greatest cause of tooth loss is periodontal disease. If detected in the early stages, periodontal disease can be treated and controlled; preventing tooth loss and further destruction. Periodontal disease is diagnosed through a thorough periodontal examination. We diagnose periodontal disease by periodontal measurements, evaluating the bone level on xrays, amount of recession, bleeding and inflammation.

How is periodontal disease treated?

  1. Scaling and Root Planing: Root planing is the treatment of the diseased tooth surfaces below the gum line. Your hygienist will use scalers and an ultrasonic instrument to remove tartar, plaque and flush out bacteria from your periodontal pockets. You will need more than one appointment for the treatment of periodontitis. Your dental hygienist will use a local anesthetic to make the procedure more comfortable. Once you have completed the scaling and root planing procedure you will need to be seen every three-four months for perio maintenance appointments.

  2. Perio Maintenance: Perio Maintenance is a procedure that is done more frequently to maintain the bone support and reduce the chances of reinfection. If you do not come in every three-four months the bacteria that was removed with initial treatment will cause further infection and destruction to the bone. If this happens you would need to go through the scaling and root planing again.

  3. Laser Therapy: A diode laser is used to treat periodontal disease in addition to scaling and root planing. The laser treatment includes reducing bacteria throughout your entire mouth. It removes diseased tissues and promotes healthy cell growth. After removing the calculus, plaque and bacteria with dental instruments, a laser is used to selectively remove the diseased tissues lining the pockets around the teeth. Lasers can help increase the circulation and healthy tissue formation at the bottom of the periodontal pockets and help revive or rejuvenate the attachment.

  4. ARESTIN (minocycline HCl) is a concentrated antibiotic that can be placed in a diseased periodontal pocket. It remains active in the pocket for an extended period of time to help reduce pocket depth. The microspheres release the antibiotic over time, targeting bacteria to reduce pocket depth, so gums can heal better than with scaling and root planing (SRP) alone