In most cases, nonsurgical treatments are performed first. This may be the only treatment needed. Or it may be a first step in preparing for surgery. In some cases surgery is planned from the outset. After any kind of treatment ongoing maintenance is needed to keep periodontal disease under control.
The goal of nonsurgical treatment is to create conditions that enable tissues in the mouth to heal. This is done by reducing plaque, infection and other causes of periodontal disease. In about four to eight weeks you will have another evaluation where we will evaluate your condition again. In some cases surgical treatment is necessary.
Scaling and Root Planing
Scaling and root planing removes heavy deposits. During scaling plaque and tartar are removed. Root planing smoothes the roots of the teeth, which helps keep the area free of bacteria and may help ligaments to reattach, which reduces pocket depth.
Infection can be treated with antibiotics. Depending on the situation you will be prescribed pills or we will apply antibiotic directly into the infected pocket.
Surgery may be needed to save one or more teeth. It can be used to reduce pocket size, help regenerate bone and other tissue, or adjust the gumline. Surgery can also be used to reach tartar that can’t be removed with scaling and root planing.
Your surgical experience –
Periodonal surgery takes place in our office. You will be able to go home soon after it is completed. To control pain we will administer a local anesthetic. We offer sedation for all treatments. You must arrange for someone to drive you home if you are sedated.
Pocket Reduction Surgery
If nonsurgical treatments cannot reduce pocket depth, surgery may be needed. Surgery on the gum and bone can reduce pocket depth and save teeth. It also allows us to remove tartar deep beneath the gum line, therefore helping to halt or slow gum disease. In some cases pocket reduction surgery is combined with regenerative procedures such as bone grafting.
Certain procedures can be used to stimulate the growth of new bone. This increases the height of the bone around the tooth, giving it more support. Getting back even a portion of the lost bone extends the life of a tooth.