Treating periodontal disease.
Periodontal treatment methods depend upon the type and severity of the disease. If the disease is caught very early (when it is gingivitis), and no damage has been done to the supporting structures under the teeth, you may simply have a professional
cleaning and be given instructions on improving your daily oral hygiene.
Even with these measures, some patients develop more severe periodontal disease that must be treated. The first step usually involves a special cleaning, called scaling and root planing. In this treatment, plaque and tartar are carefully removed down to the bottom of each periodontal pocket. Part of this procedure includes smoothing the tooth’s root surfaces to allow the gum tissue to heal and reattach to the tooth. This is sometimes also called “periodontal cleaning” or “deep cleaning” and may take more than one visit.
Advanced Periodontal Disease
Severe Periodontal Disease
Your dentist also may recommend medicines to help control infection and pain, or to aid healing. These medicines could include a pill, a mouthrinse, or a substance that the dentist places directly in the periodontal pocket after scaling and root planing. Your dentist may also stress the need to stop using tobacco and to control any related systemic disease, like diabetes.
At your follow up visits, the dentist or hygienist measures the pocket depths again to check the effect of the scaling and root planing. If the disease continues to advance to the point where the periodontal pockets deepen and the supporting bone is lost, more treatment may be necessary. You may be referred to a periodontist.