There are a variety of treatments for periodontal disease depending on the stage of the disease, how you have responded to previous treatments, and your overall health.

Treatments range from non-surgical treatments that control bacterial growth to surgery to restore supportive tissue.

Non-surgical treatments for periodontal disease

Periodontal treatments that do not include surgery include:

  • Professional dental cleaning. During a typical examination, a dentist or dental specialist will remove plaque and lime (plaque that accumulates and hardens on the tooth surface and can only be removed with professional cleaning) from above and below the gum line for all teeth. If you have some signs of periodontal disease, your dentist may recommend specialized teeth cleaning more than twice a year. Dental cleaning is not a treatment for active gum disease. However, it is an important preventative measure that can help you ward off its development.

  • Sizing and Root Planning. This surgical procedure is deep, non-surgical, performed under the influence of local anesthetic, where plaque and lime are removed from the top and bottom of the gum line (peeling) and hard spots on the root of the tooth are made smoothly (planning). The coarse smearing removes the bacteria and provides a clean surface for the three gum to add to the teeth. The peeling process is done if the dentist or gums decide that you have plaque and calculus (the hardened plate, also called lime) under the gums that need to be removed.

Surgical treatments for gum disease
Some treatments for gum disease are surgical. Some examples are:

  • Surgical surgery / Pocket minimization surgery. During this procedure the gums are lifted again and the sequins are removed. In some cases, the irregular surfaces of the affected bones are flattened to reduce the areas where the pathogenic bacteria can be hidden. The gums are then placed so that the tissue fits comfortably around the tooth. This method reduces the size of the distance between the gums and the tooth, thus reducing areas where harmful bacteria can grow and reduce the chances of serious health problems associated with gum disease.

  • Bone grafting. This procedure involves the use of splinters of your bones or artificial bones or donated bone to replace the bone that has been destroyed by periodontal disease. Grafts serve as a platform to re-grow bone, which restores the stability of the teeth. New technology, called tissue engineering, encourages your body to regenerate bones and tissues at an accelerated rate.

  • Soft tissue grafts. This action promotes gentle gums or filling in places where the gums have fallen. The grafted tissue, which is often taken from the surface of the mouth, is sewn into place, which adds tissue to the affected area.

  • Regenerated tissue regeneration. This procedure is performed when the bone that supports your teeth is destroyed, and this procedure stimulates the growth of bone tissue and gums. A small piece of mesh-like tissue was installed between bone and gingival tissue, along with a combination of facial surgery. This maintains the growth of the gingival tissue in the area where the bone must be, allowing the bone and connective tissue to regrow to support the teeth better.

  • Orthopaedic Surgery. The shallow grooves in the bones are softened by the loss of moderate and advanced bones. After the bark surgery, the bone is reshaped around the teeth to reduce the nozzles. This makes it difficult for the bacteria to collect and grow.

In some patients, the non-surgical procedure for peeling and root planning is all that is needed to treat gum disease. Surgery is needed when the tissue around the teeth is unhealthy and can not be repaired with non-surgical options.

Medications used to treat periodontal disease

Antibiotics may be used either with surgery or other treatments, or alone, to reduce or eliminate bacteria associated with periodontal disease or to curb the destruction of bone attachment.

Chlorhexidine (marketed as PerideChip, PerioChip, PerioGard only, and other non-prescription trade names) is an antimicrobial used to control plaque and gingivitis in the mouth or gingival sinuses. The medicine is available, such as rinsing the mouth or a gelatin-filled shampoo that is placed in pockets after rooting and releasing the medication slowly over a period of 7 days. Other antibiotics, including doxycycline, tetracycline, and minocycline can also be used to treat gum disease, as determined by your dentist.

In addition, non-prescription toothpaste containing fluoride and antibiotics to reduce plaque and gingivitis, called triclosan, is often recommended.

Are special preparations required before treatment for periodontal disease?

Your dentist or gum specialist is able to perform most of the procedures in his office. The time to do this, the degree of discomfort, and the time to heal from patient to patient will vary depending on the type and extent of the procedure and your overall health. Local anesthesia can be given to anesthetize the treatment area before some treatments. If necessary, medication can be given to help you relax.


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