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Gum disease treatment, deep cleaning ( scaling and root planing )

The main ultimate goal of any periodontal treatment is to eliminate the pockets and to reduce the gathering of the food debris. In a lot of cases with the proper home hygiene, we were able to stop gum inflammation in patients, who were told they need a gum surgery, just with the conservative treatment. We saw deep pockets (more than 5 mm) disappear after scaling and root planing procedure in patients complying with their home hygiene (some local medications can be applied to help the process).
On the other hand I have seen patients, receiving the surgical treatment and neglecting the home care just to get back to the same level of inflammation they had before the surgery.

with the gum disease no one can help you, unless you help yourself!!!!!!!!!!!!!! 


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Like any successful treatment for a disease, the gum treatment is based on elimination of causes. As previously discussed, the main cause for periodontal disease is bacteria. You have to remember that the success of gum treatment depends not only on a doctor, but on you as well. With out proper oral hygiene at home any professional treatment of gum disease will be a failure. So the first step in gum disease treatment is your customized oral hygiene instructions and their follow through. 

The home hygiene should be focused on cleaning all the debris that stays not only on the visible tooth surface, but also on the gums, and inside the pockets. Depending on the condition of your teeth and the gums and presence of different type of dental restorations, your dentist should be able to advice you on the brushing techniques and tools which should be used. Please visit Home care page for more information on brushing and maintaining  good oral hygiene at home. From the different variety of available tools I tried to choose the ones which are mostly recommended and placed the links to those products (in Amazon store) on the right for you convenience

No matter how thorough you are with your brushing, there is still some plague and tartar that will build on you teeth. Our goal is to remove all the plague and tartar, and to minimize the pockets (remember that they are the trap for food remnants and bacteria). This is done with Scaling and Root Planing

Scaling and Root Planing (or deep cleaning) is done to remove tartar and hard crusty calculus (Tartar) that is loaded with bacteria, around and BELOW the gum line. (A professional polishing or prophylaxis removes only the soft sticky plaque that is above the gum line and performed on a healthy dentition).
Scaling
Scaling is procedure that meticulously removes contamination toxins, micro-organisms, plaque, and tartar that is rough and is below and under the gum line down to the bottom of the pocket.
Root Planing
Root planing involves smoothing the root surfaces of your teeth with thin curettes so gum tissue can more firmly reattach to roots that are clean and smooth to prevent tooth loss and sensitivity problems.
  


This procedure involves manipulation deep under the gum, thus the patient may be numbed for comfort if necessary. Full mouth Scaling and Root Planing may take few appointments, depending on the extent of disease and can be performed by your dentist or dental hygienist


Gingival Curettage (Gum Curettage)

Gum curettage is the procedure of removal granulation tissue and inflamed tissue wall of a periodontal pocket (area surrounding a tooth). Gum curretage can be performed along with scaling and root planing procedure or as a separate procedure.


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Before Scaling and Roott Planning

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After the procedure was done

After this treatment is completed, a perio-maintenance appointmentwill be necessary in a few weeks. At this visit your dentist (or dental hygienist ) will measure your gum  pocket depths are re-evaluate if additional cleaning needs to be performed. Depending on the findings dentist will advise you if any further treatment is necessary and frequency of you maintenance appointments.  Depending on stage of gum disease and your personal response to the treatment, Scaling and Root Planing, along with the good home oral hygiene, may be the only active treatment you will require and may prevent you from having gum surgery.

Evaluation of your gum status may reveal areas of your mouth where Scaling and Root Planing alone is not sufficient. Conservative approach is the first step in treatment of gum disease. There are several medicament available on the market that can treat pocket depth locally (targeted to a specific site) in conjunction with Scaling and Root Planing and in most cases avert future periodontal surgery.
Visit our perio-medication pagefor more information on medicament use in the gum disease treatment



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