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Gum disease treatment, deep cleaning ( scaling and root planing )
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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 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)
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. |
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*The information contained on this
site is intended for educational purposes only. It is not intended and should not be construed as the delivery of dental or
medical advice and it does not substitute for diagnosis, treatment, or treatment planning. Persons requiring diagnosis,
treatment, or with specific questions are urged to contact your family dental or health care provider for appropriate
care.
The author of the site is Dr. Vadim Khrakovsky, dentist with more than 20 years experience. He is actively practicing in Brooklyn, NY |
