Periodontal Treatment

Periodontal treatment depends on the type and severity of the disease. Your dentist and dental hygienist will evaluate your condition and recommend the appropriate treatment.

Periodontal disease progresses as the sulcus (pocket or space) between the tooth and gums fills with bacteria, plaque, and tartar, causing irritation to the surrounding tissues. If these irritants remain, they can damage the gums and eventually the bone that supports the teeth.

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In the early stages of gingivitis, when no damage has occurred, one to two regular cleanings may be recommended. You will also receive instructions on improving daily oral hygiene and maintaining regular dental cleanings.

For more advanced disease, a special periodontal cleaning called scaling and root planing (deep cleaning) may be recommended. This procedure is usually done one quadrant of the mouth at a time while the area is numb. During scaling, tartar, plaque, and toxins are removed from above and below the gum line. Planing smooths rough spots on root surfaces. This procedure helps gum tissue heal and reduces pocket depth. Medications, medicated mouth rinses, and an electric toothbrush may be recommended to support healing and control infection.

If pockets do not heal after scaling and root planing, periodontal surgery may be necessary to reduce pocket depth and make teeth easier to clean. Your dentist may also refer you to a periodontist, a specialist in gums and supporting bone.