Periodontal Treatment

We offer periodontal services designed to prevent or treat periodontal disease. We emphasize non-surgical treatments.

Gingivitis

Gingivitis is a condition that causes inflammation in the gums. Plaque is the direct cause of gingivitis and when this bacteria is left on the gums it causes redness, swelling, and bleeding. Gingivitis is reversible with professional treatment and proper home care. If left untreated it may progress into periodontal disease.

Periodontal Disease

Periodontal Disease, also referred to as periodontitis, is a bacterial infection that causes the gum tissue to pull away from it’s ‘normal’ attachment point on the tooth, creating a periodontal pocket. The infection spreads below the gum line and begins to break down the bone and connective tissue that holds the teeth in place. If left untreated, the bone, gums, and tissue that support the teeth are destroyed and the teeth may eventually become loose and need to be extracted. The stages of periodontal disease are as follows:

Early – pocket depths or attachment loss of 5-6mm, beginning signs of bone loss visible on radiographs

Moderate – pocket depths or attachment loss of 6-7mm, bone loss of 30-50%

Severe – pocket depths or attachment loss of 8 or higher, bone loss of more than 50%

Signs and Symptoms of Periodontal Disease

  • Red, swollen or gums that bleed easily
  • Persistent bad breath or bad taste
  • Toothache mobility in teeth
  • Receding gums

Diagnosing of Periodontal Disease

When our doctor or dental hygienist examines your gums, they will use a periodontal probe to measure the pocket depth of the sulcus, the natural space between the tooth and gum tissue. This periodontal examination will indicate the depth and development of any pockets.

Factors that increase the risk of Periodontal Disease

  • Tobacco use
  • Ill-fitting or defective restorations
  • Systemic diseases
  • Some medications
  • Pregnancy
  • Poor nutrition

Treatment of Periodontal Disease:

The main goal of treatment is to control the infection. Non Surgical Periodontal Treatment (NSPT) or Scaling and Root Planing (SRP) is the careful cleaning of plaque and calculus (tartar) from above and deep into the periodontal pockets, to smooth the root surface, and remove bacterial toxins. NSPT has its limitations and when it does not achieve periodontal health, referral to a periodontist for further treatment may be needed.