Scaling and Root Planing, also called deep cleaning. You visit the dentist every six months for your dental check-up and professional cleaning, then one visit the dentist tells you that you have gum disease. Gum disease is an inflammation of the gum tissue that could affect the teeth and supporting bone in your mouth. Plaque bacteria, acids and certain foods all contribute to the development of gum disease. Fortunately, two common methods exist to reverse the disease — dental scaling
Sometimes with extensive periodontal disease, it is necessary to surgically reflect the gums back slightly and then go in to remove all the plaque and tarter under the gums. The gum tissue is then sutured back at a slightly lower level, so that the periodontal pocket is less.
Dental Extractions Sometimes teeth are too badly decayed to restore. If periodontal disease has caused a tooth to become loose, it might be necessary to extract it also, due to extensive bone loss. Patients might also opt to have a tooth taken out if costs are prohibitive for doing a root canal and crown. Other problems can arise after a tooth is removed. The teeth can shift, throwing the bite off. You can possibly not be able to chew your
Periodontal Bone Graft Sometimes when there is extensive bone loss, due to periodontal disease, it is necessary to replace the bone to strengthen the teeth. This is also done when more bone is needed for a dental implant. The bone used to be harvested from a patient’s own hip, but now there are many types of bone substitutes that make this extensive surgery much less complicated.
Gingival Grafting When gums have receded around teeth, it can cause the teeth to become sensitive and unattractive. They may even become loose if the progression of the recession (hey it rhymes), is allowed to continue. Dentists can intervene in the process. Usually it is done by a periodontal specialist, called a periodontist. They can surgically place a graft, with tissue taken from the patient’s own palate, or a substitute may be placed, such as allograft.
After any type of treatment is done for periodontal disease, it is usually necessary for your dentist or dental hygienist to spend a little more time and use more diligence in cleaning your teeth. It might even be a good idea to come in more often than just every six months. This is called periodontal maintenance and it is used to hopefully prevent the progression of the patient’s periodontal disease. Of course the best prevention is for the patient to
What is Periodontal charting? Highlights: A periodontal chart is a graphical tool for organizing all the important information about your teeth and gums. A dental instrument is used to measure in millimeters (mm) the area between the gum and the tooth, called the “pocket.” Your dentist, hygienist, or dental assistant creates a dental chart of your mouth at a regular checkup. Dental charting is a process in which your dental healthcare professional lists and describes the health of your teeth
Periodontal Debridement When a dentist does a periodontal debridement all the calculus and plaque is removed from the tooth surfaces above the gums. Later on the dentist or dental hygienist may go back and remove the build up of tarter below the gums. This is called scaling and root planing. It is usually necessary to do this under local anesthetic, to avoid sensitivity while this is being done.