It is important to note that the type and severity of periodontal disease determines the type and severity of treatment.  You will be evaluated for periodontal disease by your dentist and dental hygienist, and the appropriate treatment will be recommended.

There are several factors that contribute to the progression of periodontal disease, including the filling of the sulcus (pocket or space) between the tooth and gums with bacteria, plaque, and tartar, which causes irritation to the surrounding tissues.  If these irritants remain in the pocket space, they can cause damage to the gum and eventually, to the bone that supports the teeth when they remain there for long periods of time!

As the disease progresses to more advanced stages, it will be necessary to perform a special periodontal cleaning called scaling and root planing (deep cleaning) in order to prevent further damage.  In numb areas, the quadrants are treated one at a time.  As part of this procedure, tartar, plaque, and toxins are removed from above and below the gum line (scaling), and rough spots on the root surfaces are smoothed out (planing).  In this procedure, gum tissue will be able to heal and pockets will shrink as a result of this procedure.  A combination of medication, medicated mouth rinses, and an electric toothbrush may be recommended in order to help control infection and speed up the healing process.

The need for periodontal surgery may be required if the pockets do not heal after scaling and root planing, in order to reduce the pocket depths, making teeth easier to clean in the future.  There may also be the possibility that your dentist will recommend that you see a Periodontist (a specialist in the gums and supporting bone structure).

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