Treatment FAQ

what is a periodontal treatment?

by Alison Steuber Published 3 years ago Updated 2 years ago
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Symptoms

This should include:

  • Brushing – brush your teeth every day after each meal. ...
  • Flossing – you need to remove the food particles that get stuck between your teeth after each meal as they are breeding grounds for toxic bacteria. ...
  • Rinsing – the final step in your daily routine should be using a mouthwash to rinse away the left over bacteria. ...

More items...

Causes

These structures include the:

  • gums
  • alveolar bone
  • periodontal ligament

Prevention

To use a salt water rinse:

  • Add 1/2 to 3/4 teaspoon of salt to a glass of lukewarm water and mix well.
  • Swish the solution in your mouth for up to 30 seconds.
  • Spit out the solution.
  • Repeat two to three times per day.

Complications

When to See a Periodontist. Periodontal treatment may be sought in several ways. Your general dentist or a hygienist may recommend a consultation with a periodontist if they find signs of periodontal disease through the course of a checkup or other dental care appointment.

How to reverse periodontal disease naturally without surgery?

What conditions does a periodontist treat?

How to cure periodontitis naturally?

When to see a periodontist?

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What does periodontal treatment include?

Initial periodontal therapy Scaling and root planing is the thorough cleaning of the root surfaces to remove plaque, calculus (tartar) and bacteria. It also involves the smoothing of root surfaces to prevent recurring build up and allow for reattachment of the gingiva (gum tissues).

How painful is periodontal treatment?

The short answer is no, the procedure is not painful. You will experience discomfort upon completion but the actual process can be completed with the administration of a local anesthetic to the soft tissue to minimize any unpleasant feelings during the process.

How long does periodontal treatment take?

Local anesthetic is administered to completely “numb” the area to be treated. Periodontal flap surgery for a single quadrant in the mouth is quick and usually only takes about 45min to complete. Patients can watch TV or listen to music from personal headphones during the procedure.

Is periodontal treatment worth it?

Periodontal treatment is very important. It does prevent tooth loss, which can be caused by periodontitis. This treatment also prevents other issues caused by periodontitis, like heart attack risks. You should talk to your dentist if you suspect periodontitis.

What is the main cause of periodontal disease?

It's usually the result of poor oral hygiene. Brushing at least twice a day, flossing daily and getting regular dental checkups can greatly improve your chances of successful treatment for periodontitis and can also reduce your chance of developing it.

How much does periodontal treatment cost?

During this procedure, your dentist will clean the pocket carefully, removing tartar deposits after lifting up the gums to clean underneath them. The gums will then be sutured to fit more tightly around the tooth. This procedure typically costs between $1000 and $3000 without insurance.

Does periodontal deep cleaning hurt?

Does a deep cleaning hurt? Since deep cleanings are more thorough, and go further below the gumline than regular cleanings, they can potentially cause some discomfort or pain. To ensure your comfort during your deep cleaning, your dentist will numb the treatment site before beginning.

Can teeth be saved with periodontal disease?

Saving teeth from periodontal disease is possible if you detect the signs and symptoms early or regularly visit your dentist for cleanings and exams. Let the condition progress unhindered, and tooth loss should be considered as an eventuality.

Does periodontitis hurt?

Chronic periodontal diseases such as gingivitis and periodontitis are usually painless, but they may cause mild, episodic or persistent dull pain due to inflammation or low-grade infection. In contrast, sharp periodontal pain is often associated with high-grade infection and inflammation [3, 4].

Can a dentist fix periodontal disease?

While gum disease can be effectively treated in the early stages, advanced periodontal disease, often called periodontitis, can't be reversed.

Does periodontitis go away?

Periodontitis can't be reversed, only slowed down, while gingivitis can be reversed. This is why it's important to catch it in its early stages and prevent it from moving on to periodontitis.

Does insurance cover periodontal disease?

Dental insurance can cover some treatments for periodontal disease. People should enroll into periodontal insurance, which is dental insurance that covers periodontal care (“Periodontal Insurance”). They may have to pay their deductible before receiving coverage for this care (“Laser Gum Treatment & Cost”).

What is the goal of periodontitis treatment?

The goal of periodontitis treatment is to thoroughly clean the pockets around teeth and prevent damage to surrounding bone. You have the best chance for successful treatment when you also adopt a daily routine of good oral care, manage health conditions that may impact dental health and stop tobacco use.

Why do periodontists make incisions in gums?

Your periodontist makes tiny incisions in your gum so that a section of gum tissue can be lifted back, exposing the roots for more effective scaling and root planing. Because periodontitis often causes bone loss, the underlying bone may be recontoured before the gum tissue is sutured back in place.

How to tell if you have periodontitis?

To determine whether you have periodontitis and how severe it is, your dentist may: Review your medical history to identify any factors that could be contributing to your symptoms, such as smoking or taking certain medications that cause dry mouth. Examine your mouth to look for plaque and tartar buildup and check for easy bleeding.

What happens when you lose gum tissue?

When you lose gum tissue, your gumline recedes. You may need to have some of the damaged soft tissue reinforced. This is usually done by removing a small amount of tissue from the roof of your mouth (palate) or using tissue from another donor source and attaching it to the affected site.

What is the procedure to cover exposed roots?

This can help reduce further gum recession, cover exposed roots and give your teeth a more pleasing appearance. Bone grafting. This procedure is performed when periodontitis has destroyed the bone surrounding your tooth root.

What is the best treatment for bacterial infection?

Antibiotics. Topical or oral antibiotics can help control bacterial infection.

How to get rid of plaque between teeth?

Use a mouth rinse to help reduce plaque between your teeth, if recommended by your dentist. Supplement brushing and flossing with an interdental cleaner, such as a dental pick, interdental brush or dental stick specially designed to clean between your teeth.

What are the different types of periodontal disease?

There are different forms of periodontal disease, but the following are the most common: 1 Chronic gingivitis. A reversible, milder form of periodontal disease, marked by inflammation, redness, and bleeding gums. There is no bone loss with gingivitis, and as noted, it is easily preventable! 2 Aggressive periodontitis. A rapid loss of gum attachment and bone destruction in a short period. 3 Chronic periodontitis. The most common form of periodontitis. It progresses slowly. 4 Necrotizing periodontal disease. An infection resulting from the death of gum tissue surrounding the tooth and connecting bone. Its common symptoms are a foul odor and painful bleeding gums.

What is the first stage of gum disease?

Gum disease is a sneaky, progressive disease. Here's why: the first stage, called gingivitis, occurs when bacterial plaque is not thoroughly removed from your teeth.

What does it mean when your gums are red?

A periodontal abscess can sometimes occur from advanced gum disease. This abscess appears as a red, swollen lesion on the gumline. If you suddenly feel a sharp pain in your gums, it's best to see a dentist quickly, as the sooner an abscess gets treatment, the better!

What is scaling and root planing?

Your first step in periodontal disease treatment is a conservative, non-surgical approach called scaling and root planing (SRP). A dentist or dental hygienist provides this treatment by scraping and removing the plaque and tartar from your teeth and root surfaces with instruments designed for this purpose.

Why do teeth get loose?

Toxins from this buildup of bacterial plaque affect your gum tissue and the bone and ligaments that support your teeth. As the infection causes periodontitis to spread to the bone and supporting tissues, your teeth may become loose and need removal. But even advanced cases of periodontal disease don't have to progress to this point.

Why do dentists cover roots?

Your dental professional takes gum tissue from your palate or another source and uses it to cover the roots of one or more teeth. Covering exposed roots helps reduce sensitivity and protects your roots from decay while stopping further gum recession and bone loss.

What is the sign of gum disease?

Gingivitis to Periodontitis. A significant indicator of gum disease is inflammation, which is the body's way of shielding, guarding, and protecting itself from infection. Think of it as a blowfish puffing up to scare away predators!

What is the best way to treat periodontal disease?

Your dentist or periodontist may determine that antibiotics are necessary to treat your periodontal disease. After root planing, he may insert antibiotic chips in the gum pockets that will slowly dissolve and release medication to kill bacteria in a small area without influencing your entire body.

How to get rid of a periodontal infection?

Apply antibiotic gel, if prescribed. Your dentist or periodontist may prescribe you antibiotic gel to apply to your gums twice daily after brushing, flossing, and irrigation. This gel kills bacteria, and will help get your periodontal infection under control.

Why do you need to see your dentist after a periodontal cleaning?

After your deep cleaning, you will need to see your dentist more frequently so that she can measure the periodontal disease pockets and ensure that they are healing. If the disease is not improving sufficiently, she will then make recommendations for further treatment.

How to diagnose periodontal disease?

1. Visit your dentist for an exam. Your dentists will examine your teeth and gums, take x-rays, and assess the extent of your gum disease by measuring the depth of periodontal pocket. She will then have you schedule a deep cleaning and give you instructions on oral hygiene and home care leading up to that appointment.

What happens if you leave periodontal disease untreated?

Periodontal disease is a serious bacterial infection of the gums that, if left untreated, will eventually destroy the gums, ligaments and bones supporting your teeth, leading to tooth loss.

How to floss your teeth?

Floss your teeth at least once a day. Begin with an 18-inch piece of floss. Wrap it around your two middle fingers leaving a gap of 1 to 2 inches in between. Then slide the floss between two teeth, and wiggle it up and down and back and forth, several times. Keep in mind that plaque and food can get stuck under the gum line, so this is what you want to target with the floss. Be sure to wrap the floss around each tooth, and floss all the way to your gums, extending as far as you can without causing discomfort. Then repeat the process on the next tooth, moving to a new section of the floss, as it becomes soiled or frayed. Make sure that once you have placed the floss between two teeth you are flossing two surfaces. Once you have this down, the entire process should only take two or three minutes per day.

What is the procedure called when you have to remove tartar from your gums?

The most basic surgical option is called flap surgery, in which your dentist or periodontist will make an incision in your gums, lifting them back to clean and remove the tartar, infected bone, and necrotic cementum underneath. The flap is then sutured back into place, up against your teeth.

Periodontists: Periodontal & Dental Implant Specialists

A periodontist is a dentist who specializes in the prevention, diagnosis, and treatment of periodontal disease (a chronic inflammatory disease that affects the gums and bone supporting the teeth also known as gum disease), and in the placement of dental implants.

What Will My First Visit Be Like?

During your first visit, the periodontist usually reviews your complete medical and dental histories. It’s extremely important for the periodontist to know if you’re taking any medications or being treated for any condition that can affect periodontal care, such as heart disease, diabetes, or pregnancy.

Why Might I Be Referred to a Periodontist?

If your general dentist refers you to a periodontist, it’s simply because the periodontist has the special skills, knowledge and experience to provide you with the type of periodontal treatment or implant procedure you need.

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Diagnosis

Treatment

Medically reviewed by
Dr. Karthikeya T M
Symptoms
If you or someone you know is exhibiting symptoms of Periodontal disease, seek medical attention immediately.

The symptoms include:

  • Bad breath
  • Red and swollen gums
  • Tender or bleeding gums
  • Painful chewing
  • Loose and sensitive teeth
  • Receding gums or longer appearing teeth

Causes

  • The causes include:
  • Bacteria causing the inflammatory reaction may spread through saliva
  • Periodontal disease is caused by bacteria in dental plaque; a plaque is formed by bacteria along with mucus and other particles
  • In response to infection, the cells of the immune system release substances which are responsible for inflammation and damage of gums, Periodontal ligament or alveolar bone

Prevention

  • Get professional dental cleaning at least twice a year
  • Daily brushing and flossing
  • Antibacterial mouth rinses can reduce bacteria that cause plague and gum disease

Complications

If untreated for a prolonged period it may lead to

  • Periodontitis can cause tooth loss
  • Bacteria responsible for periodontitis can enter bloodstream through gum tissue possibly affecting heart, lungs and other body parts

Lifestyle and Home Remedies

Preparing For Your Appointment

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