Treatment FAQ

what is periodontal treatment

by Billie Borer Published 2 years ago Updated 2 years ago
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Medication

There are a variety of ways periodontists can treat periodontal disease. Following dental school, periodontists receive up to three additional years of specialized training in both surgical and non-surgical periodontal procedures to treat gum disease. Periodontists are also experts in replacing missing teeth with dental implants. Surgical Treatment

Procedures

Nonsurgical periodontal disease treatments 5 Scaling and root planing —Tartar and bacteria are removed from your teeth and under your gums using instruments, a laser or an ultrasonic device. Antibiotics —Topical antibiotics, such as antibiotic gels or mouth rinses, are used to control bacterial infection. Surgical periodontal disease treatments 6

Self-care

Periodontists are experts in the diagnosis and treatment of gum disease and may provide you with treatment options that are not offered by your dentist. Back to top Treatment The main goal of treatment is to control the infection. The number and types of treatment will vary, depending on the extent of the gum disease.

Nutrition

the diagnosis and treatment of gum disease and may provide you with treatment options that are not offered by your dentist. How is gum disease treated? The main goal of treatment is . to control the infection. The . number and types of treatment will vary, depending on the extent of the gum disease. Any type of treatment requires that

How to reverse periodontal disease naturally without surgery?

Mar 19, 2022 · 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.

What do you need to know about periodontal disease treatment?

periodontal therapy is to reduce the burden of pathogenic bacteria and thereby reduce the potential for progressive inflammation and recur-rence of disease. Emerging evidence of possible perio-systemic links further reinforces the need for good periodontal health. In the private practice setting, the treatment of patients with periodontal disease is best accomplished within the …

How to cure periodontitis naturally?

Feb 08, 2022 · What does periodontal treatment include? Non-surgical Periodontal Treatment As an example, the earliest stages of gum disease require periodontal treatments in the form of deep cleanings and scaling and root planing (as defined below) to eliminate as much plaque and tartar from the periodontal pockets as possible.

What can I do at home to prevent periodontal disease?

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What does periodontal treatment involve?

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?

Will treatment hurt? You can expect some discomfort from periodontal treatment, but it will probably be much less than you fear. The high fear factor is one of the reasons why people don't see the dentist soon enough when they notice symptoms.

How long does periodontal treatment last?

Patients who comply with their dentist's recommendations will often see their condition reduce dramatically within two or three weeks. More serious stages of gingivitis may take longer to see results.

Is periodontal treatment necessary?

Periodontal treatment is necessary when various conditions affect the health of your gums and the regions of your jawbone that hold your teeth in place. Retaining your teeth is directly dependent on proper periodontal care and maintenance.

What is the main cause of periodontal disease?

Periodontal (gum) disease is an infection of the tissues that hold your teeth in place. It's typically caused by poor brushing and flossing habits that allow plaque—a sticky film of bacteria—to build up on the teeth and harden.

Does periodontal scaling hurt?

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.

Can a dentist fix periodontal disease?

Your dentist can help catch early signs of gingivitis at your regular cleanings and checkups. In most cases, you can cure gum in this stage. However, as the disease progresses and reaches periodontitis, it can't be cured, only treated.May 28, 2020

Can I keep my teeth 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.Jan 1, 2021

Can you live with periodontal disease?

Living with periodontal disease can cause aesthetic complications and bone loss of a serious nature. Unlike other injuries, periodontal disease does not cause any pain. It is a silent disease when the teeth gum becomes inflamed and bleeds.Feb 7, 2020

Can periodontitis be cured?

Periodontitis can only be treated but cannot be cured. Gingivitis, on the other hand, can be prevented by maintaining proper oral hygiene practices and visiting the dentist for checkups and exams.

Can periodontal disease be stopped?

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.Sep 18, 2019

Can gums grow back?

Unfortunately, once gums have receded, they will not grow back on their own. The good news is that there are treatments available that can help cover the exposed tooth root, restore the gum line, enhance your smile, and protect your oral health.Oct 29, 2021

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 ready for an appointment?

To get ready for your appointment, make a list of: Any symptoms you're experiencing, including any that may seem unrelated to the reason for your appointment. Key personal information, such as any medical conditions you may have.

What is periodontal disease?

Periodontal diseases are infections in the structures around the teeth, but not in the actual teeth themselves. These structures include the: It can progress from gingivitis, which is the first stage of periodontal disease and only affects the gums, to the other structures. Periodontal diseases are caused most often by a combination ...

How to get rid of bacteria in teeth?

Your dentist will carefully detail the oral hygiene practices you need to follow, including brushing your teeth properly and flossing daily. Clean your teeth carefully, making sure not to miss any of the hard-to-reach spots, and use mouthwash to help kill off any leftover bacteria.

What is the purpose of regenerative surgery?

The goal of these surgeries is to remove the pockets of space between the teeth and the bone that can be broken down or destroyed with periodontal disease.

How much does it cost to remove tartar from a tooth?

The gums will then be sutured to fit more tightly around the tooth. This procedure typically costs between $1000 and $3000 without insurance.

How much does a bone graft cost?

It will be placed to cover exposed tooth roots. A single procedure for bone or tissue grafts can cost around $600 to $1200. During aftercare, don’t use straws.

What is phase 2 of a syringe?

Phase II: The surgical phase. If the more conservative treatments weren’t effective, treatments will move into the surgical phase. This will likely happen if the pockets of infection or plaque and tartar are too deep to clean. This phase will be assessed somewhere between four and eight weeks after the initial treatment.

What is flap surgery?

This will make the area easier to clean and prevent infections from developing in the future. This may be called “flap surgery.”

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 gum disease?

Periodontal (gum) disease is an infection of the tissues that hold your teeth in place. It's typically caused by poor brushing and flossing habits that allow plaque—a sticky film of bacteria—to build up on the teeth and harden.

What is the most common cause of tooth loss?

Periodontal disease is the most common cause of tooth loss among adults. Overall, the prevalence of both moderate and severe periodontal disease in adults and Seniors has decreased from the early 1970s. In spite of this improvement, significant disparities remain in some population groups. Show All Data & Stats.

How to remove plaque from gums?

The dentist, periodontist, or dental hygienist removes the plaque through a deep-cleaning method called scaling and root planing. Scaling means scraping off the tartar from above and below the gum line. Root planing gets rid of rough spots on the tooth root where the germs gather, and helps remove bacteria that contribute to the disease. In some cases a laser may be used to remove plaque and tartar. This procedure can result in less bleeding, swelling, and discomfort compared to traditional deep cleaning methods.

What happens when you don't treat gingivitis?

When gingivitis is not treated, it can advance to “periodontitis” (which means “inflammation around the tooth”). In periodontitis, gums pull away from the teeth and form spaces (called “pockets”) that become infected. The body’s immune system fights the bacteria as the plaque spreads and grows below the gum line. Bacterial toxins and the body’s natural response to infection start to break down the bone and connective tissue that hold teeth in place. If not treated, the bones, gums, and tissue that support the teeth are destroyed. The teeth may eventually become loose and have to be removed.

What causes red gums and bleed?

The longer plaque and tartar are on teeth, the more harmful they become. The bacteria cause inflammation of the gums that is called “gingivitis.” In gingivitis, the gums become red, swollen and can bleed easily. Gingivitis is a mild form of gum disease that can usually be reversed with daily brushing and flossing, and regular cleaning by a dentist or dental hygienist. This form of gum disease does not include any loss of bone and tissue that hold teeth in place.

Can periodontal disease cause teeth to be lost?

If you have been told you have periodontal (gum) disease, you’re not alone. Many adults in the U.S. currently have some form of the disease. Periodontal diseases range from simple gum inflammation to serious disease that results in major damage to the soft tissue and bone that support the teeth. In the worst cases, teeth are lost.

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.

What is sextants of periodontal treatment?

For the purposes of a BPE, all the teeth in a person’s mouth are divided into sextants (i.e. 6 parts), namely the upper right second molar to the upper right first premolar, the upper right canine to the upper left canine, the upper left first premolar to the upper left second molar, the lower right second molar to the …

What does periodontal treatment include?

Non-surgical Periodontal Treatment As an example, the earliest stages of gum disease require periodontal treatments in the form of deep cleanings and scaling and root planing (as defined below) to eliminate as much plaque and tartar from the periodontal pockets as possible.

How much should periodontal treatment cost?

Periodontal Disease treatment cost ranges from $1,700 – $8,000, and teeth extractions average $200.00-$300.00 per tooth. The first treatment option is root scaling and planning. If this is not effective, surgery is needed, potentially using pocket reduction and bone grafting.

What does Cpitn mean?

The community periodontal index of treatment needs (CPITN) procedure for population groups and individuals.

Which teeth are not Succedaneous?

The succedaneous teeth are the permanent teeth that replace the deciduous teeth. Permanent molars are not succedaneous teeth because they do not replace any primary teeth.

How many sextants are there in the mouth?

For the purposes of a BPE, all the teeth in a person’s mouth are divided into sextants (i.e. 6 parts ), namely the upper right second molar to the upper right first premolar, the upper right canine to the upper left canine, the upper left first premolar to the upper left second molar, the lower right second molar to the …

Can I keep my teeth with periodontal disease?

If the dentist is able to place enough implants in your husband’s mouth with proper biological engineering, then he or she can essentially restore the teeth that have been damaged due to periodontal disease. Dental implants are permanent (unlike dentures, which are removable).

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Diagnosis

Treatment

Lifestyle and Home Remedies

Preparing For Your Appointment

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment includes professionally cleaning the sockets around teeth, to prevent damage to surrounding bone, along with medication and surgical procedures.
Medication

Topical antiseptics: Used to destroy or prevent the growth of microorganisms that may cause infection.

Chlorhexidine Gluconate


Antibiotics: Used to top growth or kill bacteria.

Penicillin

Procedures

Removal of unhealthy tissue: Dead, damaged or infected tissue from wounds are removed to promote healing.

Gingivectomy: Surgical removal of diseased gum tissue.

Gingivoplasty: Surgery to reshape healthy gum tissue around the teeth.

Self-care

Always talk to your provider before starting anything.

  • Tooth polishing: using a gritty paste and rotating brush to remove stains on the surface of the teeth
  • Oral hygiene: keeping mouth clean by regularly brushing teeth, flossing and using mouthwash

Nutrition

Foods to eat:

  • Foods rich in vitamin C like grapefruit, oranges, and kiwi
  • Foods rich in omega-3 essential fatty acids like salmon, fish oil, avocados, and sprouted walnuts.
  • Foods rich in fiber like ground flax seed
  • Dairy products like yogurt kefir and cheese

Foods to avoid:

  • Foods rich in carbohydrates like white flour, rice, white bread and pasta
  • Foods rich in sugar like cakes cookies and -chocolates
  • Alcoholic beverages
  • Foods containing hydrogenated oils like processed Foods, deep-fried Foods, and junk food
  • Caffeinated beverages like tea and coffee

Specialist to consult

Dentist
Specializes in the treatment of diseases associated with teeth and gums.

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