Treat Harmful Plaque and Inflammation to Save Your Smile
Gum Disease Signs and Symptoms
Gum Disease Prevention
Personalized Gum Disease Treatments
Scaling and Root Planing
When periodontal pockets measure over three millimeters deep, scaling and root planing is the first treatment used to resolve this problem. A July 2015 study in the Journal of the American Dental Association concluded that scaling and root planing was beneficial in cases of chronic periodontitis. This two-part deep cleaning involves Dr. Gonzalez removing plaque and tartar above and below your gum line down to the bottom of the pockets. During root planing, he smooths out the roots to enable gums to reattach to your teeth. Scaling and root planing may take more than one visit to complete.
Osseous surgery is required when you need a deeper cleaning than scaling and root planing because the bone supported your teeth has started to deteriorate. During surgery, your gums are numbed with a local anesthetic, and you can also opt for sedation. Then Dr. Gonzalez makes an incision at your gum line to access the bone and tooth roots underneath. Next, he removes tartar and decayed bone, then smooths the roots of the teeth to help eliminate or reduce bacterial pockets between the roots and gums. After gum and bone tissue are contoured, your gums are stitched back into place.
Harmful, disease-causing bacteria can recolonize underneath the gums as early as one to two months after a deep cleaning. After a deep cleaning or periodontal surgery, regular periodontal maintenance visits are required to maintain your gum health and prevent gum disease recurrence. During a periodontal maintenance visit, Dr. Gonzalez measures your periodontal pockets and reassesses your gum tissue. This procedure is completed every three to four months and involves a deep cleaning of the teeth at and below the gum line to remove bacteria and plaque accumulation. These deep cleanings replace your regularly scheduled hygiene appointments.
Laser Gum Surgery
Diode laser treatment can be used after scaling and root planing to remove inflamed soft tissue and reduce pathogens from periodontal pockets. Many studies have shown that diode lasers decrease inflammation, pocket depth, tooth mobility and gingival bleeding. Lasers are often used for procedures including gum grafting, gingivectomy and treating the inflammatory condition peri-implantitis.
Peri-implantitis is a condition that impacts tissue around dental implants, characterized by inflammation in the connective tissue around the implant and progressive loss of supporting bone. In early stages, when inflammation is limited to the gum tissue, the condition is called “peri-implant mucositis.” Symptoms are similar to gum disease, including red or tender gums around the implants and bleeding when brushing. Risks factors for developing peri-implantitis include poor oral hygiene, prior gum disease, poor plaque control, smoking and diabetes. Early detection is key to a successful outcome, and treatment depends on the stage of the infection. It typically involves infection control, using a laser for detoxification of implant surfaces, techniques to regenerate lost tissue, and plaque control.
Protect your pearly whites with timely gum disease treatment!
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