Periodontal Disease is an inflammatory response by the body in reaction to the bacteria present in the mouth. This bacteria damages the supporting gum tissue and bone that surround the teeth. Signs of Periodontal Disease are red, inflamed, and bleeding gums along with recession (gum tissue loss) and bone loss. Once supporting structures are lost around the teeth, our body does not replace them. That is why it's really important to diagnose this at the earliest stage and have treatment done to prevent permanent loss to the foundation of the teeth.
We will be looking at the periodontal pocket depth readings, evaluating bleeding, medical history, dental history, and oral home care routine to diagnose the problem and offer you the correct treatment accordingly. Research shows that if you have Periodontal Disease, you are at a higher risk for systemic disease (heart attack, stroke, diabetes, rheumatoid arthritis, and others). We want to keep your mouth healthy along with your overall health.
In the presence of Periodontal Disease, we will be recommending Periodontal Therapy (PT) to treat the infection. The number of visits needed will depend on how many teeth are affected by the disease process. Two weeks will be allowed between PT visits to reevaluate the healing of the previous session. Once you are scheduled for a treatment, it is very important to keep these appointments so that we can offer you the best results and healing. We will be using hand scaling techniques and ultrasonic instrumentation to remove all the bacteria in the areas that we are treating.
The ultrasonic uses vibrations to break the bacteria up and water to flush it out of the periodontal pockets. The more we use the ultrasonic instrumentation to flush out the bacteria in the gum pockets, the less microscopic bacteria will be present and the better healing you will get. We will sub irrigate with a medicated mouthwash after treating the areas that to help decrease the bacteria count and help with the healing. Due to the amount of time spent in each area, we recommend using an Oraqix numbing gel to numb the gums or local anesthetic to keep you comfortable.
After your PT visits, we will see you back in six weeks for a Supportive Periodontal Therapy (SPT) cleaning to reevaluate the periodontal pocket readings, check for bleeding, and evaluate how you have healed. If you have areas that are having trouble healing then we will be going back into those areas and retreating them at this appointment along with sub irrigating the whole mouth with a medicated mouthwash.
At the SPT visit, we will evaluate what recall interval we think you need to be on for your next SPT cleaning based on our findings that day. We want to keep you on an interval that will keep your mouth at the peak of its health to prevent reactivation of the disease. This is different for everyone since no one has the same mouth or medical history.