Periodontal (gum) treatment

At PIDC, a treatment for gingivitis and periodontitis will include oral hygiene instruction, scaling to clean every tooth surface above the gum and root planing for remove all the bacteria and tartar under the gum. Usually, we need 2-4 visits for treatment depends on the severity of the disease. In some area may need a small surgery for better access to clean, reshape the bone or bone grafting to restore a previous bone loss. However, The treatment is depend on the prognosis of the tooth. In many situation, extract the tooth and replace by dental implant is a better option.

What is Gum Disease?

Gum disease is an inflammation of the gums that can progress to affect the bone that surrounds and supports your teeth. It is caused by the bacteria in plaque, a sticky, colorless film that constantly forms on your teeth. If not removed through daily brushing and flossing, plaque can build up and the bacteria infect not only your gums and teeth, but eventually the gum tissue and bone that support the teeth. This can cause them to become loose, fall out or have to be removed by a dentist.

There are three stages of gum disease:

Gingivitis: this is the earliest stage of gum disease, an inflammation of the gums caused by plaque buildup at the gumline. If daily brushing and flossing do not remove the plaque, it produces toxins (poisons) that can irritate the gum tissue, causing gingivitis. You may notice some bleeding during brushing and flossing. At this early stage in gum disease, damage can be reversed, since the bone and connective tissue that hold the teeth in place are not yet affected.
Periodontitis: at this stage, the supporting bone and fibers that hold your teeth in place are irreversibly damaged. Your gums may begin to form a pocket below the gumline, which traps food and plaque. Proper dental treatment and improved home care can usually help prevent further damage.
Advanced Periodontitis: in this final stage of gum disease, the fibers and bone supporting your teeth are destroyed, which can cause your teeth to shift or loosen. This can affect your bite and, if aggressive treatment can’t save them, teeth may need to be removed.

How do I Know if I Have Gum Disease?

Gum disease can occur at any age, but it is most common among adults. If detected in its early stages, gum disease can be reversed so see your dentist if you notice any of the following symptoms:

- Gums that are red, puffy or swollen, or tender
- Gums that bleed during brushing or flossing
- Teeth that look longer because your gums have receded
- Gums that have separated, or pulled away, from your teeth, creating a pocket
- Changes in the way your teeth fit together when you bite
- Pus coming from between your teeth and gums
- Constant bad breath or a bad taste in your mouth

How is Gum Disease Treated?

The early stages of gum disease can often be reversed with proper brushing and flossing. Good oral health will help keep plaque from building up.
A professional cleaning by your dentist or hygienist is the only way to remove plaque that has built up and hardened into tartar. Your dentist or hygienist will clean or “scale” your teeth to remove the tartar above and below the gumline. If your condition is more severe, a root planing procedure may be performed. Root planing helps to smooth irregularities on the roots of the teeth making it more difficult for plaque to deposit there.