Dental Procedures

 

Periodontal Therapy

Periodontal disease first starts out as Gingivitis with the build up of un-checked plaque and then can progress severely to bone and tooth loss.  Scaling & Root planing therapy is an effective way to prevent the disease from progressing.

 

Periodontal Disease

Scaling Calculus

 

 

   

 

Stages of Periodontal Disease

Stage 1:

Gingivitis

Gingivitis is the first stage of Periodontal disease. Plaque, (a sticky substance filled with bacteria) settles along the gum line of the teeth and causes the gums to swell, become red in appearance and bleed.

Stage 2:

Destruction of Supporting Bone

If the plaque is not removed, bacteria settles around the roots of the teeth and starts to destroy the supporting bone. The bone loss is not reversible. The gums become infected and pull away from the teeth, forming pockets.

Stage 3:

Gums Shrink & Teeth Become Loose

As the pockets become deeper and the infection progresses, more bacteria accumulates and further bone loss occurs. The gums shrink away and the teeth start to become loose and may shift. Many people suffer from bad breath at this stage.

Stage 4:

Advanced Stage

When periodontal disease has reached its advanced stage, painful abscesses can form in the gum. There is very little bone support left and the teeth are loose. In most cases, teeth that have reached this stage require extraction.

Treatment with Scaling & Root Planing Therapy

Plaque and tartar that build up on the teeth contain bacteria, which cause tissue inflammation and destroy the supporting bone around the roots of the teeth. Removal of this bacteria is the initial step in treatment, and although deep cleaning cannot restore the lost bone and tissue, it can prevent the disease process from advancing and help to prevent tooth loss. The initial phase in the treatment of periodontal disease is scaling and root planing.

Scaling involves removal of the bacteria and other debris from the crown and root surfaces of the teeth. Root planning involves smoothing the root surfaces of the teeth, in areas where they have become rough due to tartar. Depending on the severity of the disease process, some individuals require local anesthetic for the scaling and root planning appointment. Once the teeth have been thoroughly cleaned, the disease process is slowed, however, proper home care is a vital component of successful treatment.