Also called: Periodontal disease
If you have gum disease, you're not alone. About 80 percent
of UK. adults currently have some form of the disease. It
ranges from simple gum inflammation, called gingivitis, to
serious disease that results in damage to the bone.
In gingivitis, the gums become red and swollen. They can
bleed easily. Most people can reverse this with daily brushing
and flossing and seeing their dentist regularly. Untreated
gingivitis can lead to periodontitis. The gums pull away
from the teeth and form pockets that are infected. If not
treated, the bones, gums and connective tissue that support
the teeth are destroyed.
More information on gum disease
Non-Surgical Treatments
AAP treatment guidelines stress that periodontal health should
be achieved in the least invasive and most cost-effective
manner. This is often accomplished through non-surgical
periodontal treatment, including scaling and root planning
(a careful cleaning of the root surfaces to remove plaque
and calculus [tartar] from deep periodontal pockets and
to smooth the tooth root to remove bacterial toxins), followed
by adjunctive therapy such as local delivery antimicrobials
and host modulation, as needed on a case-by-case basis.
Most periodontists would agree that after scaling and root
planning, many patients do not require any further active
treatment, including surgical therapy. However, the majority
of patients will require ongoing maintenance therapy to sustain
health. Non-surgical therapy does have its limitations, however,
and when it does not achieve periodontal health, surgery
may be indicated to restore periodontal anatomy damaged by
periodontal diseases and to facilitate oral hygiene practices.
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Periodontal
Surgery
If you're diagnosed with periodontal disease, your periodontist may recommend
periodontal surgery. Periodontal surgery is necessary when your periodontist
determines that the tissue around your teeth is unhealthy and cannot be repaired
with non-surgical treatment. The following are the four types of surgical treatments
most commonly prescribed:
- Pocket Reduction Procedures
- Regenerative Procedures
- Crown Lengthening
- Soft Tissue Grafts
Laser Gum Treatment
Limited research suggests that the use of lasers as an adjunct to scaling and
root planning (SRP) may improve the effectiveness of this procedure. In addition,
when the lasers are used properly during periodontal therapy there can be
less bleeding, swelling and discomfort to the patient during surgery. However,
each laser has different wavelengths and power levels that can be used safely
during different periodontal procedures. Damage to periodontal tissues can
result if an inappropriate wavelength and/or power level is used during a
periodontal procedure. |