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Gum Disease

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.

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.