Treatment
Periodontal (gum) disease
Periodontal (gum) disease is an inflammatory condition which if left untreated can lead to extensive destruction of the bone and gum tissue around the teeth leading to tooth mobility and eventual loss.
Oral Hygiene
The most important part of periodontal treatment is an excellent oral hygiene routine at home, this will be reinforced at the appointment, suggestions will be made for use of tooth brushing and interdental brushes.
Periodontal Treatment
Non-surgical Periodontal Treatment
After Oral Hygiene Instruction, the first course of treatment in non-surgical periodontal treatment. While may dentists do a scale and polish to effectively treat periodontal disease a precise clean below the gum line is needed which takes time. Periodontal (gum) treatment involves removing plaque and calculus (tartar) from below the gum line which cause an inflammatory response leading to bone loss.
We normally recommend having the treatment done under injections (local anaesthetic) as it can be a little sensitive without. This is usually done in two one-hour appointments for a full-mouth clean or in quarters if a particular area is being targeted.
Due to the nature of periodontal disease it can take several sessions to treat.
Unfortunately we can never cure periodontal disease but the aim is to stabilise the condition to halt any further damage to the supporting structures. Because of this immaculate oral hygiene at home is needed and regular check-ups and cleaning (when required) are needed every 3 or 6 months.
Surgical Periodontal Treatment
Due to the nature of periodontal disease sometimes a more surgical approach is needed when deep cleaning has not improved the results or if the condition has got worse.
For the treatment of periodontal disease several surgical approaches can be carried out to improve access or to remove the pocket altogether.
Crown Lengthening/Gummy Smiles
In order for a dentist to place a crown a certain percentage of tooth must be available for the crown to sit on, crown lengthening surgery involves removing gum/bone to expose more tooth allowing for the placement of a crown or to expose a fracture or caries (decay) in the tooth.
The same surgery can be used to help expose more teeth in certain people who have "gummy smiles" due to how the teeth has come through the gum, leading to improved appearance.
Gum Recession
Due to the nature of periodontal disease or from trauma/overbrushing recession can occur. A surgical treatment can be used to cover the recession which can involve taking a section of gum from the palate to help cover the recession.
Bone Regeneration
Periodontal disease can cause bone loss, in certain situations, the bone can be regrown using Emdogain and Bio-Oss to improve stability and cure bone defects.
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