Periodontics
Periodontal Care

The best safeguard against gum disease is one of prevention and early detection.  We have services needed to diagnose and treat periodontal disease to prevent further progression.  For some moderate and advance cases, we work with a periodontist to ensure all diseased areas are treated appropriately.

Our periodontal services include:

  • Detailed Comprehensive Periodontal Examination and Charting
  • Diagnostic Services, X-rays
  • Scaling and Root Planning-Periodontal Therapy
  • Maintenance Therapies
  • Patient Education or Self Care Program
  • Ultrasonic Scaling, Prophyjet
  • Intraoral Camera
  • Disclosing

Treatment of Periodontal Disease

Periodontal Evaluation

A periodontal evaluation is a complete assessment of your gums.  In the past, we have done screening to assess your risk for gum disease.  The periodontal  evaluation is a more precise and thorough assessment that is allowing us to be more accurate in diagnosis and treatment recommendations.

We are committed to a higher level of health for our patients.  As our knowledge of periodontal (gum) disease increases, we are responsible for informing you of the health of your gums and the treatment options available to you.  Recent studies are showing a relationship between gum disease and other health problems, such as Heart Disease and Diabetes.

Selfcare

We know that bacteria cause gum disease.  There is an individual resistance to those bacteria depending on your overall health.  You will receive a bacterial screening with the purple disclosing solution.  This solution makes the bacteria on your teeth visible and allows us to identify problem areas in order to be more specific with your “cleaning” and treatment recommendations.  With effective bacteria control, gum disease can be controlled and prevented.

  

 

 

 

 

 

 

Our selfcare program will help you to understand your level of gum disease, where it is located, how best to remove the bacteria causing it.  Our treatment performed will only be successful if the bacteria are removed effectively.

Our Self Care program is a unique alternative to traditional “oral hygiene instruction” which is typically brief and generally non-interactive.

This personal consultation with our preventative specialist consists of a through assessment of your individualized oral health care needs.  A customized program will be designed to enable you to achieve and maintain optimal oral health.  This will include information of your current periodontal condition, a demonstration of oral care techniques along with recommendations of specific products and preventative treatments suited to your individual needs.

Benefits noted by our patients who have participated in this Self Care program include:

  1. Fresher breath, cleaner feeling teeth and a brighter smile
  2. A greater knowledge of their mouth and oral care needs: this allows you to be a more informed pro-active and educated consumer.
  3. Increased resistance and control of tooth decay (cavities).
  4. A decrease in emergency dental visits and dental expenses.

Active Therapy

Active Therapy is a non-surgical approach for treating and controlling periodontal(gum) disease.

The aim of active therapies is to :
Remove bacteria, tartar, root roughness and inflamed tissue from under the gums, to promote healing and reattachment of the gum tissue to the tooth.  This “deep cleaning” procedure involves scaling and root planing.

Scaling is a type of cleaning that removes bacteria and tartar from the teeth at and slightly below the gum line.  Root planing is a procedure used to clean and smooth root surfaces of bacteria.  With clean root surfaces, supportive tissues may reattach to the tooth surface.

Healing following active therapy will only occur with a good home care regimen.  If this regimen is not followed, bacteria will re-infect theses treated areas causing further pocketing and bone loss.  Other factors that may delay or inhibit healing are tobacco use, poor oral hygiene, poor diet and systemic diseases (such as diabetes).

Oral Irrigation
Irrigation is the flushing of a specific site or an area with a stream of fluid.  Oral irrigation can be used for cleansing or therapeutic use subgingivally (under the gums).  The medicament used following active therapy help promote healing and minimize root sensitivity.

Reevaluation Appointment
Six weeks to three months after the final gum therapy appointment, we re-evaluate to assess the healing of the gums.  We may disclose areas of incomplete healing to check bacterial levels.  Again we will remove any remaining bacteria and determine the recommended interval for recare/hygiene visits.  Studies have shown that any bacteria that are deeper than 3mm will cause further breakdown if it is not removed at a 90 day/ 3 month interval and other health related issues will be considered.

At the re-evaluation, we may also recommend a referral to a periodontist (gum specialist) for areas that may have not responded positively to the gum therapy.

3-Month Periodontal Maintenance

Scientific evidence shows that there is an overgrowth of bacteria in every adult’s mouth in 45-90 days.

At each appointment, the hygienist will disrupt the colonization of bacteria in the pockets before it has a chance to become destructive by scaling, polishing and root planing.

“Will I be on 3 months forever?”

A pocket can only be reached at a depth of 1-2mm with brush and floss.  Any pockets over that depth need assistance from the hygienist to keep the bacterial levels under control.  The interval level may be adjusted overtime depending on the periodontal evaluations at each visit.  The truth is, most adults will remain between a 3-4 month interval indefinitely.


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