Periodontal disease causes inflammation of the gums ranging from mild gingivitis to a more severe disease, periodontitis. If left untreated, inflammation can cause the gums and supporting bone structure to deteriorate, which can lead to gum recession and tooth loss. A range of treatments are available, including simple cleanings, scaling & root planning, and regenerative procedures such as periodontal surgery.
If a patient is examined and found to have overall healthy gums or gingivitis, the patient will be receive a regular cleaning (prophy) and then scheduled for regular hygiene appointments every six months to ensure the gums stay healthy. This procedure are normally completed by the hygienist.
Scaling + Root Planing
The first step in treating periodontal disease is a deep cleaning known as Root Scaling and Planning. The hygienist will use special instruments to remove tartar from the surfaces of the roots. Depending on the severity of the tartar and disease, the hygienist may have to use anesthesia to make the procedure more comfortable and to ensure all the tartar is removed.
Periodontal Surgery is most often used when Scaling and Root Planing treatment have been evaluated by the hygienist and found to be unsuccessful in either stopping the progression of periodontal disease or failing to regenerate tissue. Periodontal surgery is completed by the doctor and often times is referred to a specialist.