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Treating periodontal disease


The best way to treat gum disease is to practise good oral hygiene although additional dental and medical treatments are sometimes necessary.


1. Oral hygiene and gingival pathologies


The first step is to make diagnosis of your gingival condition (healthy or diseased), check the method you use everyday to eliminate dental plaque (tooth brushing), and possibly clean teeth using hygiene instruments (interdental brush, waterjet ...) and proper month wash.


2. Scaling & Root planing (Deep cleaning)


The second step is to scale and clean the mucosa by removing the bacteria responsible for inflammation of the gums.


If pockets exist, deep cleaning (also called curettage) is applied as the first step to treat periodontitis. This method seems a bit aggressive but very effective.

Objective of deep cleaning


Root planing is complementary to scaling. As a non-surgical procedure, it allows to sanitize the surface of the tooth roots and gums thoroughly.


The purpose is to disinfect the tissue and enable the closure of periodontal pockets by a re-adhesion of the gum on the tooth surface. However, in case that deep cleaning is not sufficient to stabilize periodontitis, other therapies, including surgical intervention (flap surgery) may then be considered.


How is deep cleaning realized?

 

Large amounts of bacteria and tartar accumulated under the gums are removed under local anesthesia. The number of sessions proposed may vary depending on the severity of periodontitis and number of teeth affected. To complete the subgingival disinfection, root planing can be followed by periodontal pocket irrigation procedure using antiseptics.

                                            

3. Surgical treatment: flap surgery/ tissue regeneration


The third step is to evaluate your "tissue response". A clinical and radiological examination allows to record the improvements acquired at mucosal level and then provide regularly preventive care. In case of deep pockets and bone loss, periodontal surgery will be considered to reconstruct the affected bone.

Flap surgery is the surgical treatment for periodontitis (moving teeth).

Indications


Flap surgery is commonly the second intention proposed to treat periodontitis. It perfects the non-surgical treatment (deep cleaning) if complete results of deep cleaning are not obtained.


Objectives


The goal of this treatment is to access widely to the roots of teeth and bone surrounding to clean effectively. With flap surgery, your dentist can directly view the areas that need cleaning meanwhile deep cleaning only allows her/ him to rely on the sense of touch to feel for roughness on the root surface.


In practice


The procedure is done under local anesthesia. The gum is opened to expose roots and bones, allowing a thorough cleaning of the surfaces of teeth. The shape of the bone around the teeth may optionally be modified to improve the results of treatment and to facilitate oral hygiene.

                                             
 


4. Maintenance


The fourth step is to maintain the achieved results. Regular checks with your dentist at intervals and meticulous oral hygiene will preserve the healing. Post-surgery maintenance lasts a lifetime and must be followed with great care. This is probably the most important phase of the treatment.