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Periodontic

Healthy teeth begin with a healthy foundation (Periodontium or Gum Line). Studies have suggested links between Periodontal Disease on the one hand and Cardiovascular Diseases, Diabetes and Pre-term Births on the other. Paying careful attention to Periodontal Health helps to stabilize diabetes and reduces the risk for Coronary Heart Disease.

A periodontist is a dentist who specializes in the prevention, diagnosis, and treatment of periodontal disease, and in the placement of dental implants. Periodontists are also experts in the treatment of oral inflammation. Periodontists receive extensive training in these areas, including three additional years of education beyond dental school. They are familiar with the latest techniques for diagnosing and treating periodontal disease, and are also trained in performing cosmetic periodontal procedures.
Periodontists often treat more problematic periodontal cases, such as those with severe gum disease or a complex medical history. Periodontists offer a wide range of treatments, such as scaling and root canalling (in which the infected surface of the root is cleaned) or root surface debridement (in which damaged tissue is removed). They can also treat patients with severe gum problems using a range of surgical procedures. In addition, periodontists are specially trained in the placement and repair of dental implants.
The periodontist examines the gums, checks to see if there is any gum line recession, assesses how the teeth fit together when biting, and checks the teeth to see if any are loose. The periodontist will also take a small measuring instrument called a probe and place it between the teeth and gums to determine the depth of those spaces, known as periodontal pockets; this helps the periodontist assess the health of the gums. X-rays may also be taken to observe the health of the bone below the gum line.
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Who Should See a Periodontist?

Some patients’ periodontal needs can be managed by the general dentist. However, as more and more patients are exhibiting signs of periodontal disease, coupled with research that suggests a relationship between periodontal disease and other chronic diseases of aging, periodontal treatment may necessitate a greater understanding and increased level of expertise by a trained specialist. Patients who present with moderate or severe levels of periodontal disease, or patients with more complex cases, will be best managed by a partnership between the dentist and periodontist.

Periodontal (Gum Disease)

Once a patient is diagnosed with gum (periodontal) disease, we will use procedures other than regular cleaning (also called prophylaxis) to treat the disease. In the early stages of gum disease, most treatment involves non-surgical procedures; however, in more advanced stages, surgical procedures are often required. The following are detailed descriptions of these procedures.
Gum (periodontal) disease is an infection of the gums and surrounding tissues that hold teeth in place. The two forms of gum disease are gingivitis, a mild form that is reversible with good oral hygiene, and periodontitis, a more severe form that can damage the soft tissues and bone that support teeth. If left untreated, periodontitis can lead to tooth loss.
In its early stages, gum disease is usually painless, and many people are not aware that they have it. In more advanced cases, gum disease can cause sore gums and pain when chewing.

Non-surgical procedures

  • Scaling and root canalling : While a regular dental cleaning is for the visible portion of teeth, scaling and root planning is a special cleaning that removes plaque and tartar (also known as calculus) from under the gum line (in periodontal pockets) and smoothes the root surfaces to promote healing. A scaling procedure is the only way to remove calculus from this area.

In some cases, antibiotics or antimicrobials may be used to supplement the effects of scaling and root planning. In most cases of early gum disease, scaling and root canalling in addition to continued daily cleaning at home will achieve a satisfactory result of reversing gum disease.

  • Periodontal maintenance/supportive periodontal therapy: Following a scaling and root canalling, specialized deep cleanings can minimize the recurrence or progression of gum disease.

Surgical procedures

  • Pocket depth reduction procedures: We will open up the affected gum tissue so that disease-causing bacteria and calculus build-up can be removed. Some cases may require smoothing and re contouring the damaged bone and root surfaces to allow the gum tissue to reattach to healthy bone during healing. The procedure also repositions the gum tissue so that it is easier to keep clean.
  • Regeneration: We will treat the affected gum tissue in the same way as in pocket depth reduction procedures, with the additional procedure of using membranes, bone grafts or tissue-stimulating proteins to stimulate the body’s natural ability to regenerate healthy bone and gum tissue.
  • Soft tissue grafts: We will take healthy gum tissue from the roof of the mouth (palate) or other areas of the mouth and use it to repair receding gums and cover exposed root surfaces.

 

 

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