Periodontal treatment methods depend upon the type and severity of the disease. Your dentist and dental hygienist will evaluate for periodontal disease and recommend the appropriate treatment.
Periodontal disease progresses as the sulcus (pocket or space) between the tooth and gums gets filled with bacteria, plaque, and tartar, causing irritation to the surrounding tissues. When these irritants remain in the pocket space, they can cause damage to the gums and eventually, the bone that supports the teeth!
If the disease is caught in the early stages of gingivitis, and no damage has been done, one to two regular cleanings will be recommended. You will also be given instructions on improving your daily oral hygiene habits and having regular dental cleanings.
If the disease has progressed to more advanced stages we will need to move forward with a cleaning called "Non-Surgical Periodontal Therapy" (NSPT). This is where we target the specific areas that have the disease. Anesthesia is used to make the patient comfortable due to the bacteria being under the gum line 5 plus millimeters. Instruments will be used to hone the root surfaces of the teeth, and to remove microscopic amounts of diseased dentin.
This process helps the gum tissue to heal and the pockets to shrink. Once NSPT is completed on all areas necessary, we will go into the maintenance phase of periodontal disease unless more treatment is necessary.