Treatment of Periodontal Disease

If you neglect your oral health care, dental plaque infested with bacteria and its hardened form of tartar deposited on the surface your teeth, will start attacking your gums and cause inflammatory reactions that destroy your gums and bone surrounding your teeth. The inflammation first affects the gingiva what’s technically named as gingivitis. Affected individuals complain of swelling and bleeding of the gums. In this stage the treatment is mainly professional cleaning, oral hygiene education and, maintenance of the oral care.

Individual who suffer from bleeding when tooth brushing should seek professional assistance.

If the treatment of gingivitis is neglected the inflammation may further affect bone underlying the gum. Advance stages are a clinical case known as periodontitis.
Periodontal bacteria secrete toxins to the environment that cause reaction in the surrounding gum and bone. As the number of bacteria increase gums will get loose forming periodontal pockets. Deeper periodontal pocket in turn encourage more bacteria to fill this pockets. Toxins will start destroy the bone tissue underneath the gum.
Individuals with periodontal inflammation may avoid brushing their teeth as it will cause bleeding. This will in turn result in increased accumulation of tartar and cause more inflammation and bleeding. If this vicious circle not broken by a proper treatment, the condition will reach to a non-reversible point. Eventually teeth will get mobile and extraction may be the only option to avoid more bone destruction.  

Signs of periodontitis:

  • Teeth look elongated due to gingival recession
  • Mobility as the loss of bone support
  • Foul smell and taste due to the gases produced by bacteria on the dental plague
  • Change of the position of teeth and gaps forming between teeth due to bony changes

When the bone resorption is in the initial stage, firstly tartar located above the gingival pocket is cleaned.

Then tartar formed inside the periodontal pocket and softened root surface is scraped away by a treatment known as curettage.

In the stubborn cases, some type of surgical intervention may be needed.

Those areas lost its bony support may be repaired by augmentation of biomaterials and regenerative surgical methods.

If the situation has reached to a level where there is no hope, then the tooth is extracted to avoid any further bone loss.  

Some individuals may complain that after the professional intervention,

their teeth will get loser, get sensitive to cold or food particles trap between them.

The tissue destruction in periodontal disease will be hidden under the tartar deposit. The tartar will camouflage the mobility as it bonds the mobile teeth. Furthermore tartar accumulation covers the exposed root surface so the affected person won’t feel sensitivity to cold.

Following treatment, gum recessions caused by tartar may not rise to its original ideal level. Hence some part of root will be exposed and may be sensitive. For some time, mobility of the tooth may be more pronounced.