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Treatment of gum disease

The success of periodontal disease treatment is chiefly dependent upon the degree of cooperation between the patient and the treating staff. This is a mutual, long-term commitment.

Maintaining Oral Hygiene
Thorough brushing and cleaning between the teeth is the key to the success of every treatment for periodontal disease. The first line in treating any periodontal disease is the combination of thorough cleaning at the clinic and diligence in maintaining oral hygiene at home. People suffering from periodontal disease are at the highest risk for contracting a bacterial infection in the mouth, and so they must be even more careful than the average person not suffering from periodontal disease. It is important to closely follow the instructions your dental hygienist and dentist will give you regarding how to brush and clean between the teeth. Even if we are sure of our brushing capabilities, being diagnosed with periodontitis is a sign that we need to improve. If the disease has been put under control, we still should continue to be careful to brush and clean thoroughly between the teeth. It is absolutely obligatory to arrive for regular follow-up appointments with the dental hygienist according to the frequency determined.
For additional reading about the importance of the dental hygienist.

Subgingival Deep Cleaning, Root Planing
Subgingival deep cleaning is when the area of the roots exposed to the gingival pocket is cleaned. This cleaning is meant to eliminate calculus toxins and subgingival calculus. This is a deeper cleaning than the regular periodic cleaning, and usually requires several appointments and local anesthetics. This treatment can also be performed in conjunction with subgingival rinses with antibacterial agents, killing the bacteria that managed to survive the deep cleaning. Research shows that this treatment is effective in lessening gingivitis, pocket reduction and stimulating change in the makeup of the bacteria in the pockets – from disease-related bacteria to healthy-state bacteria. In addition, research points to the fact that many patients react excellently to combined treatment involving good home hygiene and the deep cleaning, and after the treatment, no further treatment is required, including surgery.

Locally Released Antibacterial Medications
The damage in periodontal disease is caused by bacteria and the reaction of the gingiva to those bacteria. New medications, which we may recommend you use for your disease, assist in eradicating the infection, harming the return of the hostile bacteria to underneath the gingiva, and thus preventing the damage of infection. These medications are released locally and leave antibacterial agents in the gingival pocket, which eliminate or weaken the bacteria. They are inserted as a gel or a chip inserted underneath the gingiva.

Periodontal Surgery
Non-surgical treatment is the primary form of treatment. However, periodontal surgery is performed in cases when it is impossible to successfully control and eliminate the causes of the infection. There are various types of periodontal surgery, such as:
A. Pocket reduction
B. “Open cleaning”
C. Covering exposed roots
D. Soft tissue grafts
E. Rebuilding of the tooth’s attachment mechanism. For additional reading about bone augmentation around the tooth
The relevant type of surgery will be determined for each case.

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