Periodontal treatment methods vary based on the type and severity of the disease. Your dentist and dental hygienist will assess the condition of your periodontal health and recommend the appropriate treatment.
request an appointmentPeriodontal disease progresses when the sulcus (pocket or space) between the tooth and gums becomes filled with bacteria, plaque, and tartar, leading to irritation of the surrounding tissues. If these irritants remain in the pocket, they can cause damage to both the gums and the supporting bone.
If the disease is detected early, during the gingivitis stage with no significant damage, one to two regular cleanings will typically be recommended. Additionally, you will receive guidance on improving your daily oral hygiene practices and maintaining regular dental cleanings.
For more advanced stages of periodontal disease, a specialized treatment called scaling and root planing (deep cleaning) will be suggested. This procedure, usually performed one quadrant of the mouth at a time under local anesthesia, involves removing tartar, plaque, and toxins from both above and below the gum line (scaling) and smoothing rough spots on root surfaces (planing). This treatment helps the gum tissue heal and reduces pocket depths. Medications, medicated mouth rinses, and an electric toothbrush may also be recommended to aid in infection control and healing.
If pockets do not heal after scaling and root planing, periodontal surgery may be required to reduce pocket depths, making it easier to clean the teeth. In such cases, your dentist might also suggest seeing a periodontist, a specialist in gum and bone health.