Before treatment, we will perform a comprehensive clinical examination; we will determine the depth of periodontal pockets using a special instrument; we will measure the range of tooth
mobility; and perform radiographic inspection. It is also essential for us to know your medical history, in order to form an appropriate treatment plan.
Non-surgical treatment includes deep teeth cleaning, which is performed under local
anaesthesia. During the procedure we remove plaque and calculus deposits from the gum
line and surfaces of the roots. Cleaning is performed using special hand instruments and an
ultrasonic device that breaks down the accumulated calculus by minor vibrations. After the
thorough cleaning of the teeth, we smooth the surfaces of the tooth root to prevent any further accumulation of bacteria and calculus. That helps the gum tissue to re-adhere on the tooth, and the periodontal pocket depth decreases. At the end of the procedure, we may use topical antibiotics inside the periodontal pockets for further disinfection and to promote healing.
After deep cleaning, some follow-up visits will be required for us to check the healing process, to measure the periodontal pocket depth, and to perform a re-examination in case there is new plaque accumulation. To maintain the treatment result, excellent oral hygiene and regular checks are required. Only this will ensure the prevention of plaque accumulation and recrudescence of the disease.
In most cases, periodontal disease is manageable and also reversible. Deep teeth cleaning is
one of the most important dental treatments, because it can save the teeth that if left
untreated would be lost.
When periodontal disease has significantly progressed, deep cleaning may not be sufficient to treat the problem. Then, surgical treatment is the preferred one to eliminate the pockets.
In this procedure, we make a small incision in your gum along the root, and temporally fold it to gain better access to the full range of periodontal pockets. The direct vision of the root helps us to clean more effectively its surface. In some cases, we have to smooth the bone surface, since otherwise the environment would be favorable for bacteria accumulation. This bone smoothing also helps in the faster re-traction of the gums.
When the operation is completed, we place the gums in the position using stitches, so that they can tightly and firmly embrace the tooth. The goal of this treatment is to reduce the gap between the gum and the tooth and to stop the bone destruction.