Gum disease, or periodontal disease, is a leading cause of problems such as tooth loss and may be associated with other chronic diseases such as diabetes and heart disease. Periodontal disease must be taken seriously. In this blog post, we’re going to look at surgical and non-surgical treatment of periodontal disease.
First off, let’s take a look at gingivitis and its relationship to periodontitis. If left untreated, gingivitis can advance to periodontitis, leading eventually to tooth loss and other health problems. Gingivitis is the initial stage of periodontal disease and includes red, swollen, bleeding gums. Gingivitis is reversible with treatment. If left untreated, however, gingivitis can lead to periodontal disease and potentially tooth loss and other health problems. Periodontitis is caused when plaque and disease causing bacteria spreads below the gum line and causes the body to be in a chronic state of inflammation. This can cause the destruction of bone and soft tissues, creating space between the gums and teeth, which leads to the formation of infected periodontal pockets. As the disease advances, the pockets become deeper as more gum and bone tissue destructions occurs. This can lead to tooth mobility and potentially even loss.
The causes of periodontal disease include plaque and pathogenic bacteria, smoking, genetics, age, stress, medications, grinding teeth, and systemic diseases such as diabetes or heart disease.
Non-Surgical Treatment of Periodontal Disease
The first approach to treating periodontal disease is via scaling and root planing (also known as a deep cleaning). This involves meticulously cleaning the diseased root surfaces and removing the plaque and disease causing bacteria. Non-surgical therapy is often sufficient to treat periodontal disease; however, it is crucial to maintain strict maintenance therapy (routine 3 month cleanings) in order to maintain health.
Surgical Treatment of Periodontal Disease
Surgical treatment of periodontal disease can include periodontal pocket reduction, gingivectomy, or guided tissue regeneration.
Periodontal Pocket Reduction
The gums and bone are the foundation for the teeth. In periodontal disease, these supporting structures are destroyed, creating space between the teeth, gums and bone. This ultimately leads to pocketing, which houses harmful bacteria. As the bacteria multiply and invade the supporting gums and bone, they further destroy the foundation, making teeth loose, and eventually causing them to have to be extracted.
Deep periodontal pockets are unable to be adequately cleaned by neither the patient nor the dental clinician. If deep pockets remain even after non-surgical therapy (scaling and root planing), surgical therapy is often the next step. Thus, periodontal procedures known as pocket reduction are performed in order to gain access, fold the gum tissues back, clean these deep pockets, remove the disease causing bacteria, create an environment that is amenable to cleaning by the patient and ultimately restore the gum and bone tissues to a state of health. These procedures are performed in order to prevent further damage caused by the disease process and to restore a healthy smile.
Deep pockets are very difficult to clean. Periodontal disease has many connections with the rest of the body and can lead to diabetes and heart disease. Thus, these procedures are necessary not only to maintain a beautiful, healthy smile but also to decrease the risk of serious health issues associated with periodontal disease.
Gingivectomies are procedures performed by the periodontist that involve removing and reshaping excess gum tissues that cause deep pocketing around the teeth. Gum tissue overgrowth can arise due to periodontal disease, genetics, or certain medications. Gingivectomies are usually performed when a patient has gum disease that has not responded well to scaling and root planing (deep periodontal cleaning) or other periodontal therapeutic measures. Deep pockets still remain due to excess gum tissue. Thus, gingivectomies are needed in order to restore a state of health and effectively treat gum disease.
Guided Tissue Regeneration
The gums and bone are the foundation for the teeth. In periodontal disease, these supporting structures are destroyed. Procedures known as guided tissue regeneration regrow lost bone and tissue in order to provide support for the teeth and reverse some of the destruction caused by periodontal disease.
Our Periodontal Services
You can examine a full list of the periodontal services we provide at Coastal Jaw Surgery in Palm Harbor, Trinity, and Spring Hill here. Call us today at 1-800-NEW-LOOK to schedule a consultation and to learn more about cost and/or insurance options.
Contact Coastal Jaw Surgery
Call us today at 1-800-NEW-LOOK (Outside Florida: 727-877-0011) to learn more about the cost of dental implants or use the contact form below to reach out to us. We have locations in Palm Harbor, Trinity, and Spring Hill for your convenience.
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