There are a number of different treatments that can be suggested for the treatment of periodontal disease. In order to determine the best course of treatment for each individual person, a detailed periodontal examination and diagnosis is required. Treatment can be non surgical based or surgical in nature.
Periodontal disease is an inflammatory disease that progresses when the sulcus (also pocket or space) between the tooth and gum becomes irritated by bacteria, plaque, and tartar(calculus). The inflammation and irritants that are present cause damage to the gums and eventually the bone support that surrounds the tooth.
Gingivitis, which is inflammation of the gums without affecting the support of teeth can be treated with regular cleanings and an improvement of the oral hygiene process.
When the process has progressed to affect the supporting structures then calculus must be removed by performing a professional cleaning. The cleaning may require local anesthetic, a mouth rinse, and an antibiotic.
In the advent of more advanced periodontal disease, the patient may be referred to a periodontist who is a gum specialist. This specialist may recommend, in addition to the above treatment, a more advanced and specific surgical treatment. Some treatments can be tissue regeneration, pocket reduction surgery, soft or hard tissue grafting, or flap approach periodontal cleaning.
Time spent on oral hygiene is vital to keep all areas clean.