When periodontitis is diagnosed, the first thing you should do when starting therapy to treat this disease is to teach the patient how to brush properly, and how to floss daily. You need to teach and motivate the patient to become aware that you must remove plaque daily, plaque that adheres to the teeth and restorations that may be in your mouth. During the first visit, the dentist performs a thorough cleaning, be very careful because you must remove deposits of plaque and tartar below the gum. Because this procedure goes beyond regular cleaning is likely to apply an anesthetic to minimize any discomfort. Cleaning could be done in two views, depending on extent of disease.
Sublingual Cleaning
This procedure eliminates pollution, toxins, microorganisms, plaque, and tartar that have penetrated around and under the gum line. The root surfaces of the teeth are smoothed so the gum tissues can reconnect more firmly.
Root planing
This is the most basic method for treating periodontitis. Often, changes can be seen immediately after a series of sessions and root planning. After the procedure, the above red, swollen and bleeding gums become more pink and firm. The bleeding is reduced or eliminated, and when this happens, it is easier to practice control measures plate, helping to slow the disease process.
In most cases, the bite may require adjustment. When bacteria cause inflammation of the gums, teeth are not firmly anchored in the bone and tend to “float” in space, leaving them loose. Once you have completed the scaling and root planning (deep cleaning), the teeth will settle into a new position, which requires an adjustment of the bite. If you have not completed the adjustment of the bite, certain teeth in the new position will assume full force of biting, which could cause further loosening of the teeth and inadequate healing of the gums.
Periodontitis may incorporate other methods for treatment while increasing the efficiency of the same. Systemic antibiotics may be prescribed to help boost your immune system so you can fight the bacterial infection in the gum tissue. Can be introduced directly local chemotherapeutic agents are gums where harboring bacteria, or may be irrigated with the same antibiotics.
Some periodontists recommend the use of a laser in conjunction with scaling and root planning to remove the diseased gum tissue and stimulate healing cells. This helps to more effectively remove plaque which causes tissue breakdown. However, in most cases patients respond well to this thorough cleaning, which do not require more aggressive treatment. Like where there is a serious disease, non-surgical periodontal treatment is used to stabilize and increase the health condition of the gums before surgery. This is due to the need to improve the health of tissues to reduce the need for surgery, and in case you cannot disengage from this, that the answer to it is the best.
During surgery, the periodontist has a chance to not only remove traces of tartar on the roots, but could also see and reshape bone irregular patterns in order to achieve an optimum result of cure.
After the initial treatment of scaling and root planning, the periodontist will assess the level of improvement and your response to therapy. Furthermore, habits and oral hygiene techniques are reviewed. Anyway, the controls in patients with gum disease should be followed, trying not exceeding four months, and evening less time, as indicated by the specialist.