At Anthem Periodontics and Dental Implants, our doctors use the most advanced scientific and technical procedures to recreate and restore the supporting bone that has deteriorated due to the devastating effects of periodontal disease. Our philosophy focuses on the most conservative methods of treating periodontal disease. Very often, mild periodontitis can be treated without surgical intervention, we study each case individually and apply step by step protocols in order to achieve a disease free state. We always will start with conservative treatment first even in the more severe cases that absolutely require surgical intervention. This in turn will not only improve the quality of the tissue, but will minimize the extent of the surgical site.
Treatment methods depend upon the type of disease and how far the condition has progressed. The first step is usually a thorough cleaning that may include scaling to remove plaque and tartar deposits beneath the gumline. The tooth roots may also be planed to smooth the root surface allowing the gum tissue to heal and reattach to the tooth. This usually consists of placing a fine ultrasonic tip in between the tooth and gum tissue to remove any plaque and calculus below the gum line. This procedure is called root planing. Four to six weeks later, periodontal pockets are eliminated due to gum shrinkage. Then the patient can personally maintain these areas with routine brushing and flossing. In some cases, the occlusion (bite) may require adjustment.
Antibiotics or irrigation with anti-microbials (chemical agents or mouth rinses) may be recommended to help control the growth of bacteria that create toxins and cause periodontitis. In some cases, Dr. De Andrade may place concentrated antibiotics in the periodontal pockets after scaling and planing. This may be done to control infection and to encourage normal healing.
When deep pockets between teeth and gums are present, it is difficult for us to thoroughly remove plaque and tartar. Patients can seldom, if ever, keep these pockets clean and free of plaque. Consequently, surgery may be needed to restore periodontal health. We have been successful though in using the first FDA approved laser, LANAP, for this procedure.
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