Non-Surgical Treatment
Many times, the early stages of periodontal disease are best treated with non-surgical periodontal therapy. Even in severe cases, non-surgical periodontal therapy often precedes surgical therapy. This is done to improve the overall tissue quality prior to surgery and also to help limit the areas requiring surgery.
Scaling and Root Planning / Non-Surgical Treatment
The initial stage of treatment is usually a thorough cleaning that may include scaling to remove plaque and tartar deposits beneath the gum line.
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The tooth roots may also be planed to smooth the root surface allowing the gum tissue to heal and reattach to the tooth. In some cases, the occlusion (bite) may require adjustment.
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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. Lauer may place antibiotic fibers in the periodontal pockets after scaling and planning. This may be done to control infection and to encourage normal healing.
After non-surgical treatment and adequate healing time, a reassessment of the patient’s periodontal status is completed. At this point, some patients require no further periodontal treatment except to maintain their oral hygiene through good home care and frequent professional cleanings. If deep pockets remain between teeth and gums, it is difficult for the patient and any dental professional to thoroughly remove plaque and tartar. Consequently, a periodontal procedure that provides access to the remaining irritants may be needed to restore periodontal health.
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