I believe that oral health should be achieved in the least invasive and most cost-effective manner. Treatment of early gum disease involves oral hygiene and removal of bacterial plaque . Moderate to advanced gum disease usually requires a thorough cleaning of the teeth and teeth roots called "root planing" and "curettage."
Scaling is a careful cleaning of the root surfaces to remove plaque and calculus/ tartar from deep periodontal pockets Curettage refers to the removal of the diseased tissue formed on the inner surface of the gums.
These procedures are usually performed under local anesthesia and may be accompanied by the use of oral antibiotics to overcome gum infection or abscess.
Advanced gum disease (Deep bony pockets, receding gums) are usually treated by gum/ periodontal surgery. Keeping bony pockets may invite infection and bone destruction. You might have undergo any/ combination of the following surgical procedures to reduce the chances of tooth loss.
Flap surgery may be necessary to allow me to get access to the roots of the teeth in order to thoroughly remove calculus, plaque and any diseased tissue. It also allows you to maintain better oral hygiene.
Bone or osseous surgery may be done to change the shape or reduce the bony pockets around the tooth. Membranes (filters), bone grafts or tissue-stimulating proteins can be used to encourage your body's natural ability to regenerate bone and tissue
Soft tissue grafts can be used to cover roots or develop gum tissue where absent due to excessive gingival recession.
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