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Periodontal Treatment

 

Gingivitis

The simplest form of gum disease is gingivitis, which with good oral health this is a reversible condition. It is present in 83 per cent of adults and gets more common with age and symptoms include bleeding and swollen gums, gums that have come away from the teeth and persistent bad breath or bad taste in the mouth.

Every day plaque, a mass of bacteria, builds up in the mouth, which is why dentists advise people to floss and brush their teeth twice a day. But even with a good oral hygiene, most people miss parts of their mouth. Over time plaque hardens into tartar, or calculus, which can only be removed by a dentist and is much harder to remove at the junction where the teeth and gum meets.

The result can be serious as gingivitis is often not painful and may go untreated for a long time, enabling it to develop into periodontitis which can damage the bone and tissue that support the teeth, causing tooth loss. Occasionally, even in a relatively healthy mouth, gums may become sore and infected, producing an unpleasant metallic taste. This is acute gingivitis and requires urgent treatment.

At Smile Implant Clinics we will work together in order to create an effective oral hygiene regimes that will include the correct choice of tooth brush, brushing technique, flossing and use of a mouthwash. We will also advice you to stop smoking and have a balanced diet that affects your gum health positively. The frequency of eating is also a factor because regular snacks and drinks can strip the teeth of their protective minerals, which accelerate decay.

If you are suffering from gingivitis we do recommend that you have a dental examination every six months and also a hygiene visit every 6 months in order to prevent further gum and bone loss.

Periodontitis

Periodontitis or periodontal disease is a very serious gum & bone infection that is the biggest cause of tooth loss in over 40s.

It is an advanced stage of gum disease where sufficient amounts of the bacteria biofilm known as plaque and calculus have accumulated at the junction where the teeth and gum meets. This bacteria produces toxins which infects the gum and bone tissue that supports the teeth.

As the tissue starts to break down, pockets form in the gum around the teeth, which allow more plaque to form. This is known as chronic periodontitis and has been linked to increased inflammation in the body, which may also lead to increased risk of diabetes, stroke and heart disease.

The first stage in the treatment of periodontitis is a non-surgical cleaning of the pockets below the gum line known as scaling or debridement. In deeper areas a treatment called root planing or deep scaling is used which cleans deep pockets and removes plaque and tartar from the tooth roots. This procedure may require local anaesthetic and several visits to the practice. In addition to initial periodontal treatment it may also be necessary to adjust your bite to prevent excessive force on teeth that have reduced bone support.

Studies have shown that non-surgical scaling and root planing is usually successful if the periodontal pockets are shallower than 4-5mm. It is necessary for us to perform a re-evaluation four to six weeks after the initial scaling and root planning to determine if your oral hygiene has improved and inflammation has regressed.

Pocket depths greater than 5-6mm, which remain after initial therapy, with bleeding upon probing, indicate continued active disease and will likely lead to further bone loss. This is especially true in molar tooth sites where areas between the roots have been exposed. If non-surgical therapy is unsuccessful, periodontal surgery may be needed to stop progressive bone loss and regenerate lost bone where possible.

Long-term studies have shown that in moderate to advanced periodontitis, surgically treated cases often have less further breakdown over time specially if regular post treatment maintenance regimen are in place.

A post treatment maintenance regimen involves a tailored treatment plan, which often means regular check-ups and detailed cleanings every three months to prevent repopulation of periodontitis-causing micro organisms. This is to closely monitor affected teeth so that early treatment can be given if disease recurs.

If you are experiencing bleeding gums, gums that have come away from the teeth, persistent bad breath or teeth that are loose or changing position, book a consultation at Smile Implant Clinics.

Periodontal Surgery

If non-surgical periodontal therapy is unsuccessful, periodontal surgery may be required to stop progressive bone loss and regenerate lost bone where possible.

There are many surgical approaches used in the treatment of advanced periodontitis and we are happy to discuss these options with you.

Long-term studies have shown that in moderate to advanced periodontitis, surgically treated cases often have less further breakdown over time specially if regular post treatment maintenance regimen are in place. This is successful in halting tooth loss in nearly 85 per cent of patients

A post treatment maintenance regimen involves a tailored treatment plan, which often means regular check-ups and detailed cleanings every three months to prevent repopulation of periodontitis-causing micro organisms. This is to closely monitor affected teeth so that early treatment can be given if disease recurs.

At Smile Implant Clinics we will work together in order to create an effective oral hygiene regimes that will include the correct choice of tooth brush, brushing technique, flossing and use of a mouthwash. We will also advice you to stop smoking and have a balanced diet that affects your gum health positively. The frequency of eating is also a factor because regular snacks and drinks can strip the teeth of their protective minerals, which accelerate decay.

If you are experiencing bleeding gums, gums that have come away from the teeth, persistent bad breath or teeth that are loose or changing position, book a consultation at Smile Implant Clinics.

Maintenance

Even with a good tooth brushing technique, most people miss parts of their mouth regularly. At Smile Implant Clinics we will work together in order to create an effective oral hygiene regimes that will include the correct choice of tooth brush, brushing technique, flossing and use of a mouthwash. We will also advice you to stop smoking and have a balanced diet that affects your gum health positively. The frequency of eating is also a factor because regular snacks and drinks can strip the teeth of their protective minerals, which accelerate decay.

Good oral hygiene and maintenance is vital for a successful oral health. It is also very important that you keep up your recommended dental examination and hygiene recalls in order to maintain good oral health and prevent failures of dental restorations.

Gum & bone disease is one of the main causes of tooth loss and is highly prevalent; people are often unaware they have it because it is not painful and doesn’t affect their daily life, but if left untreated the impact can be serious. It has also been linked to cardiovascular disease and type 2 diabetes as bacteria can enter the bloodstream through the mouth and spread inflammation throughout the body.

To prevent, maintain good oral health and establish oral hygiene regime that protects your gums, teeth and general health, keep up your appointments.

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