Effective Non-Surgical Treatment for Periodontal Disease
The initial approach to managing periodontal disease usually involves a thorough cleaning procedure called scaling or root planing. These non-surgical treatments aim to address the root causes of the disease, such as dental plaque and tartar (calculus), which lead to gum inflammation and other oral health issues. Scaling and root planing can either be used as a standalone treatment or as a preventive measure. They are often recommended for individuals with gingivitis or moderate-to-severe periodontal disease.
What is involved in scaling and root planing?
After a thorough examination of the mouth, which includes x-rays and visual inspection, our dentist may recommend scaling and root planing based on factors like gum condition, tartar accumulation, pocket depth, and the progression of periodontitis. In some cases, local anesthesia may be used during the procedure.
- Scaling: This procedure removes calculus and plaque from the tooth surfaces, particularly beneath the gum line near the root. An ultrasonic scaling tool, which may include an irrigation function, is used to eliminate these deposits and can also deliver antimicrobial agents below the gums to reduce oral bacteria.
- Root Planing: Root planing targets the removal of harmful microorganisms, toxins, and tartar from the cementum and dentin surfaces. By smoothing the root surfaces, this procedure promotes healing and helps prevent future bacterial colonization.
To manage bacterial growth and periodontitis, antibiotics or antimicrobial irrigation may be recommended. These treatments use chemical agents or mouth rinses to prevent toxin formation. Additionally, our dentist might insert antibiotic fibers into the periodontal pockets following scaling and planing to manage infection and support healing.
When deep pockets form between the teeth and gums, removing plaque and tartar becomes more challenging. Patients often find it difficult to keep these areas clean, which may necessitate surgical intervention to restore periodontal health.
Benefits of Scaling and Root Planing Treatment
If scaling and root planing are successful, they can offer several significant benefits for periodontal health.
One key advantage is disease prevention. Research shows that bacteria from periodontal infections can enter the bloodstream and impact other areas of the body, potentially leading to heart and respiratory diseases. By removing these harmful bacteria, scaling and root planing help mitigate these risks.
Another important benefit is the protection against tooth loss. When gum pockets exceed 3mm in depth, the risk of periodontal disease increases. Deeper pockets allow more bacteria to thrive, which triggers a chronic inflammatory response that can damage gum and bone tissue, ultimately leading to tooth loss.
Additionally, scaling and root planing can enhance the aesthetic appearance of your mouth and reduce bad breath caused by food particles and bacteria. The procedures also eliminate superficial stains on the teeth, providing an extra cosmetic benefit.