Deep Cleaning (Scaling and Root Planing)
The dentist removes the plaque through a deep-cleaning method called scaling and root planing. Scaling means scraping off the calculus from above and below the gum line. Root planing gets rid of rough spots on the tooth root where the germs gather, and helps remove bacteria that contribute to the disease. Local anaesthetic will be provided where necessary to eliminate any discomfort. Deep cleaning may require more than one appointment
Medications
Medications may be used with scaling and root planing treatments, but depending on the severity of the gum disease this may not be enough on their own. Some of the medications currently used are:
- Prescription antimicrobial mouth rinse: A mouth rinse for controlling bacteria
- Antiseptic chip: Gelatine piece filled with chlorhexidine for controlling bacteria and reducing the size of periodontal pockets
Surgery
If deep cleaning and medication fail to relieve the symptoms of periodontal disease, we will suggest referring you to a specialist periodontist who may recommend a surgical intervention to treat the gum condition. Two procedures are involved in surgical treatment: flap surgery and grafting of bones and tissue. Your periodontist will recommend the best solution for your needs
Flap Surgery
Flap surgery works by lifting back the gums and the removing calculus deposits from inside of deep pockets. It reduces the pocket and keeps the area clean. The lifted tissue is then made to fit comfortably around the tooth.
Bone and Tissue Grafting
Grafting replaces or encourages new growth of bone or gum tissue that is destroyed by gum disease. Success of grafting varies from case to case depending on the individual’s exposure to risk factors like smoking, illnesses etc.
Maintenance Treatment
Once we have treated your gum disease it is imperative that you continue with maintenance treatment to prevent a relapse or deterioration in your gum health. Our dentist will design a maintenance programme specific to your ongoing needs.