Periodontal Treatment

Treatment methods for periodontal disease vary depending on its type and severity. Your dentist and dental hygienist will assess for periodontal disease and suggest the appropriate treatment plan.

Periodontal disease develops when the sulcus—the space between the tooth and gums—becomes filled with bacteria, plaque, and tartar. This accumulation irritates the surrounding tissues and, if not removed, can damage the gums and the bone supporting the teeth.

If the disease is detected in its early stage, known as gingivitis, and no significant damage has occurred, one to two regular cleanings may be sufficient. You will also receive guidance on how to improve your daily oral hygiene and the importance of regular dental cleanings.

Should the disease advance to more severe stages, a specialized periodontal cleaning called scaling and root planing will be necessary. This deep cleaning treatment is typically performed on one quadrant of the mouth at a time under local anesthesia. During the procedure, tartar, plaque, and toxins are removed from above and below the gum line (scaling), and any rough spots on the root surfaces are smoothed (planing). This helps the gum tissue heal and reduces the size of the pockets. Additionally, medications, special medicated mouth rinses, and an electric toothbrush may be recommended to aid in controlling the infection and promoting healing.

If the pockets do not heal after scaling and root planing, periodontal surgery might be required to further reduce pocket depths and facilitate easier cleaning of the teeth. Your dentist might also suggest consulting with a periodontist—a specialist in gum and bone support for the teeth.