Scaling and Root Planing
The early stages of periodontal disease are often best treated with non-surgical periodontal therapy. Even in severe cases of periodontal disease, non-surgical periodontal therapy often precedes surgical therapy. This is done to improve the overall tissue quality prior to surgery and also to help limit the areas requiring surgery.
Treatment methods depend upon the type of disease and how far the condition has progressed. The first step is usually a thorough cleaning that may include scaling to remove plaque and tartar deposits below the gum line. Local anesthesia is provided to assure maximum patient comfort.
The surface of tooth roots may also be “planed” or smoothed, allowing the gum tissue to heal and reattach to the tooth. In some cases, the occlusion (bite) may require adjustment.
When deep pockets between teeth and gums are present, it is difficult for us to thoroughly remove plaque and tartar. Patients can seldom, if ever, keep these pockets clean and free of plaque. Consequently, surgery may be needed to restore periodontal health.
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