Gingivitis Treatment & Gum Therapy
Mercerville Family Dental – Hamilton Township NJ
How We Measure Your Periodontal (Gum) Health
During your regular visits with our hygienists, we monitor your periodontal (gum) health by measuring the space between the teeth and gums called a “sulcus” or pocket. Usually a pocket depth of 5mm or greater, along with bleeding and/or bone loss evident on x-rays, are indicators that some form of gum disease exists.
A regular dental cleaning is not sufficient to reach the infected pockets. We may recommend a deeper cleaning or periodontal scaling.
The initial stage of treatment for periodontal disease is usually a thorough cleaning that may include scaling or root planing. The objective of these non-surgical procedures is to remove etiologic agents such as dental plaque and tartar, or calculus, which cause gingival inflammation and disease. Scaling and root planing can be used as a stand-alone treatment, or a preventative measure. They are commonly performed on cases of gingivitis and moderate to severe periodontal disease.
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What do Periodontal Therapy procedures entail?
Dr. Loutfi, Dr. Stern, Dr. Popkin and Dr. Germani will only perform scaling and root planing after a thorough examination of the mouth, which may include taking x-rays and visually examining the mouth. Depending on the condition of the gums, the amount of tartar present, the depth of the pockets, and the progression of periodontitis, Drs. Loutfi, Stern, Popkin or Germani may recommend scaling and root planing. In some cases, a local anesthesia may be used during the procedure.
When scaling is performed, calculus and plaque that attaches to the tooth surfaces is removed. The process especially targets the area below the gum line, along the root. Scaling is performed with a special dental tool called an ultrasonic scaling tool. The scaling tool usually includes an irrigation process that can be used to deliver an antimicrobial agent below the gums to help reduce oral bacteria.
- Root Planing:
Root planing is performed in order to remove cementum and surface dentin that is embedded with unwanted microorganisms, toxins and tartar. The root of the tooth is literally smoothed, which promotes healing, and also helps prevent bacteria from easily colonizing in the future.
Antibiotics or irrigation with anti-microbials (chemical agents or mouth rinses) may be recommended to help control the growth of bacteria that create toxins and cause periodontitis. In some cases, an antibiotic may be placed in the periodontal pockets after scaling and planing. This may be done to control infection and to encourage normal healing.
When deep pockets between teeth and gums are present, it is difficult for the hygienist to thoroughly remove plaque and tartar. Patients can seldom, if ever, keep these pockets clean and free of plaque.
Consequently, surgery performed by a periodontist may be needed to restore periodontal health.
Benefits of Periodontal Scaling and Root Planning Treatments
If treatment is successful, scaling and planing may have many periodontal benefits. One is that it can help prevent disease. Research has proven that bacteria from periodontal infections can travel through the bloodstream and affect other areas of the body, sometimes causing heart and respiratory diseases, and complicating the symptoms of diabetes. Scaling and root planing remove bacteria that cause these conditions.
Another benefit of treatment is protecting teeth against tooth loss. When gum pockets exceed 3mm in depth, the risk for periodontal disease increases. As pockets deepen, more bacteria are able to colonize, eventually causing a chronic inflammatory response by the body to destroy gingival and bone tissue. This leads to tooth loss.
Finally, scaling and root planing may make the mouth more aesthetically pleasing, and should reduce bad breath caused from food particles and bacteria in the oral cavity. Superficial stains on the teeth will be removed during scaling and planing, adding an extra bonus to the procedures.