Periodontal Therapy
Non Surgical Periodontal Therapy is carried out by an experienced hygienist and involves the following:
Oral Hygiene Instruction and Full deep cleaning using local anaesthetic
This is when special instruments are used to scrape the root surfaces free of calculus. Occasionally patients can experience some temporary sensitivity after this. This procedure is carried out in 1 - 4 sessions. In certain cases, a course of antibiotics might be prescribed.
2-3 months later a reassessment is carried out by the periodontist
At reassessment, the response to the initial therapy is evaluated through a second periodontal charting and a further treatment plan decided. If a problem persists then periodontal surgery may be advised. If your gums have responded well, you will be advised of a maintenance schedule with the hygienist.
Maintenance
Once treatment is completed it is vital that you are seen at varying intervals for maintenance appointments. The periodontist will decide the frequency and the hygienists carry out these visits. Any potential problems will then hopefully be spotted early and dealt with. Regular reassessments will also be required.
Diabetes and Smoking are risk factors for gum disease - cessation or reduction in smoking makes response to treatment more predictable.
Improved Control of diabetes influences the recovery from periodontal disease and vice versa.
Are there any side effects?
Gums can occasionally feel a little tender after treatment. However this is normally short lived and patients quickly feel the benefits of treatment as the gums become healthier.
Teeth can feel sensitive after deep cleaning. Again this is normally a transient response and there are special toothpastes and gels that can reduce the problem.
As the gums become less inflamed, you may notice that the gum level recedes and spaces appear between the teeth.
Is there an alternative to periodontal treatment?
No Treatment:
If periodontal disease is not carried out, the gums and underlying bone will continue to deteriorate, with the possibility of eventual tooth loss. This can happen in a slow and steady manner or an acute and aggressive manner. This may also compromise treatment if implants are being considered
Extractions:
If the gum disease is severe, you may be advised that certain teeth are extracted rather than treated. Teeth that are extracted can be replaced with bridgework, dentures or implants. Sometimes it may not be necessary to replace the teeth at all. Extracting teeth can reduce the amount of time and work needed to return your mouth to health.