Dental Implants Perth, Tooth Implant Dentistry

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Treatment of Gum Disease

How is it Treated?
The technique called periodontal probing will measure the extent and severity of your particular gum disease. In this procedure, a small measuring instrument will measure the spaces between the gums and the teeth (gum pockets) as well as measuring the amount the gums have receded (shrunk away from the teeth).
The periodontist will also make a note of any risk factors, which may explain the level of gum disease that you have
The periodontist will inspect the colour and firmness of the gums and test the teeth for looseness. They will also check the way your teeth fit together when you bite. X-rays may be taken to evaluate the bone supporting the teeth. If you already have x-rays taken by your dentist, bring them with you.
Baseline gum disease will be measured and an assessment of your response to treatment will be made.

Treatment of Periodontitis

Gum treatment or periodontal therapy can be divided into three stages

Stage 1

Elimination of the bacteria and encouraging healing of the gums non surgically. This involves the use of specialist periodontal therapy equipment which physically remove the plaque bacteria calculus and infected soft tissue from the root surfaces inside the gum pockets. In deep pockets, the periodontist will use a local anaesthetic to make the procedure pain free for the patients.
The areas of the mouth are usually treated in quadrants (quarters) to ensure the best response to treatment.
Once all the affected areas are treated a healing period of 8-12 weeks is observed to enable the gums to stick back to the teeth and in some circumstances the bone to grow back in areas it has been lost.

Stage 2

For some patients who don’t respond to the stage 1, some corrective or advanced treatment is needed.
This advanced treatment involves adjusting the tooth, which may have physical or anatomical problems on the surfaces and sometimes overgrown soft tissue and irregular bone. The procedure is done under local anaesthesia and sometimes sedation or general anaesthesia options are available. The area is made fully numb and the gums gently pushed away to reveal the problematic root surface or bone problem. The bone may then be reconstructed to a proper shape and the gum is then replaced to proper position and sutured. Healing of these procedures takes from 7 to 21 days and is usually uneventful, although not without some expected post-operative discomfort.
In some cases regenerative materials can be used to re-grow the lost bone and strengthen the area.

Antibiotics are sometimes prescribed to treat gum inflammation.