There are four main goals of periodontal therapy.
- Eliminate the infection and inflammation
- Educate the patient in proper home care oral hygiene skills which are necessary to maintain health and prevent reoccurrence of the disease
- Correct any damage to the root, bone, gum and bite
- Establish an appropriate schedule of professional in office supportive periodontal therapy.
After examination and proper diagnosis, treatment for Periodontitis is customized for each patient and based on the severity of their disease. We always try to treat the disease as effectively as possible in the least amount of time possible.
It should be known that in order to control periodontal disease, the plaque and calculus must be completely removed from the teeth and their roots. This cannot be accomplished with drugs, baking soda, toothpastes, mouth rinses, electric toothbrushes, oral irrigators or nutritional supplements. In patients with mild disease (i.e. pockets less than 5 millimeters) special instruments can be used, once the gums are anesthetized, to non-surgically remove the deposits of plaque and calculus. When a patient has very deep pockets (i.e. greater than 5 millimeters), non-surgical root planning cannot consistently remove the build-up of calculus. In cases like that, other procedures such as minor surgery are needed.
Even though the signs of periodontal disease are mild, its effects are seen systemically, often contributing to other disease. Underlying systemic diseases such as diabetes, and habits such as smoking worsen this disease process. In addition, recent studies show a correlation between Periodontitis and systemic disorders such as heart disease, stroke and premature low birth weight babies.
After health is attained, then begins a lifelong commitment to prevent recurrence of the disease. Using a team approach- doctors, hygienists and patients work together to help keep the disease from reforming. The number one way patients end up with disease recurrence is when they do not perform adequate oral hygiene and when they do not follow recommended professional cleaning regimens.