Surgical and Non-Surgical Periodontal Procedures
The first step in the treatment for Periodontal Disease involves non-surgical periodontal treatment. This therapy involves scaling and root planing ( a deep cleaning of the root surfaces to remove plaque and calculus from deep periodontal pockets and to remove bacterial toxins off of the roots). This may be followed by adjunctive therapy such as local delivery of antibiotics or even laser therapy, as needed on a case-by-case basis. In some cases, the occlusion (the way one’s teeth come together), can affect there periodontal health. This can be adjusted as part of this stage of therapy. After completion of this treatment, a majority of patients do not require any further active treatment. However, almost all patients will require ongoing maintenance therapy to sustain health.
Non-surgical therapy may not be sufficient to achieve periodontal health in all cases. Under these circumstances, periodontal surgery may be indicated to restore the periodontal structures that have been damaged by disease and to restore the periodontal health.
If the non-surgical therapy was not able to achieve periodontal health, further treatment will be needed. For these cases, the Periodontitis will determine if periodontal surgery is indicated. There are several reasons for surgical intervention when it come to the mouth. This can involve deep pocketing around a tooth or teeth; gum loss (recession) on a tooth or teeth; cosmetic concerns; bone loss around a single tooth, multiple teeth, or in an area where teeth have been loss; to facilitate or help with orthodontic movement (braces); or to rebuild bone for future implant placement.