| A Basic Guide to Periodontal Therapy |
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What is scaling and root planing? Scaling and Root Planing is one of the main methods of treating periodontal disease. The goal of this procedure is to remove subgingival bacteria and calculus from the root surface within the periodontal pocket. Proper scaling and root planing can reduce moderate pockets to more maintainable (and desirable) shallow pockets. In certain cases, antibiotics delivered through a gel or microcapsules may be used in conjunction with scaling and root planing. Scaling and root planing is non-surgical in nature and is done under local anesthesia ("novacaine").
How is this different from a cleaning? A cleaning, or "adult prophy" given by the hygienist focuses on removing plaque and calculus above the gum line. Deep scaling and root planing instruments below the gum line to remove the bacteria and calculus that are responsible for periodontal disease.
What is periodontal surgery? The goal of periodontal surgery is to provide access to the underlying structures that support our teeth. Moderate and deep gum pockets may often require periodontal surgery for one or more purposes, including: reducing pockets, recontouring bone, and regenerating bone. The desired result of all periodontal surgeries is a situation that can be better maintained by patient home-care and regular maintainance. Studies have shown that untreated deep pockets can lead to the eventual loss of the tooth.
I'm anxious about gum surgery, will I be uncomfortable? The periodontist will take time to counsel you with post-operative instructions and precautions that will make your experience as trauma-free as possible.
What is a dental implant? Dental implants are a reliable treatment alternative to replacing missing teeth. A dental implant is a substitute for the tooth root; it is made of a bio-compatible titanium, and is intended to integrate with the bone. A replacement tooth or crown can be placed atop a dental implant. One of the best features of a restored implant is that it looks and feels like your original tooth. In addition, dental implants can allow you to eat and speak with confidence, once again.
What can we do with implants?
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An implant can replace one or more teeth without affecting neighboring teeth.
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An implant can support a bridge, eliminating the need for a partial denture
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Implants can support dentures, providing greater security and comfort.
Am I a candidate for dental implants? The periodontist needs to consider a variety of factors from your medical history to anatomical characteristics of the intended implant site. Frequently, a consultation from your primary care physician is needed, along with diagnostic imaging (x-rays and/or CT scans) to properly treatment plan your implant(s).
How long is the process? The placement of an implant(s) will often take 60-90 minutes; the long-term schedule of implant placement is custom tailored to each patient's unique situation. The periodontist will counsel you and your restorative dentist on the proper time-frame before a "crown" can be placed atop the implant.