Non-Surgical Treatment for Periodontal (Gum) Disease
Periodontal (gum) disease is an infection caused by bacterial plaque, a thin, sticky layer of microorganisms that collects at the gum line in the absence of effective daily oral hygiene. Left untreated, this inflammation can gradually separate the gums from the teeth—forming “periodontal pockets” where pathogenic bacteria reproduce. If the infection spreads to the bone that supports the teeth, your teeth may loosen and eventually be lost. Schaefer Dental Group offers effective non-surgical treatment options in Lansing, Michigan.
When treating gum disease, it is often best to begin with a non-surgical approach consisting of one or more of the following procedures:
1. Scaling and Root Planing (Deep Cleaning)
The goal is to rid the teeth and gums of pathogenic bacteria and the toxins they produce. This is done with a deep-cleaning procedure called scaling and root planing (or root debridement):
- Scaling: Removing plaque and hard deposits (calculus or tartar) from the surface of the teeth, both above and below the gum line.
- Root Planing: Smoothing the tooth-root surfaces, making them more difficult for bacteria to adhere to.
2. Antibiotics/Antimicrobials
Periodontal pockets are tiny, hard-to-reach areas. Sometimes it’s best to try to disinfect these inaccessible places with:
- A prescription antimicrobial rinse (usually containing chlorhexidine).
- A topical antibiotic (such as tetracycline or doxycyline) applied directly to the affected areas on a short-term basis.
3. Bite Adjustment
If some of your teeth are loose, they may need to be protected from the stresses of biting and chewing, especially if you clench or grind your teeth. This can be achieved by:
- Occlusal Adjustment: Carefully reshaping minute amounts of tooth surface enamel to change the way upper and lower teeth contact, thus lessening the force and reducing tooth mobility.
- Splinting: Joining loose teeth together with a small metal or plastic brace so they can support each other.
- Bite Guard: Providing you with a custom-made appliance to wear when you are most likely to grind or clench your teeth.
4. Patient-Driven Oral Hygiene
Since dental plaque is the main cause of periodontal disease, your daily routine is essential. You will be instructed in the most effective brushing and flossing techniques and given recommendations for products to use at home. Becoming an active participant in your own care is the best way to ensure your periodontal treatment succeeds. Giving up smoking is also highly beneficial.
Often, nonsurgical treatment is enough to control a periodontal infection, restore oral tissues to good health, and tighten loose teeth. At that point, maintaining your oral hygiene routine at home and having regular checkups and cleanings will give you the best chance to remain disease-free.