At the Metroplex Implants & Family Dentistry we are aggressive in the treatment of Periodontal (Gum) disease because once bone is lost, it’s gone forever. Gum disease is a silent and chronic bacterial infection that often goes undetected or ignored until severe gum and bone destruction is unbearable and no longer able to be ignored.
The longer plaque and tartar are on teeth, the more harmful they become. The bacteria cause inflammation of the gums that is called “gingivitis.” In gingivitis, the gums become red, swollen and can bleed easily. Gingivitis is a mild form of gum disease that can usually be reversed with daily brushing and flossing, and regular cleaning at Metroplex Implants & Family Dentistry. This form of gum disease does not include any loss of bone and tissue that hold teeth in place.
When gingivitis is not treated, it can advance to “periodontitis” (which means “inflammation around the tooth”). Your bone and gum tissue should fit snugly around your teeth like a turtleneck around your neck. When you have periodontal disease, this supporting tissue and bone is destroyed, forming “pockets” around the teeth.
Over time, these pockets become deeper, providing a larger space for bacteria to live. As bacteria develop around the teeth, they can accumulate and advance under the gum tissue. These deep pockets collect even more bacteria, resulting in further bone and tissue loss. Eventually, if too much bone is lost, the teeth will need to be extracted.
Periodontal Cleaning (Scaling & Root Planning)
A periodontal cleaning is the process of removing the plaque through a deep-cleaning method called scaling and root planning. Scaling means scraping off the tartar from above and below the gum line. Root planning gets rid of rough spots on the tooth root where the germs gather, removes bacteria that contribute to the disease, and smooth the root surface.
Medications (i.e Arestin) and anti-bacterial rinses may be used with treatment that includes scaling and root planning. Depending on how far the disease has progressed, Dr. Wadhwa may suggest surgical treatment as well.
ARESTIN® (minocycline hydrochloride), is an antibiotic used to treat individual areas of periodontal disease.
It comes in a powder form that is placed within the infected periodontal pockets (between the tooth and the gum) that are 5mm deep or greater. The placement of ARESTIN® typically occurs immediately after a scaling and root planning procedure. ARESTIN® uses its direct application between the teeth and gums to continually fight periodontal (gum) infection for up to 21 days.