If you’re looking for periodontal disease treatment, then you have probably been diagnosed with gum disease. The good news is this problem can often be treated with great success. There are a number of different treatment options for this disease depending on the stage you are in. The periodontal disease treatment varies from non-surgical therapies to surgery.
Many people fear losing their teeth to gum disease. This, however, is not always an issue. Today, with so many treatment options even for advanced periodontal disease, many patients can fully recover the health of the gumline. However, it is important that you catch it early on. Practice regular dental checkups, brush your teeth thoroughly, avoid tobacco, and eat a balanced diet.
Symptoms of Periodontal Disease
Periodontal disease usually begins with gingivitis. The signs you should look for are redness at the margins of the gums, inflammation, and bleeding when brushing or flushing. If your gums bleed when you clean your teeth, do not think of this as a sign that you brush too hard. It is not normal under these circumstances and it should be taken as a warning sign.
Halitosis and bad taste in the mouth are also two common factors associated with gum disease. As the disease progresses, patients also develop sensitivity to changes in temperature and pressure. Then, the gum tissue will loosen, leading to the formation of periodontal pockets.
Ultimately, abscess will form and the teeth will loosen and drift as the bone is lost.
Periodontal Disease Treatment
Professional dental cleaning
First, let’s start with more of a preventive measure than treatment. During regular checkups, the dentist or the dental hygienist can remove the plaque and tartar from above and below the gumline. Plaque is a sticky, colorless deposit, but when it forms tartar, it becomes a big issue. Plaque that hardens and builds up on the teeth’s surface cannot be removed at home.
Only with professional cleaning can tartar be removed successfully. If you show signs of periodontal disease, the dentist will advise you to perform a professional dental cleaning more than two times per year.
Scaling and root planing
Also known as conventional periodontal therapy, it is a non-surgical method of deep cleaning the teeth. This is done under local anesthetic, the plaque and tartar being scraped off while the deposits on the tooth’s root are made smooth.
Scaling involves multiple instruments. First, the dentist will use an ultrasonic scaling device to eliminate the plaque with sonic vibrations. This instrument will remove the tartar, plaque, and the biofilm from the surface of the tooth but also underneath the gumline. Then, the specialist will use a manual instrument to remove the remainder deposits.
Planing involves a more detailed scaling of the surface of the tooth’s root. This is done to decrease tissue inflammation. The procedure will smoothen the root surface, eliminating the biofilm development.
This surgical periodontal disease treatment is recommended when the gum tissue does not fit perfectly around the teeth. Patients who can’t keep their deep pocket area clear of bacteria should have flap surgery.
During the procedure, the dentist or the periodontist has to fold back the gum tissue. Then, the infectious bacteria is removed before reattaching the gum tissue to the healthy bone. Deeper pockets are difficult to clean even for a professional. This is why eliminating plaque and bacteria is not sufficient to prevent or to treat the disease.
After the flap surgery, with a good daily oral hygiene and regular follow-ups, the chances of developing dental health problems decrease significantly.
Gum tissue graft
There are three types of gum grafts commonly performed, depending on the specific needs of the patient. The procedures include:
- Connective tissue grafts. During the surgery, the dentist has to cut a flap of skin from the palate of the mouth. The tissue from under the flap is then removed and stitched to treat the root exposure.
- Gum tissue graft. Similar to the first method, free gingival grafts also involve using the tissue from the palate of the mouth. In this case, however, instead of using the tissue from under the top layer of the palate, a small patch of tissue is cut directly from the roof of the mouth. Then, it is attached to the area of the gum that needs periodontal disease treatment.
- Pedicle grafts. This option involves using tissue that is grafted from the gum, not the palate. The flap is only partially cut to allow one edge to remain attached to the tooth. This method is limited to patients who have plenty of tissue near the tooth that needs repair.
This minor surgical procedure is also a common and important part of the periodontal disease treatment. The dentist will perform an incision to the gum to access the bone beneath it. Then, grafting material coming from either your own body, an animal, a human donor, or even a synthetic substance, is added.
The material comes in various forms. It can either be a powder, granules, gel, or putty. The graft is usually covered by a collagen membrane. The human body can ultimately build new bone around the graft.
Dental implants are an option for patients who have lost a tooth or multiple teeth due to gum disease. There are two types of implants: endosteal and subperiosteal. The endosteal implant is the most common, and it involves screws, blades, or cylinders that are introduced into the jawbone through surgery. The subperiosteal implant consists of a metal framework that is attached by the dentist on the top of the jawbone, underneath the gum tissue.
The periodontist will create a plan that fits your needs. This periodontal disease treatment can mean replacing a single tooth, several teeth, or all of your teeth, but also sinus augmentation or ridge modification.
After the dental implant, your teeth will require both performing a good oral hygiene at home and regular visits to your dentist. Implants are just like our own teeth, thus requiring the same amount of care. Periodic follow-ups will be recommended to monitor the health of the implants, teeth, and gums.
Also part of the periodontal disease treatment are antibiotics. They can be used on their own to reduce or fully eliminate the bacteria causing gum disease, or in combination with one of the methods described above. The periodontist will prescribe antibiotics to patients with advanced cases of gum disease.
The most common antibiotics used to cure aggressive periodontal disease are:
- Cipro or ciprofloxacin.
Since most forms of gum disease can be cured without the use of antibiotics, dentists try to avoid using them. Today, many bacteria have grown resistance to antibiotics. This makes it harder to treat certain infections. Your periodontist will prescribe drugs only if absolutely necessary.
Antiseptics should be used to prevent periodontal disease. They are found in mouth rinses, and can control the excessive growth of bacteria. Bacteria can grow on the tongue, the tonsils, and can be found in the saliva. Antiseptics can be used by anyone at home. The pockets around the teeth can be cleaned with irrigation devices. Mouth rinses contain:
- Povodine iodine.
- 1% sodium hypochloride.
Mouth rinses do not require a prescription. Your dentist can recommend a specific one.
Natural Remedies for Gum Disease
You can also try fighting (mild) periodontal disease with some amazing home remedies. Here’s how to get rid of gum disease with the help of natural ingredients:
- Oil pulling. This remedy can not only cure inflammation and red gums but also reverse bone loss. As the name suggests, this method will “pull” the toxins out of your mouth and out of your gums. Use 100% organic oils: coconut, olive, or sesame.
- Garlic and turmeric toothpaste. You can make a paste using garlic and turmeric to clean your teeth with. Place it on your teeth and gums and leave it there for several minutes before rinsing. These ingredients are packed with antibacterial properties. Furthermore, turmeric is also an exceptional anti-inflammatory agent.
- Aloe Vera gel. It works best if you squeeze it directly out of the plant yourself rather than buying it from the store. Aloe Vera is an excellent anti-inflammatory agent and it can help you cure red and inflamed gums.
- Sage leaf decoction. This old gum disease cure can be used just as a mouthwash. Boil about 50 leaves of organic sage in distilled water. Gargle the decoction multiple times a day. Sage is full of antioxidants and its antimicrobial properties can help fight bacteria.
Maintaining Your Dental Health
Can gum disease be cured? The only curable form of periodontal disease is gingivitis. There is no cure for severe gum disease (known as periodontitis). However, you can prevent and control it by having excellent oral hygiene habits. Since you can successfully manage your medical condition, it will not have a significant impact on your life.
Anyone who has undergone periodontal disease treatment knows that correct homecare is key to keeping gum disease from recurring. Because personal oral hygiene is such a big part in preventing and curing this disease, listen carefully to what your dentist or oral hygienist suggests. It is important that you understand and correctly implement the brushing and flossing techniques you are taught.