Non-surgical therapy removes plaque and calculus thereby controlling the growth of harmful bacteria that causes gum disease. This type of treatment may be all that's needed, especially when periodontal disease is detected in its earliest stages. To facilitate non-surgical periodontal therapy, it may be necessary to repair or replace some of the restorative dentistry that has been done over the years.
Scaling and Root Planing:
Scaling is a type of cleaning that removes plaque and calculus from the teeth at and slightly below the gum line. Root planing smooths root surfaces, so the supportive tissues can better reattach to the tooth surface. Often, this will be done with local anesthesia.
Periodontal disease is a bacterial disease and the key to controlling or eliminating it is the effective reduction or elimination of the harmful bacteria. An adjunctive option to scaling and root planing may be provided by placing antibiotics directly into the periodontal pocket or by the introduction of long term low dose systemic antibiotics. An antibacterial mouth rinse also may be prescribed to help control bacterial build up.
An improper bite or a traumatic occlusion may lead to bone loss. Your dentist may either choose to adjust your bite so that your teeth meet properly and function better or construct a custom bite guard or splint- a removable device that fits over upper or lower teeth - to protect tooth surfaces and relax tense jaw muscles.