The care for gums and their various diseases involves a mutual long-term commitment between the patient and the healthcare providers, and its success greatly depends on the cooperation between the parties.
Periodontal treatment – maintaining oral hygiene
People who suffer from periodontal disease are more susceptible to bacterial infections in their mouths and must take greater care in maintaining oral hygiene. The secret to the success of each periodontal treatment is the combination of thorough cleaning in the clinic and careful hygiene at home, including brushing and thorough cleaning between teeth. It is important to apply the instructions received from the dental hygienist and the dentist and brush and clean between the teeth. If periodontal disease is discovered, it is necessary to train to improve one’s tooth brushing ability, and after periodontal disease is overcome by using correct periodontal treatment, it is necessary to continue to brush carefully and regularly clean between the teeth. This process will lead to restoration of the state of the gums and prevention of oral bleeding and bad breath.
Our recommendation is to visit the dental hygienist frequently. Remember – prevention begins with careful attention!
For reading about the importance of the dental hygienist
Deep gum cleaning
Deep, subgingival cleaning, or as it is also known: root planing, is cleaning of the surface of the roots that is exposed to the gingival pocket. The aim of deep gum cleaning is to remove subgingival tartar and plaque. This thorough cleaning differs from the basic periodical cleaning – it is deeper, so it requires local anesthesia and multiple sessions. During the treatment, subgingival washes may be done using antibacterial agents whose function is killing the bacteria that have survived the root planing. Recent studies have shown that the treatment reduces gingivitis, reduces the depth of gingival pockets and changes the composition of the bacterial plaque in them, from the bacteria that are present during disease to bacteria that are associated with health.
Also, it has been discovered that patients who used combined treatment of deep gum cleaning and good oral hygiene at home did not need additional treatments or complex operations.
Gum treatment using local sustained-release antibacterial drugs
The damage sustained by the gums from their reaction to bacteria living in the gingival pockets. In cases in which the pockets are deep, ordinary cleaning is not enough and additional actions must be taken, such as anesthesia and entering the depth of the pocket. In cases of inflammation, we use innovative substances such as a gel or chip that is inserted into the pocket. The substance that is inserted locally into the pocket slowly releases antibacterial substances.
If simple gum treatments do not help, periodontal surgery may be necessary
The main treatment of gum disease is non-surgical. Periodontal surgeries are intended for cases in which we could not overcome and remove the infectious agents using conventional periodontal care.
There are various kinds of periodontal operations, including:
A. Cleaning and disinfecting the tooth root directly after lifting a gingival flap.
B. Rebuilding the alveolar bone supporting the tooth.
C. Covering the exposed roots.
D. Grafting of gums.
E. Reducing gingival pockets.
Each condition will have the relevant operation type assigned to it. For further reading on periodontal bone augmentation