Treatment Methods in Kingsway, Burnaby BC

Treatment methods depend upon the type of disease and how far the condition has progressed. The first step is usually a thorough cleaning that may include scaling to remove plaque and tartar deposits beneath the gum line. The tooth roots may also be planed to smooth the root surface allowing the gum tissue to heal and reattach to the tooth. In some cases, the occlusion (bite) may require adjustment.

We now have techniques to help rebuild lost bone support. Conservative treatment will be used whenever possible. Many times, the early stages of periodontal disease are best treated with on-surgical periodontal therapy. This usually consists of placing a fine ultrasonic tip in between the tooth and gum tissue to remove any plaque and calculus below the gum line in addition to using delicate instruments to smooth the root. This procedure is called Root Planing. Approximately six weeks after root planning, periodontal pockets are usually improved due to gum shrinkage, from reduced inflammation. If the improvement is effective enough the patient may then be able to maintain the areas with routine brushing and flossing, along with regular recalls.

Even in most severe cases for periodontal disease, non-surgical periodontal therapy most often precedes surgical therapy. This is done so that the overall tissue quality is improved prior to surgery and may also limit the areas where surgery is required.

Antibiotics or irrigation with anti-microbials (chemical agents or mouth rinses) may be recommended to help control the growth of bacteria that create toxins and to encourage normal healing.

When deep pockets between teeth and gums are present, it is difficult for the hygienist and doctor to thoroughly remove plaque and tartar. Patients can seldom, if ever, keep these pockets clean and free of plaque. Consequently, surgery may be needed to restore periodontal health.

Video 1: In Office Cleaning

Video 2: Scaling and root planing (Deep Cleaning)

Video 3: Oral hygiene instruction (Brushing & Flossing)