The emphasis of our practice is conservative periodontal therapy. Very often, early stages of periodontal disease are effectively treated with non-surgical periodontal therapy.
This involves the removal of bacterial plaque and Tartar which is present at and below the gum line.
Periodontal “gum” disease is typically a chronic infection caused by bacteria that works its way under the gum line, destroying the gum and eventually the bone that supports the teeth. Because the bacteria can firmly attach to the tooth roots under the gum line, regular dental cleanings maybe inadequate to resolve the infection. In these instances, root planning, commonly referred to as “deep cleaning” becomes necessary.
Unfortunately, periodontal infections are usually silent, and can be present for many years, without any significant symptoms like pain. This is why regular visits to your dentist are important especially if other health problems are present, like heart problems or diabetes.
However, subtle signs such as red or swollen gums, gums that bleed when brushed or flossed, chronic bad breath or loose teeth can alert you to the presence of gum disease and the need to see a dentist.
Our practice has made great strides in non-surgical management of periodontal problems. With the following innovative techniques, we are able to achieve periodontal health for many our patients in a simple, non-invasive and affordable manner.
Non-surgical therapy aims to eliminate both living bacteria in the microbial biofilm and calcified biofilm microorganisms from the tooth surface and adjacent soft tissues.
AAP treatment guidelines stress that periodontal health should be achieved in the least invasive and most cost effective manner. This is often accomplished through Non-surgical periodontal treatment.
The various methods used in non-surgical therapy, such as hand instrumentation, ultrasonic and sonic scalers, and ablative laser therapy.
Non-surgical periodontal therapy (NSPT) is the cornerstone of periodontal therapy and the first recommended approach to the control of periodontal infections.
It is also known as “cause-related therapy”, “phase 1 therapy or etiotrophic phase” and “initial therapy”.
It is defined as “plaque removal, plaque control, supragingival and subgingival scaling root planing (SRP), and adjunctive use of chemical agents”.
Although NSPT has evolved over the years, it is still considered to be the
“Gold standard” to which other treatment methods are compared.
However, conventional mechanical debriment procedures do not remove all periodontopathic bacteria from the subgingival environment, especially those in inaccessible areas such as furcations, grooves, concavities, and deep pockets.
It appears that the effects of mechanical therapy might be augmented using antimicrobial agents which further suppress the remaining pathogens.
A recent advance which is receiving much attention is the application of lasers photodynamic therapy (PDT), and hyper baric oxygen therapy (HBOT) in NSPT.