Scaling and Root Planing
Treatment Methods | Cosmetic Periodontal Surgery | Bone Regeneration | Bone Grafting
Osseous Surgery | Gum Graft | Crown Lengthening | Ridge Preservation
The initial stage of treatment 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.
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 cause periodontitis. In some cases, Dr. Fagan may place antibiotic fibers (Arestin*) in the periodontal pockets after scaling and root planing. This may be done to control infection and to encourage normal healing.
When deep pockets between teeth and gums are present, it is difficult to thoroughly remove plaque and tartar. Patients can seldom, if ever, keep these pockets clean without the intervention of a hygienist or dentist. Consequently, surgery may be needed to restore periodontal health.
*Arestin: subgingival delivery system of minocycline HCI 1 mg (Rx only) Manufactured for: OraPharma, Inc.
Bite Adjustment
A bite is considered to be healthy when all or most of the teeth are present and not destroyed by normal daily usage.
It is destructive when teeth show wear, looseness or when TMJ (jaw joint) damage is seen. Bite therapy helps restore a bite that can function without damage and destruction. The therapy may include:
- Reshaping the biting surfaces of the teeth and eliminating spots of excessive pressures where the teeth are brought into contact. This is done by carefully dividing bite pressures evenly across all of the teeth.
- Bite splint therapy using a custom fitted and adjusted plastic bite guard to keep the teeth apart, day, night or both.
- Braces, to reposition mal-aligned or drifted teeth.
- Replacement of old, worn out or damaged fillings.
- Reconstruction of badly worn and damaged teeth.