Advanced gum disease is called periodontitis. When left untreated, it damages the tissues that support the teeth and can cause tooth loss. Treating the disease requires multiple therapies, both surgical and non-surgical.
This deep cleaning is also treatment for gingivitis, gum disease in its milder form. Scaling goes beyond what you receive at a normal dental cleaning by removing plaque and tartar from below the gum tissue. We use hand scalers and ultrasonic instruments for this.
Root planing involves smoothing the surface of the tooth under the gums to prevent plaque from reforming.
Periodontitis can cause gums to recess, leaving the roots of teeth exposed. To protect the roots, you may need gum grafting, which involves taking tissue from your mouth or using a donor tissue to cover the exposed area.
Periodontitis can also lead to opposite problem: a gummy smile. We treat this using crown lengthening to create the appearance of longer teeth. This involves reshaping excess gum and bone to reveal more of your teeth.
Regenerative procedures avoid tooth loss after damage to bone tissue. This begins with pulling back your gums to access the damaged tissue. We then remove infected tissue to start ridding your mouth of the bacteria causing periodontitis. To help your mouth regenerate bone and other tissue, we will use membranes, bone grafts, tissue-stimulating proteins, or a combination of the three.
If you have already lost a tooth due to periodontitis, it is important to fill the gap to stop other teeth from drifting. A dental implant is usually the best option, as it prevents your jawbone from weakening further. You may require a bone graft before we can start the dental implant surgery.