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Silk Dental Wellness


Periodontal Treatment

Periodontal Treatment

Certain signs and symptoms are indicative of periodontal disease.

One of the early signs of the onset of this disease is bleeding gums. Healthy gums should never bleed… not even when you brush and floss vigorously. If you notice bleeding of the gums, see your Uptown Dallas dentist right away for an exam and evaluation.

Diagnosing Periodontal Gum Disease

At Silk Dental Wellness, your medical and dental history will first be reviewed. Then, a number of tests may be performed to determine whether you have periodontal disease.
Examination and Diagnostic Testing

During the physical examination of the oral cavity, the gums are closely inspected on the cheek and tongue side of every tooth. The color and shape of the gingival tissue are compared to the ideal qualities of healthy gingival tissue. If probing of gum tissue reveals puffiness, redness, and bleeding, inflammation is present. If the gums between the teeth are blunt rather than pointed, there’s a likelihood that acute periodontal disease has resulted in necrosis (death) of gum tissue.

To further evaluate the presence and progression of periodontal disease, Periodontal Screening and Recording (PSR) is performed to determine how far the disease has advanced. During PSR, a periodontal probe and mirror are used to measure pocket depth of gum tissue around each tooth. This measurement helps to reveal the condition of the connective tissue and the amount of gingival recession.

Tooth mobility is also checked by your dentist during the diagnostic testing for gum disease. Each tooth is pushed between two instrument handles and observed for any movement. Mobility of teeth indicates at least some degree of bone loss.

At some point during the dental examination, a series of x-rays that capture the full mouth are taken to better evaluate any loss of supporting bone structure.
After Diagnosis

Once periodontal disease has been diagnosed, proper treatment will be recommended. Our Uptown Dallas dentist and hygienist will move forward with the proper treatment of your disease. On rare occasion, your case may be too severe that we will have to refer you to a periodontist.

Treatment of Periodontal (Gum) Disease

Because periodontal disease can result in tooth loss, it’s very important to receive proper treatment to get the disease under control as soon as the disease has been diagnosed. The sooner treatment is administered, the better the prognosis will be.

The course of treatment for gum disease depends upon the severity of the disease. In its early stage (gingivitis), no major damage of the tissues has yet occurred. Left untreated, however, gingivitis can progress to periodontitis.

Treatment of Gingivitis

Gingivitis can be stopped by proper brushing, flossing, and routine professional dental cleanings. Plaque that forms from bacteria on teeth and around the gums is the main cause of gingivitis. Removal of this plaque is necessary to prevent the progression of gingivitis to periodontitis.

Treatment of Periodontitis

As gum disease progresses into periodontitis, the plaque that accumulates on the teeth and around the gum tissues begins to calcify into tartar. Deep scaling of the tissues, as well as root planning and polishing of the teeth, become necessary to remove the tartar. Improved oral hygiene is also very important to keep the periodontal disease from progressing even further.

If left untreated, periodontitis can advance to a stage at which teeth become very mobile and bone loss becomes so severe that removal of the teeth becomes necessary to clear the infection.

The best course of action against periodontal disease is to prevent it before it begins! Brush and floss your teeth often. Visit our Uptown dentist for regular checkups and cleanings. If a problem arises, seek treatment immediately. Don’t risk unnecessary tooth loss!

Practice good oral hygiene, and visit your Uptown Dallas dentist as recommended to maintain healthy teeth and gums.

Maintenance of Periodontal Disease

Maintenance of periodontal disease after the initial treatment phase is very important to the health of the patient’s teeth and gums. Research has shown that patients who have been treated for periodontal disease were more likely to retain healthy periodontal conditions for many years by following a prescribed maintenance care program.

Maintenance Care Program

It only takes 24 hours for the plaque in your mouth to harden into calculus (tartar). Tartar buildup can lead to gum disease. Brushing and flossing thoroughly each day can help to control the formation of plaque and tartar. If you have been diagnosed with periodontal disease, however, your mouth will need additional attention to keep it healthy.

After you have undergone periodontal treatment to rid your mouth of infection and restore it to a healthy state, your dentist will want to start you on a regular maintenance care program. Maintenance typically includes periodontal cleanings every three months. During the cleanings, the depths of the pockets around the teeth will be monitored to ensure that they stay healthy. Plaque and tartar in hard to reach places (especially below the gum line) will be removed. Afterwards, the teeth will be polished to remove any remaining stains and plaque.

Once a year, a periodontal exam will be performed in addition to the periodontal cleaning. During this exam, x-rays will be taken to detect tooth decay, tumors, cysts, and bone loss, and to determine tooth and root positions. A thorough exam of the mouth will be done to check all tooth surfaces for signs of decay, to inspect the condition of any restorations, and to check for any signs of oral cancer.

In addition to the routine dental visits, there are steps you can take at home to maintain good periodontal health. For instance, you might use an electric toothbrush to ensure a cleaner mouth. Mouthwashes and fluoride rinses can help reduce plaque-causing bacteria in the mouth and protect against tooth decay. Special periodontal brushes may be used to clean hard-to-reach places.

Practice good oral hygiene, and visit your Uptown Dallas dentist as recommended to maintain healthy teeth and gums.

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