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Periodontal (gum) Treatment

Deep Scaling and Cleaning Process

1. Deep Scaling

Deep scaling is the process of removing or eliminating the etiologic agents – dental plaque, its products, and calculus – which cause inflammation, thus helping to establish a periodontium that is free of disease.

It needs to be done when inflammation and infection of gum tissue is more, causing gingivitis, periodontitis and formation of periodontal pockets. Gum disease can break down the supporting structures of the teeth (bone), so that eventually, they will become loose. The problem is that until it gets quite severe, the person often has no symptoms. Sadly, the damage to the supporting structures of the teeth is irreversible. The good news is that if gum disease is caught in time, its progression can be halted and improved upon, and that is the key.


Flap Procedure for Gum Disease

2. Flap Surgery

You may need surgery for severe gum disease (periodontitis), if it cannot be cured with antibiotics or root planing and scaling. A flap procedure cleans the roots of a tooth and repairs bone damage caused by gum disease. It prevents further deterioration of gum and bone. This treatment helps to improve health of supporting structures of teeth. Which ultimately increase the life of natural and replaced artificial teeth.


3. Flap Surgery with Bone Grafting

In some cases, irregular surfaces of the damaged bone are smoothed to limit areas where disease-causing bacteria can hide. This allows the gum tissue to better reattach to healthy bone.

In some cases, bone may be smoothed and reshaped so that plaque has fewer places to grow; and repaired (grafted) with bone from another part of the body or with man-made materials. A lining on the bone graft may be placed to help the bone grow back.