Non-Surgical Periodontal Treatment

Gum disease.Periodontal (gum) disease is an infection caused by bacterial plaque, a thin, sticky layer of microorganisms (called a biofilm) that collects at the gum line in the absence of effective daily oral hygiene. Left for long periods of time, plaque will cause inflammation that can gradually separate the gums from the teeth — forming little spaces that are referred to as “periodontal pockets.” The pockets offer a sheltered environment for the disease-causing (pathogenic) bacteria to reproduce. If the infection remains untreated, it can spread from the gum tissues into the bone that supports the teeth. Should this happen, your teeth may loosen and eventually be lost.

When treating gum disease, it is often best to begin with a non-surgical approach consisting of one or more of the following:

  • Scaling and Root Planing. An important goal in the treatment of gum disease is to rid the teeth and gums of pathogenic bacteria and the toxins they produce, which may become incorporated into the root surface of the teeth. This is done with a deep-cleaning procedure called scaling and root planing (or root debridement). Scaling involves removing plaque and hard deposits (calculus or tartar) from the surface of the teeth, both above and below the gum line. Root planing is the smoothing of the tooth-root surfaces, making them more difficult for bacteria to adhere to.
  • Antibiotics/Antimicrobials. As gum disease progresses, periodontal pockets and bone loss can result in the formation of tiny, hard to reach areas that are difficult to clean with handheld instruments. Sometimes it's best to try to disinfect these relatively inaccessible places with a prescription antimicrobial rinse (usually containing chlorhexidine), or even a topical antibiotic (such as tetracycline or doxycyline) applied directly to the affected areas. These are used only on a short-term basis, because it isn't desirable to suppress beneficial types of oral bacteria.
  • Bite Adjustment. If some of your teeth are loose, they may need to be protected from the stresses of biting and chewing — particularly if you have teeth-grinding or clenching habits. For example, it is possible to carefully reshape minute amounts of tooth surface enamel to change the way upper and lower teeth contact each other, thus lessening the force and reducing their mobility. It's also possible to join your teeth together with a small metal or plastic brace so that they can support each other, and/or to provide you with a bite guard to wear when you are most likely to grind or clench you teeth.
  • Oral Hygiene. Since dental plaque is the main cause of periodontal disease, it's essential to remove it on a daily basis. That means you will play a large role in keeping your mouth disease-free. You will be instructed in the most effective brushing and flossing techniques, and given recommendations for products that you should use at home. Then you'll be encouraged to keep up the routine daily. Becoming an active participant in your own care is the best way to ensure your periodontal treatment succeeds. And while you're focusing on your oral health, remember that giving up smoking helps not just your mouth, but your whole body.

Often, nonsurgical treatment is enough to control a periodontal infection, restore oral tissues to good health, and tighten loose teeth. At that point, keeping up your oral hygiene routine at home and having regular checkups and cleanings at the dental office will give you the best chance to remain disease-free.

Related Articles

Periodontal (Gum) Disease - Dear Doctor Magazine

Understanding Gum (Periodontal) Disease Have your gums ever bled when you brushed or flossed? This most commonly overlooked simple sign may be the start of a silent progressive disease leading to tooth loss. Learn what you can do to prevent this problem and keep your teeth for life... Read Article

Periodontal Disease - Dear Doctor Magazine

Treating Difficult Areas Of Periodontal Disease Local antimicrobial or antibiotic therapy is sometimes used to treat difficult areas of periodontal (gum) disease. However, it is important to realize that while periodontal disease is a bacterially induced and sustained disease, mechanical cleaning to reduce bacteria is the best and most often used treatment... Read Article

Contact Us

Send us an Email Today!

Testimonials

Read what our clients says about us.

  • "Great experience every time I visit. They are honest and want to address all concerns. The staff is phenomenal!!"
    Chris Montoya
  • "Can't recommend this place enough! Dr Haddad is very knowledgeable and straightforward, and the staff are incredibly friendly and helpful. Everything is transparent in terms of insurance, pricing, and scheduling. If you need dental care I would look no further than this office!"
    Wilson Chung
  • "AWESOME AWESOME AWESOME"
    damond Benjamin
  • "Great service and great people. Very friendly and professional. Always have a good experience with them. Would highly recommend them."
    Matt Schmid
  • "Very caring staff to girls like me who are terrified of going to the “dentist”."
    Marilynn Easterday
  • "Dr. Haddad, Hygentist and office staff are wonderful. I trust this dentist. He is kind and very knowledgeable."
    Cindy Caucci
  • "Great dentist, strongly recommend. I will never change doctors now. Found the first dentist to make cavity removal painless and FAST!"
    Alex Cas
  • "Great staff and experience each visit!"
    Nick Hussey
  • "Extremely kind staff that makes you feel welcome! A great "going to the dentist" experience."
    Kellie McCarty
  • "The dentist is great and makes you feel confident with his quality of work. The staff are the great !!!!My son doesn’t have a phobia anymore of going to the dentist. Definitely recommend this office."
    Korea Corley
  • "I've been seeing Dr. Haddad for many years and after a short split due to insurance reasons, I have returned. My experience has always been great and his work cannot be compared to others. He is hands down the best dentist in the area. I must add that the staff is always friendly and helpful, too."
    Danielle B
  • "Always a great experience. Timely, professional, knowledgeable, and friendly staff. You could not ask for a better dental experience!"
    David C.

Our Location

Find us on the map

Hours of Operation

Our Regular Schedule

Office Hours

Monday:

8:30 am-5:00 pm

Tuesday:

1:00 pm-8:00 pm

Wednesday:

11:00 am-5:00 pm

Thursday:

8:30 am-6:00 pm

Friday:

9:00 am-2:00 pm

Saturday:

Closed

Sunday:

Closed