Periodontal disease is a bacterial infection of the supporting tissues of the teeth, resulting in chronically inflamed, tender, bleeding gums and destruction of the bone surrounding the teeth. If left untreated, these effects can result in tooth loss. Furthermore, recent studies have shown that periodontal disease is associated with other chronic conditions including diabetes, heart disease, rheumatoid arthritis, and stroke.
While more than half the US population has periodontal disease, most are not aware, and sadly, are not treated for this destructive disease. Similar to high blood pressure, periodontal disease is often “silent”, without any discomfort or obvious symptoms in its early stages. The good news is that periodontal disease is easy for your dentist to detect early, and if treated promptly generally has a good prognosis. At River Oaks Dental, Dr. Monteiro screens all patients at least once a year for periodontal disease by gently measuring the gums around the teeth and evaluating bone health on dental x-rays.
For more information on treatment for periodontal disease, please read below.
Scaling and Root Planing
Often referred to as “SRP” or “deep cleaning”, scaling and root planing is a procedure performed by the dentist or hygienist to thoroughly clean the teeth and roots when a patient has active periodontal disease. The goal of this treatment is to restore health to the gums by removing plaque and calculus (tartar) and eliminating the bacteria colonizing the gums, thus reducing inflammation, bleeding, and tenderness. Scaling and root planing is typically the first step in treating periodontal disease, and for many patients is the only active treatment they will need. Following the procedure, a periodontal maintenance schedule is established to ensure continued gum health.
In certain cases, antibiotic therapy, called Arestin, may be prescribed to help treat periodontal disease and aid in restoring health to the gums. Arestin is a locally applied minocycline microsphere, that is placed into the gum pocket surrounding the tooth and slowly releases antibiotics into the gums for one month. This continued fight against bacteria results in better healing than SRP alone.
Perhaps the most important component of your periodontal therapy is periodontal maintenance. It only takes 3 months for bacteria to re-colonize the gums to the point that the bone and gum destruction can begin again. Even with perfect home care, patients with a history of periodontal disease will always be susceptible. Our goal is to keep the disease in its inactive stage by regularly removing the toxic bacterial biofilm every 3 to 4 months, maintaining optimal home care complete with recommended brushing and flossing routines, and constantly monitoring the gums for changes by recording gum measurements and taking necessary x-rays as prescribed by Dr. Monteiro.