Treatment for periodontal disease depends on its type and severity. Your dentist and dental hygienist will assess your condition and recommend the appropriate care.
Periodontal disease progresses when the sulcus—the pocket between the tooth and gums—fills with bacteria, plaque, and tartar. These irritants inflame the surrounding tissues, potentially damaging the gums and, over time, the bone supporting the teeth.
Early Stage (Gingivitis):
If detected early and no damage has occurred, one or two professional cleanings may be recommended. You will also receive guidance on improving daily oral hygiene and maintaining regular dental visits.
Advanced Stage (Periodontitis):
For more advanced disease, a deep cleaning called scaling and root planing may be required. This procedure is usually performed one quadrant at a time under local anesthesia. Tartar, plaque, and toxins are removed from above and below the gum line (scaling), and rough spots on the tooth roots are smoothed (root planing). This allows the gums to heal and pockets to shrink. Additional recommendations may include medications, medicated mouth rinses, and the use of an electric toothbrush to aid infection control and healing.
If Deep Cleaning Is Not Enough:
If pockets do not heal after scaling and root planing, periodontal surgery may be necessary to reduce pocket depths and make teeth easier to clean. In some cases, referral to a periodontist—a gum and supporting bone specialist—may be recommended.