Scaling and Root Planing
Scaling and Root Planing Overview
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The initial stage of treatment is usually a thorough cleaning that may include scaling to remove plaque and tartar deposits beneath the gum line.
The tooth roots may also be planed to smooth the root surface allowing the gum tissue to heal and reattach to the tooth. In some cases, the occlusion (bite) may require adjustment.
Antibiotics or irrigation with anti-microbials (chemical agents or mouth rinses) may be recommended to help control the growth of bacteria that create toxins and cause periodontitis. In some cases, Dr. Fuentes may place antibiotic fibers in the periodontal pockets after scaling and planing. This may be done to control infection and to encourage normal healing.
When deep pockets between teeth and gums are present, it is difficult for Dr. Fuentes to thoroughly remove plaque and tartar. Patients can seldom, if ever, keep these pockets clean and free of plaque. Consequently, surgery may be needed to restore periodontal health.
The Perioscope
This cutting edge technology offers an innovative opportunity for the non-surgical assessment of dental and periodontal conditions.
The perioscope is an endoscope specifically designed to aid in the exploration of the space underneath the gum line. By guiding a (tiny) camera on a narrowly tipped instrument into the space between the gum and the root surface of the tooth, a picture of the periodontal pocket and root surface is generated.
Perioscopy is a non-invasive alternative for isolated defects. It does not replace surgical therapy
Laser Pocket Decontamination
Following scaling/root planning a diode laser is used to further reduce harmful periodontal disease bacteria. This additional procedure maximizes nonsurgical treatment outcome.
Reevaluation of Scaling and Root Planing
Arguably, the most important part of scaling/root planning is reevaluation. Further surgical treatment may be indicated to correct the disease present. Patients can seldom, if ever, keep these pockets clean and free of plaque. Consequently, the purpose of surgery is to restore periodontal health.