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A Comprehensive Guide to Periodontal Treatments: Understanding the Ten Types

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By Vitality Dental - Dentist Plano | March 29, 2023

Are you tired of dealing with the discomfort and pain caused by gum disease? Do you want to learn more about the different types of periodontal treatments available to restore your oral health and prevent further damage? Look no further! In this comprehensive guide, we will explore the most common periodontal treatments, from professional cleanings to surgical interventions. Whether you’re a dental professional or simply looking for ways to improve your oral hygiene routine, this article has something for everyone. So sit back, relax, and let’s dive into the world of periodontal care!

Introduction to Periodontal Treatments

Your teeth are meant to last a lifetime, but poor oral hygiene can lead to gum disease, which can in turn lead to tooth loss. Periodontal treatments are designed to treat and prevent gum disease, and they can range from simple at-home care to more complex procedures performed by a dentist or periodontist.

The first step in any periodontal treatment plan is a thorough cleaning of the teeth and gums. This may be done with a manual toothbrush and floss, or with an electric toothbrush and water flosser. A professional dental cleaning will remove plaque and tartar from the teeth and gums, which can help reduce inflammation and prevent further damage.

If your gum disease is more advanced, you may need additional treatments to help control the infection and promote healing. These may include antibiotics, antiseptic mouth rinses, laser therapy, or surgery. Your dentist will work with you to create a treatment plan that is right for you.

Types of Periodontal Treatments

There are several periodontal treatments available to manage the disease and prevent further damage to the teeth and gums. Here are ten types of periodontal treatments and their uses:

1. Scaling and Root Planing

Scaling and root planing is one of the most common periodontal treatments. It involves the removal of plaque and tartar from the teeth and roots, as well as smoothing out any rough spots on the roots to prevent further buildup. This treatment can be done in a single visit or may require multiple appointments, depending on the severity of the case.

2. Laser Therapy

Laser therapy has several applications in dentistry, including treating gum disease, cavities, teeth whitening, and biopsies. Laser therapy provides a less invasive and more precise alternative to traditional dental procedures, resulting in faster healing and reduced discomfort for patients. It’s essential to consult with a dental professional to determine the suitability of laser therapy for your specific dental condition.

3. Antibiotic Therapy

There are many different types of antibiotic therapy available for treating periodontal disease. The most common type of antibiotic therapy is penicillin. Other types of antibiotic therapy include tetracycline, erythromycin, and clindamycin. Antibiotic therapy is usually combined with other forms of treatment, such as scaling and root planing, to achieve the best results.

4. Soft Tissue Grafts

When it comes to periodontal treatments, soft tissue grafts are often used to help improve the overall health of the gums. This type of procedure is typically used when there is a loss of gum tissue due to periodontal disease or other factors. During a soft tissue graft, a small piece of gum tissue is taken from another area of the mouth and grafted onto the affected area. This can help to cover exposed roots, reduce sensitivity, and improve the overall appearance of the gums.

5. Bone Grafts

Bone grafting is a common periodontal treatment that is used to treat bone loss around the teeth. There are many different types of bone grafts, and the type that is used will depend on the severity of the bone loss. The most common type of bone graft is an autogenous bone graft, which uses bone from another area of the patient’s body to fill in the missing bone around the teeth. Other types of bone grafts include allografts, which use donor tissue, and synthetic bone grafts, which use man-made materials.

6. Guided Tissue Regeneration

Guided tissue regeneration (GTR) is a technique used to encourage the regeneration of lost periodontal tissues. GTR involves the placement of a barrier membrane below the gum line to prevent the migration of epithelial cells and promote the growth of new periodontal ligament cells. This technique can be used to treat areas of bone loss, root resorption, and soft tissue defects.

7. Crown Lengthening Surgery

Crown lengthening surgery involves the removal of gum tissue, bone, or both to expose a greater amount of tooth structure. This procedure is often performed to improve the aesthetics of a smile or to prepare a tooth for restoration. Crown lengthening can also be used to treat periodontal disease. 

Crown lengthening surgery is typically performed using local anesthesia. The first step is to make incisions in the gingival tissue (gums) to expose the bone. Next, the surgeon will remove any excess bone or gum tissue. The final step is to close the incisions with sutures. 

After crown lengthening surgery, patients can expect some discomfort and swelling. These symptoms can be alleviated with over-the-counter pain medication. It is important to avoid hard and crunchy foods immediately following surgery. Patients should also brush and floss carefully around the surgical site to prevent infection. 

8. Frenectomy

A frenectomy is a procedure to remove a frenum, which is a small fold of tissue that connects the lips or tongue to the gums. Frenectomies are performed when the frenum is causing problems such as gum recession, tooth crowding, or difficulty breastfeeding. The procedure is typically quick and easy, and recovery is usually fairly straightforward.

9. Gingivectomy/Gingivoplasty

A gingivectomy is a procedure to remove diseased or excess gum tissue. This can be done for cosmetic reasons, to improve oral hygiene, or to prepare the mouth for dentures or other prosthetic devices. A gingivoplasty is similar but is performed to reshape the gums rather than remove them.

Both procedures are typically performed using a scalpel or laser. The area is numbed with local anesthesia before treatment begins. In some cases, sedation may also be used. Recovery from a gingivectomy or gingivoplasty takes a few days, during which time you may experience some soreness and swelling. Your dentist will give you specific instructions on how to care for your mouth after the procedure.

10. Implant Surgery

Implant surgery is a type of periodontal treatment that involves the placement of artificial teeth roots into the jawbone. This surgery is often used to replace one or more missing teeth. It can also be used to support a dental prosthesis, such as a denture or bridge.

The first step in implant surgery is to place titanium screws into the jawbone. These screws will serve as the artificial roots of the new teeth. Once the screws have been placed, the surgeon will then attach artificial teeth to them. In some cases, implant surgery can be done in one visit. However, in most cases, it will take two or more visits to complete the procedure.

Source: LM-Dental

In conclusion, periodontal disease can lead to serious health problems if left untreated. Fortunately, there are several effective treatment options available for patients. The choice of treatment will depend on the severity of the condition and the individual needs of the patient. It’s important to consult with a dental professional to determine the best treatment plan for your specific case. By taking the necessary steps to treat periodontal disease, patients can maintain healthy gums and teeth and prevent further health complications.