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Dentistry's primary goal is to preserve your natural teeth and maintain your oral health for a lifetime. With regular dental visits and professional cleanings along with practicing conscientious oral hygiene, modern dentistry has evolved to the point that it's highly likely you can keep your natural teeth for life.
Dental care involves more than just caring for the teeth themselves. The gums and tooth-supporting bone are highly susceptible to disease and decay as well. Periodontal (gum) disease is a bacterial infection that threatens these supporting tissues, a condition that your dentist and dental hygienist are checking for during your dental visit. When signs of trouble become apparent, periodontal therapy may be suggested.
Periodontal therapy can take various forms, but the goal is always to restore diseased tissues to health. Gum disease can spread from the gums to the bone that supports the teeth, and can lead to tooth loss in severe cases. There are very effective therapies to combat this, ranging from scalings (deep cleanings) that remove plaque and calculus (tartar) from beneath the gum line, to surgical repair of lost gum and bone tissue.
Periodontal Therapy Procedures
Periodontal therapy includes both surgical and non-surgical techniques to restore health to the tissues that support the teeth (gums and bone) and prevent tooth loss. They include:
- Scaling and Root Planing. These deep-cleaning techniques are the best starting point to control gum disease. Plaque and calculus (tartar) are removed from beneath the gum tissues, using hand scalers and/or ultrasonic instruments.
- Gum Grafting. Sometimes it's necessary to replace areas of lost gum tissue so that tooth roots are adequately protected. This can be accomplished by taking healthy gum tissue from one area of the mouth and moving it to where it is needed, or by using laboratory-processed donor tissue.
- Periodontal Plastic Surgery. When used to describe surgery, the word “plastic” refers to any reshaping procedure that creates a more pleasing appearance of the gum tissues.
- Periodontal Laser Treatment. Removing diseased gum tissue with lasers can offer significant advantages over conventional surgery, such as less discomfort and gum shrinkage.
- Crown Lengthening Surgery. This is a surgical procedure in which tooth structure that is covered by gum and bone tissue may need to be exposed either for cosmetic reasons (too make the teeth look longer and the smile less gummy) or to aid in securing a new dental crown.
- Dental Implants. When a tooth is lost, it can be replaced with a titanium dental implant, which is placed beneath the gum line and into the jawbone during a minor surgical procedure. The implant is then attached to a realistic-looking dental crown that is visible above the gum line and indistinguishable from a natural tooth.
Your Role in Periodontal Health
Dental plaque is the main cause of periodontal disease, so it's essential to remove it every day with effective brushing and flossing. This doesn't mean scrubbing, which can actually cause your gums to recede! Our dentist and dental hygienists would be happy to demonstrate the proper techniques so that you are brushing safely and effectively.
Even with the most conscientious oral hygiene, there are areas of the mouth that a toothbrush and floss just can't reach. That's why it's so important to visit your dentist for regular professional cleanings. Your regular dental exam is also the time when early signs of gum disease can be detected — before they become apparent even to you.
Eating a nutritious diet low in sugar, and abstaining from tobacco in all forms will also increase your periodontal health — and your chances of keeping your teeth for life.