Treatment of periodontal disease

Coronavirus COVID-19

Coronavirus COVID-19 find out more  

First Phase: The first phase will be dealing with dental emergencies only. So if you are experiencing dental pain, please call the practice and they will do their best to get you an appointment or give you advice which will help. We expect to be very busy, so please be patient with us

 

New patient?

We are currently prioritising our existing patients and are  currently only taking on new private patients 

Tips to help manage dental problems until you can see a dentist:

Click on the following link Managing Toothache at Home (pdf document)

 

How is periodontal disease measured?

Periodontal disease is measured using a periodontal probe. This is a blunt ended instrument used to assess the depth and width of any pockets between your gum and tooth. Periodontal disease is diagnosed if:

  1. Pockets are 5mm or deeper.
  2. Pockets bleed during careful assessment. This is a sign of active infection.

Treatment of gingivitis is usually completed by scaling your teeth, oral hygiene advice and tooth brushing instructions.

Regular appointments to ensure effective plaque removal and healthy gums will follow this appointment.

Once periodontitis has begun to progress the treatment is as follows:

  • Full mouth root planing and removal of plaque retaining factors. This involves scaling the roots of all your teeth, usually completed using local anaesthetic. Your dentist and hygienist may also decide to use antibiotics in any infected pockets at this stage. Any obvious plaque retaining factors are removed to allow easier plaque removal. Tooth brushing instruction and inter dental cleaning are demonstrated. This usually involves 4-5 half hour visits with your hygienist.
  • This will be followed with a review appointment. After full mouth root planning your teeth and gums are reassessed six weeks after full mouth root planing. If there is any persistent bleeding, either with tooth brushing or probing, or any pockets 5mm or deeper, further treatment will be recommended.
  • In exceptional cases where your gum condition is failing to stabilise, your dentist may recommend that you see a periodontist.