Periodontic Treatment at Torgersen Dental, Camarillo & Simi Valley

Periodontal treatment is performed when a patient has gum disease. This disease is caused by plaque and tartar, which are particles and residue that harbor bacteria, that build up on teeth. When bacteria causes inflammation or an infection it is called Gingivitis.

In More Details...

There are variety of treatments for gum disease depending on the stage of disease, how you may have responded to earlier treatments, and your overall health.

Treatments range from nonsurgical therapies that control bacterial growth to surgery to restore supportive tissues.

Non-surgical Treatments for Gum Disease

Treatments for gum disease that don't involve surgery include:

• Professional dental cleaning: During a typical teeth cleaning appointment, Dr. Trent or Gina Torgersen will remove the plaque and tartar (plaque that builds up and hardens on the tooth surface and can only be removed with professional cleaning) from above and below the gum line of all your teeth. If you have some signs of gum disease, Dr. Trent or Gina Torgersen may recommend professional dental cleaning more than twice-a-year.
• Scaling and root planing: This is a deep-cleaning, nonsurgical procedure, done under a local anesthetic, whereby plaque and tartar from above and below the gum line are scraped away (scaling) and rough spots on the tooth root are made smooth (planing). Smoothing the rough spots removes bacteria and provides a clean surface for the gums to reattach to the teeth. Scaling and root planing is done if Dr. Trent or Gina Torgersen determines that you have plaque and calculus (hardened plaque, also called tartar) under the gums that needs to be removed.

Surgical Treatments for Gum Disease

Examples of surgical treatments for gum disease, (usually referred to a Periodontal specialist):

• Flap surgery/pocket reduction surgery: During this procedure the gums are lifted back and the tarter is removed. In some cases, irregular surfaces of the damaged bone are smoothed to limit areas where disease-causing bacteria can hide. The gums are then placed so that the tissue fits snugly around the tooth. This method reduces the depth of the space between the gums and tooth, thereby decreasing the areas where harmful bacteria can grow and decreasing the chance of serious health problems associated with periodontal disease.
• Bone Grafts : Involves using fragments of your own bone, synthetic bone, or donated bone to replace bone destroyed by gum disease. The grafts serve as a platform for the regrowth of bone, which restores stability to teeth. New technology, called tissue engineering, encourages your own body to regenerate bone and tissue at an accelerated rate.
• Soft Tissue Grafts :This procedure reinforces thin gums or fills in places where gums have receded. Grafted tissue, most often taken from the roof of the mouth, is stitched in place, adding tissue to the affected area.
• Guided Tissue Regeneration : Performed when the bone supporting your teeth has been destroyed, this procedure stimulates bone and gum tissue growth. Done in combination with flap surgery, a small piece of mesh-like fabric is inserted between the bone and gum tissue. This keeps the gum tissue from growing into the area where the bone should be, allowing the bone and connective tissue to regrow to better support the teeth.
• Bone Surgery : Smoothes shallow craters in the bone due to moderate and advanced bone loss. Following flap surgery, the bone around the tooth is reshaped to decrease the craters. This makes it harder for bacteria to collect and grow. In some patients, the nonsurgical procedure of scaling and root planing is all that is needed to treat gum diseases. Surgery is needed when the tissue around your teeth is unhealthy and cannot be repaired with nonsurgical options.
  

Drugs Used to Treat Gum Disease

Antibiotic treatments can be used either in combination with surgery and other therapies, or alone, to reduce or temporarily eliminate the bacteria associated with gum disease or suppress the destruction of the tooth's attachment to the bone.

Chlorhexidine : (marketed as the prescription-only brands Peridex, PerioChip, PerioGard, and by numerous other over-the-counter trade names) is an antimicrobial used to control plaque in periodontal pockets and gingivitis.

In our office we also have Arestin® and Atridox® available for our patients.

Arestin or Atridox are an effective antibiotics placed inside infected areas - or "periodontal pockets" in your gums. They are aplied right after the dental professional finishes the scaling and root planing (SRP) procedure, the dental procedure that disrupts stubborn plaque and bacteria below your gumline. The Arestin and Atridox microspheres gradually release minocycline, an antibiotic which kills bacteria that cause periodontal infection, inflammation and bleeding. Arestin and Atridox start working quickly and keep fighting bacteria long after you leave our office.

These medications provide significantly better results than SRP alone for up to 90 days.

Are Special Preparations Needed Before Treatment for Gum Disease?

Dr. Trent and Gina Torgersen will be able to perform most procedures in their office. The time needed to perform the procedure, your degree of discomfort, and time needed to heal will vary from patient to patient depending on the type and extent of the procedure and your overall health. Local anesthesia to numb the treatment area may be given before some treatments. If necessary, a medication may be given to help you relax.

Call for your appointment today!