In some simple cases, we can solve the problem ourselves. You have to brush your teeth more frequently and use use an antiseptic mouthwash and dental floss. It is advisable to visit the dentist to perform scaling that can complete the appropriate daily tooth treatment.
In more serious cases, we must consult a dentist specialized in gum treatments, the periodontist who will perform a more serious intervention. When the bacterial infection results in a gum recession or loss of bone, the special treatment is unavoidable.
- The periodontist examines the radio and evaluates the state of the inflammation.
- He/she performs professional tooth cleaning and gives you oral hygiene advices.
- If the previous step does not seem to solve the problem, the periodontist cleans the inflamed periodontal pocket using a specific instrument that allows to “lift” the gum in order to reach the bottom of periodontal pockets contaminated by bacteria, and also removes the accumulated tartar, before desinfecting the area.
- In more advanced cases, the periodontist cuts the inflamed tissue for cleaning. Bone graft and/or gingival graft might be necessary in some cases.
Closed dental curettage
The periodontal pocket measuring less than 5 mm is treated under local anesthesia. Plaque, tartar and diseased tissue are cleaned under the gum. Then we apply an irrigation of the pockets with antiseptics. In most cases, the gingiva reapplies on the roots within 3-4 weeks after treatment. If not, we must redo the treatment to reach the finalize the process.
Open dental curettage
If the periodontal pocket is deeper than 5 mm, the gingiva is opened and spread in order to apply a thorough cleaning to the area, then the gingiva is closed with sutures. This is also done under local anesthesia. Follow your dentist’s recommended schedule for regular checkups to ensure the good condition of the tissue. The eventual gingival recession is normal, it is a sign of healing. Gingival graft may be applied if necessary.