People with gum disease have questions and want answers that Long Island implant dentists, who also do dental implants in Long Island, can give them. They need to know very well what treatment methods are available and the advantages and disadvantages of each. No one wants gum surgery but also nobody wants to lose their teeth. For many years this was the decision people faced. That’s why we are on a quest to tell others about laser periodontal therapy and also to help individuals know if this is an option they must take into consideration.
There are many methods of curing gum disease. A few are a lot more effective in shallow pockets (4-5mm) while some are indicated in bigger budgets. Common to all of the methods is that nothing is 100% effective. All the methods require that individuals clean their teeth every day and have dental cleanings at regular intervals (often every 3-6 months as determined by your dentist.)
Scaling as well as Root Planing
? The teeth roots are scraped using curettes as well as ultrasonic devices to lessen the bacteria and also tartar from the roots.
? Can certainly expect 1mm pocket reduction, at times up to 2mm.
? Extremely inflamed tissue tends to respond a lot better than fibrotic tissue.
? Often 1-2 visits spanning a week or so.
Pros
• Old-fashioned.
• Little cost and time.
• Most effective if pockets are in the 4-5mm range.
• Great solution for early periodontitis.
Cons
• Depending on the skill of the therapist.
• Expect decline of 1-2mm in swollen tissue.
• Doesn’t naturally reduce pockets over 5mm.
Local drug delivery
? Time release antibiotic is placed into pockets in order to reduce bacteria.
? Done as adjunct to root planing or perhaps in place of root planning.
Pros
• Hasn’t been shown to be harmful or to cause antibiotic resistance.
• Simple to use; takes only a few minutes to apply.
Cons
• No data showing long-term results.
• Often, it doesn’t result in pocket depth reduction more than scaling and root planing alone.
• Could be pricey; not practical to treat numerous areas in one mouth.
• No bone regeneration occurs.
Perioscopy
? Utilizes a fiber optic cable as well as camera to view under the gum.
? Root surface is zoomed 48 times.
? Gives great capability to see root surface and remove plaque and tartar.
Pros
• Traditional.
• Excellent capability to clean root.
• Great pocket reduction on one rooted teeth.
Cons
• Cumbersome: One particular tooth could take over one hour.
• Unpredictable pocket reduction on molars.
• Zero bone regeneration.
• Could have a lot of recession and root sensitivity.
• Not practical for a mouthful of pockets.
Periodontal flap surgery
? Gums are raised off the tooth and bone to show the root. This permits the surgeon to visualize the root, clean it and where possible regenerate or reshape the bone.
Pros
• Great access to clean the root as well as reduce pockets.
• Can provide bone regeneration or bone can be reshaped to lessen pockets.
• Numerous studies demonstrate its success when done with right maintenance.
• Practical for the treatment of many teeth.
Cons
• Teeth usually have recession and cold sensitivity following surgery.
• Shrinking of the gum between the teeth can lead to food getting stuck between teeth.
• Dietary limitations while healing.
• Many individuals find the thought of having gum surgery both highly invasive and scary.
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