Posts for: May, 2015
Periodontal (gum) disease is an aggressive bacterial infection caused by built-up plaque on tooth surfaces. Gum disease results in bone loss and causes loss of attachment from the teeth, leading to eventual tooth loss.
The goal of any gum disease treatment is to remove as much plaque and calculus (hardened deposits of plaque) from the gums and teeth as possible. Scaling with special hand instruments or ultrasonic equipment is the basic technique for plaque and calculus removal above and below the gum line. As the infection spreads below the gum line, it can widen the natural gap between teeth and gums to form voids known as periodontal pockets that fill with infection. Accessing and cleaning these pockets, which can occur as deep as the tooth roots, will require more invasive procedures.
Pockets that form at a depth greater than 5 mm below the gum line will most likely require surgical access through the gum tissue. But for pockets not quite that deep there’s an intermediary technique called root planing without surgical intervention. As the name suggests, the roots are physically “planed,” much like shaving a wooden board to remove minute layers of wood.
Using similar instruments as with scaling, root planing removes calculus, bacteria and other infected matter adhering to the root surfaces. It’s best to perform the procedure with local anesthesia to numb the gum tissues, which may be quite sensitive depending on the degree of infection. Working in a pain-free environment also helps us to be as thorough as possible in detecting and removing every bit of plaque and calculus we can find.
In advanced cases, it may be necessary to perform this procedure during multiple visits. As plaque and calculus are removed the inflammation in affected tissues will begin to subside, revealing more deposits of plaque and calculus. It’s also important to begin and maintain a daily habit of effective brushing and flossing to lessen the chances of a recurring infection.
Treating gum disease is an ongoing effort that requires constant monitoring and sustained efforts to remove plaque and calculus, including root planing. Saving your teeth, however, is well worth the effort.
If you would like more information on treating periodontal disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Root Planing.”
When her daughter Ashby was born in 2007, Nancy O'Dell was overjoyed; but she found the experience of pregnancy to be anxiety-provoking. O'Dell is host of the popular entertainment news show Entertainment Tonight.
After her baby was born she compiled her memories and thoughts into a book for first-time pregnant mothers. The book, “Full of Life: Mom to Mom Tips I Wish Someone Had Told Me When I Was Pregnant,” covers a wide range of topics — including oral health during pregnancy.
“While my dental health has always been relatively normal, pregnancy did cause me some concern about my teeth and gums. With my dentist's advice and treatment, the few problems I had were minimized,” O'Dell told Dear Doctor magazine. An example of her experience is a craving for milk that started at about the time the baby's teeth began to form. She felt that her body was telling her to consume more calcium.
As often happens with pregnant mothers, she developed sensitive gums and was diagnosed with “pregnancy gingivitis,” the result of hormonal changes that increase blood flow to the gums.
“I love to smile,” said O'Dell, “and smiles are so important to set people at ease, like when you walk into a room of people you don't know. When you genuinely smile you're able to dissolve that natural wall that exists between strangers.”