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- First procedure in discovering gum disease
- Pocket depths 1 to 3 mm are usually within normal limits
- Pocket depts 4 mm and larger are a sign of potential gum disease
- No matter what pocket measurement is present, bleeding apon probing is a sign of active gum disease
- Accurate gingival probing can only be done when there is no calculus (tartar ) present under the gums.
Other signs of gum disease
- Gingival recession can be an indication of gingivitis
- Gingival recession can also be do to bone loss which can be a sign of a more serious gum disease, periodontitis
- Gingival recession can also be caused by improper brushing technique
- Gingival recession can be caused by extreme tooth movement
What if calculus is present on my teeth?
Treatment of periodontal disease
- Ultrasonic removal of gross calculus deposits from around the crown and roots of teeth
- Allows for the beginning stages of healing to occur in patients with gum disease by removing large areas of hard infected tissue above and below the gumline
- Greatly improves the accuracy of gingival probing
Scaling and root planing
- Total removal of calculus from the roots of teeth including deposits far under the gum line
- This procedure is most often done by anesthetizing the gums
- Once infection has been removed healing can then begin
- Antimicrobial rinses and antibiotics are sometimes used treating the infection.
And in more severe cases of periodontal disease
- Osseous surgery is done to eliminate very deep pockets within the bone where harmful bacteria live
- Reshaping of the bone results in immediate shrinkage of the pockets to allow faster healing of both the bone and the gums.