Periodontists adopt various procedures to handle patients diagnosed with periodontal disease. Periodontal disease stems from bacteria in the form of a sticky, colorless plaque that is an on-going formation on the teeth.
American Academy of Periodontology (AAP) guidelines stipulate that treatment of periodontal disease should be conducted in the most cost effective and least invasive manner. Quite often this is achieved through non-invasive techniques such as scaling and root planing.
Root planning entails a cautious cleansing of the of the root surface to remove plaque and tartar from deep periodontal pockets and to smooth the root of the tooth to eliminate bacterial toxins. This is followed by connected therapy such as local delivery antimicrobials and host modulation. Most periodontists are of the opinion, that after scaling and root planing, many patients do not require further treatment or any sort including surgery. But this is a general norm and each case has to be treated on the extent of damage from the disease. However, some would require ongoing maintenance therapy to sustain their health.
A person with periodontal disease may be asked to undergo a surgery. This will be necessary if the periodontist determines that the tissue around the teeth is unhealthy and beyond repaired. The four types of surgical treatments include Pocket Reduction Procedures, Regenerative Procedures, Crown Lengthening and Soft Tissue Grafts.
Research show that use of lasers as an adjunct to scaling and root planing improves the effectiveness of this procedure. In addition when laser therapy is applied there can be less bleeding, swelling and discomfort to the patient during a surgery.
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