Scaling and root planing (deep cleaning) is a professional cleaning of teeth done to remove the plaque and tartar accumulation in the periodontal pockets. This treatment is a more in depth cleaning than a regular cleaning and usually requires a few appointments. For your comfort, this is performed under local anaesthesia. Also, for an optimal result, personalized oral hygiene instructions and tools adapted to your needs will be shown. Finally, some following treatments may be required to control or eliminate risk factor like:
Following the treatment, the discomfort is usually minimal. Teeth might be sensitive to cold and may last a few weeks. It is easy to fix with toothpaste for sensitive teeth.
Between 6 and 8 weeks after the non surgical-therapy is completed, we will re-examine your gums in order to evaluate the healing that has occurred. Normally, there is a decrease of periodontal pockets and bleeding. However, surgical therapies may be necessary if the periodontal pockets are still deep.
N.B. This important phase is to confirm the short term improvement in your periodontal condition and to determine the long term potential that can be achieved with further treatments.
At a re-evaluation, it is possible to observe a persistence of one or many « periodontal pockets ». Periodontal surgeries will be recommended if it’s likely to improve the long term stability of the gum condition.
N.B. Eliminating bacteria (dental plaque and tartar) alone may not be sufficient to prevent disease recurrence. Reducing depth pocket and eliminating existing bacteria are important to prevent damage caused by the progression of periodontal disease and to help you maintain a healthy smile. Deeper pockets are more difficult for you and your dental care professional to clean, which makes it more difficult to maintain a periodontal and overall health. That’s why it is so important to reduce them.
The periodontal surgery is a minor surgery consisting of folding back the gum tissue and removing the plaque and tartar that wasn’t removed completely during the non-surgical therapy. At the same time, it will reduce the depth of pockets by removing excess tissue.
Guided tissue regeneration
Guided tissue regeneration is used to reduce the destructive effects of periodontal disease.
(Bone lost= bone defect = periodontal pocket)
A guided tissue regeneration can correct a bone defect* by using regenerative bone materials. They encourage your own bone to grow in order to allow revitalization of the bone and the periodontal ligament, thus reducing the bone defects and the « periodontal pocket ».
*A vertical bone defect only.
Periodontal diseases are chronic diseases, just like diabetes. To properly control the disease, it is essential to control risk factors. As studies show, the plaque is the main cause of periodontal disease and is harmful only 9 at 11 weeks after the "cleaning". It is essential to a establish a follow up every 3 or 4 months to remove the plaque. It is preferable for the goal of achieving periodontal health stability, have good daily oral hygiene habits thus eliminating aggravating factors such as smoking, uncontrolled diabetes, the stress, etc.