Periodontal disease is treated in two ways: nonsurgical and surgical. Surgical procedures are necessary when the disease has further advanced to need a periodontal specialist skills. If a periodontist is needed, our Idaho Falls dentist can give you a referral. Below are common causes of periodontal disease, in addition to nonsurgical periodontal therapies available. If you would like more information on this topic, be sure to give our Idaho Falls dentistry a call today.
Recurring Periodontal Disease Causes:
- Lack of Plaque Control
- Deep, Inaccessible Pockets
- Poor Crown Margins
- Plaque-rententive Calculus
Causative factors contributing to the recurrent disease include deep inaccessible pockets, overhangs, poor crown margins and plaque-retentive calculus. When disease does recur, despite frequent recall, it can usually be attributed to lack of sufficient supragingival and subgingival plaque control. Other risk factors may also influence host response, such as diabetes or smoking.
Nonsurgical Periodontal Therapy
Regular home care by the patient, in addition to professional removal of subgingival plaque, is generally very effective in controlling most inflammatory periodontal diseases. In most cases, simply performing a thorough periodontal debridement under local anesthesia will stop disease progression, and result in improvement in the clinical signs and symptoms of active disease. If however, clinical signs of disease activity persist following thorough mechanical therapy, such as increased pocket depths, loss of attachment and bleeding on probing, other pharmacotherapeutic therapies should be considered.
- Regular Home Care
- Periodontal Debridement
- Mechanical Therapy
- Pharmacotherapeutic Therapies
- Augmenting Scaling & Root Planing
- Maintenance Visits & Professional Plaque Removal
- Antimicrobial Mouth Rinse & Specialized Tooth Pastes
Augmenting scaling, root planing, or maintenance visits with adjunctive chemotherapeutic agents for controlling plaque and gingivitis, could be as simple as placing the patient on an antimicrobial mouth rinse and/or toothpaste with agents such as fluorides, chlorhexidine or triclosan, to name a few. Since supragingival plaque reappears within hours or days after its removal, it is important that patients have access to effective alternative chemotherapeutic products that could help them achieve adequate supragingival plaque control. Daily home care and frequent recall are still paramount for long-term success.
Nonsurgical therapy remains the cornerstone of periodontal treatment. Attention to detail, patient compliance, and proper selection of adjunctive antimicrobial agents for sustained plaque control, are important elements in achieving successful long-term results. Frequent re-evaluation and careful monitoring allows the practitioner the opportunity to intervene early in the disease state, and to reverse or arrest the progression of periodontal disease with meticulous nonsurgical anti-infective therapy.
Periodontal diseases have a wide range of effects, and should be treated at its first signs. If you have had a periodontal disease in the past, or suspect you may currently have this condition, it is important for you to meet with your dentist to get the professional care you need. Schedule an appointment with our dentist in Idaho Falls today, or give us a call at (208) 552-0775 and we can answer any of your additional questions.