Non-Surgical Periodontal Procedures
Scaling and Root Planing
Treatment methods in periodontics depend upon the type of disease and how far the condition has progressed. The emphasis in Dr. Gouldin’s practice is conservative periodontal therapy. Many times, the early stages of periodontal disease are best treated with non-surgical periodontal therapy. This usually consists of good oral hygiene training, scaling and root planing and irrigation with medication, and, if needed, antibiotic therapy. Scaling and root planing is done under local anesthesia and involves the use of special instruments which go beneath the gum line to effectively remove calculus, debris and necrotic root surface. These procedures are often performed by our hygienist. 4 to 6 weeks or later, the areas are reevaluated for changes such as decreased bleeding and probing depth reduction.
Even in the most severe cases of periodontal disease, non-surgical periodontal therapy often precedes surgical therapy. This sequence is followed so that the overall tissue quality is improved prior to surgery, and to limit the areas which require surgery.
When deep pockets between teeth and gums are present, it is difficult for Dr. Gouldin, your restorative dentist, your hygienist or you to thoroughly remove plaque and tartar. Patients can seldom, if ever, keep these pockets clean and free of plaque. Consequently, surgery may be needed to restore periodontal health if non-surgical treatments are not entirely effective.
Initial Photo 1 year
5 Years
Restorative Dentist: Dr. Mark Miller. Click here to visit Dr. Miller's website