Scaling and Root Planing
non-surgical procedures
The initial stage of treatment is usually a thorough cleaning that may include scaling to remove plaque and tartar deposits beneath the gum line.
The tooth roots may also be planed to smooth the root surface allowing the gum tissue to heal and reattach to the tooth. In some cases, the occlusion (bite) may require adjustment.
Antibiotics or irrigation with anti-microbials (chemical agents or mouth rinses) may be recommended to help control the growth of bacteria that create toxins and cause periodontitis. After this phase of therapy has been completed and sufficient time for healing has elapsed, a reassessment of your condition is completed. Some patients may require no further therapy other than frequent professional cleanings.
If deep pockets remain it may not be possible to ensure the elimination of the disease without further treatment. A number of procedures are then available to ensure the restoration of health.
Bite Adjustment
A bite is considered to be healthy when all or most of the teeth are present and not destroyed by normal daily use.
It is considered destructive when teeth show unusual amounts of wear, looseness or when TMJ (jaw joint) damage is seen. Bite therapy helps restore a bite that can function without damage and destruction.
The therapy may include:
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- Reshaping the biting surfaces of the teeth and eliminating spots of excessive pressures where the teeth are brought into contact. This is done by carefully dividing bite pressures evenly across all of the teeth.
- Bite splint therapy using a custom fitted and adjusted plastic bite guard to keep the teeth apart, day, night or both.
- Braces, to reposition mal-aligned or drifted teeth.
- Replacement of old, worn out or damaged fillings.
- Reconstruction of badly worn and damaged teeth.
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