Treating Periodontal Disease
Gingivitis, or mild gum disease, can usually be treated non-surgically, especially if caught early. The signs generally include red, swollen or tender gums, gums that bleed, bad breath and receding gums. It's possible in the early stages, however, you may not notice any symptoms. At MD Periodontics, we have two of the best periodontists Los Angeles has available. Along with our dental team, they routinely and successfully help patients eliminate gum disease, both in the early stages as well as more advanced inflammation, called periodontitis.
Scaling and Root Planing for Mild to Moderate Gum Disease
Once detected, and depending on the extent of the inflammation, we generally employ the least invasive treatment options at first. This usually entails scaling and root planing. Scaling is the process of removing tartar (hardened plaque) and bacteria from the surface of the teeth as well as below the gum line. Planing is the process of smoothing the root surface of the tooth (below the gum line).
We start by numbing the areas that are affected, using a local anesthetic. Then we perform scaling and planing using both hand and powered instruments. This procedure removes the infection-causing toxins from the tooth root below the gum line and inhibits future bacteria from adhering to the smooth surfaces.
Surgical Treatment for Advanced Gum Disease
An infection that is more serious may require flap surgery. In this procedure, small cuts in the numbed gum allow it to be pulled back to expose the tooth root. Scaling and planing is then completed. Sometimes bone defects are found, caused by the infection. If so, we will recontour the bone, then suture the gums back in place for healing.
Depending upon what's needed, a patient may require soft tissue grafts and/or bone grafts in order to obtain optimum results. Gum recession is a result of periodontitis, where the gums begin to shrink and pull away from the teeth, exposing the tooth root. When needed, a soft tissue graft is done by taking a small section of tissue from the roof of the mouth or from another source, which is then attached to the area that needs reinforcement. This serves to stop the gum from receding and keep the root from being exposed.
A more severe case of periodontal disease can also start destroying bone around the tooth. Eventually it won't be able to hold the tooth any longer. The gum is cut and pulled back to expose the tooth, and scaling and planing is done. Then bone grafting material is inserted where it's needed, and the gums are sutured closed. This will provide a stronger foundation for the tooth as well as regenerate new bone.
Board-Certified Periodontists | Los Angeles
Our periodontists, Dr. Abdy Moshrefi and Dr. Nazanin Daneshmand, are board-certified specialists. They have been providing outstanding results in treating gum disease for many years. As two of the best periodontists Los Angeles has to offer, they and the entire team at MD Periodontics are here to give you the healthy oral care you seek.
If another doctor referred you, rest assured we work closely to coordinate all dental work with the referring doctor. If you come to us without a referral, we will work with you to be sure you are getting what you want as well as need. We want you to feel comfortable and that all your questions are answered. Our ultimate goal is to give you the best periodontal service possible, and that you will be proud to show off your smile when you have completed your treatment plan.