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Roslyn Heights ❘ (516) 740-1848

Manhattan ❘ (212) 355-3944
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Periodontal Treatment
Illustration of a tooth with periodontal disease, in need of scaling and root planing, at dentist office in Roslyn Heights, NY.Periodontal or gum disease is an infection of the gums that in its initial stages result in the inflammation of gums, but can progress to serious bone damage in the mouth and eventual loss of your natural teeth.

At Edward I. Jutkowitz, D.M.D., P.C. - Periodontics and Implantology, we have effective treatment options to fight your gum disease.

What Causes Periodontal Disease?


Every time you eat or drink something, the surfaces of your teeth form a yellowish biofilm known as plaque. This plaque is what gives your teeth a gritty texture, makes then yellow, and result in bad breath. Worse, it produces acid that can eat the enamel of your teeth, resulting in cavities, and causes gum disease. If you observe excellent oral care regimen at home and keep your six-monthly dental appointments, then plaque cannot accumulate on your teeth. However, if you do not, plaque will harden to calculus and it will not be removed by brushing at home alone.

When calculus accumulates, it can cause periodontal or gum disease. The early stage of gum disease is gingivitis and at this stage, the damage to the soft tissues of the mouth is minimal. If you get your teeth cleaned at this point, you can reverse the damage. However, if you allow the disease to progress, it will turn to periodontitis. Symptoms of periodontitis include:
•  Inflammation and tenderness of the gums.
•  Bleeding gums when brushing
•  Halitosis or bad breath.
•  Pus between gums
•  Dark or black gums.
•  Necrosis of the gums, alveolar ridge, and the tissues supporting the teeth.
•  Loss of teeth.

As you can see, the damage from advanced periodontitis is irreversible. Once your tooth is lost, nothing can bring it back. That is why, Dr. Jutkowitz advise you to seek treatment as soon as you notice any of the above issues in your mouth.

Treatment of Periodontal Disease


If you have active periodontitis, regular dental cleaning may not be enough to eliminate it. For this, we will need to follow a periodontal maintenance plan that requires more in-depth cleaning of bacteria and the infection.

Scaling and Root Planing


To treat periodontal disease, you will need to remove the hardened calculus from the teeth and gums. We will use a pointed tooth known as scalers to scratch away the plaque on and between your teeth and beneath the gumline. We may also use an ultrasonic device which will send vibrating shockwaves that can dislodge particles of calculus and make your teeth a hostile environment for bacterial growth.
Once all the calculus has been removed from your teeth, we will smooth down your exposed tooth root so that bacteria may not be able to stick to your teeth. This is known as root planing.
Once this procedure is done, your gum pockets will reduce and the gums will fit tightly against your teeth once more.

Medication


During periodontal maintenance, we may also prescribe you some antibacterial medication, including:
•  Doxycycline: This medication can be applied to your gum pockets to shrink them and get rid of infection. Antibiotic oral tablets can also prevent enzymes from breaking down gum tissue.
•  Chlorhexidine Chip: A gelatin chip may be placed inside the gum pockets. These chips are time-release and will gradually release antimicrobial medication to prevent the reemergence of infection.
•  Minocycline Microsphere: These particles can also be placed inside gum pockets to fight bacteria and promote healing.


Surgery


If your periodontal disease doesn’t come in control with these conservative techniques, we may have to resort to minimally-invasive surgeries:
•  Pocket Reduction Surgery: If the plaque has invaded deep into your gums and the pockets are 6mm or deeper, then they cannot be easily cleaned. In this case, we will make an incision on the gums to flip them back and remove the tartar from the inside of the gums and from the surface of the tooth root. After the cleaning, the gums are sutured tightly closed around the teeth and allowed to heal.
•  Gum Graft Surgery: Gum graft surgery is done to cover tooth root and regenerate gums that have been lost due to periodontal disease. We will take gum tissue from your palate or from a donor and suture it onto the exposed root. This will reduce sensitivity and allow the gums to heal.
•  Bone Regeneration: Due to advanced periodontitis, the bone supporting your teeth may be lost. In this case, we will fold back the gum tissue and remove the infection-causing bacteria. We will then pack the place with bone grafts, membranes, or tissue stimulating proteins which will encourage your bones to grow back.

As you can see, gum disease can cause a lot of problems. That is why we recommend you visit us every two to four months to get your periodontal maintenance procedure if you have active gum disease. Schedule an appointment today by calling us at (516) 740-1848. Keep in mind that periodontitis is a chronic disease and can only be managed with proper care. If you delay or neglect treatment, you will end up losing your teeth.
Roslyn Heights
70 Glen Cove Rd, Roslyn Heights,
NY 11576
Phone: (516) 740-1848
Fax: 516-621-9409


Manhattan
133 East 58th St, Ste 803,
Manhattan, NY 10022
Phone: (212) 355-3944
Fax: 646-735-1843

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