Treating Periodontal Disease

Treatment Methods

We provide a variety of diagnostic and surgical services and limit treatment to when and where it is absolutely necessary.

Scaling and Root Planing

The initial stage of periodontal treatment is a thorough cleaning to remove plaque and tartar deposits beneath the gum line.

Antibiotics

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. In some cases, Dr. Agnos may place an antibiotic in the periodontal pockets after scaling and root planing. This may be done to control infection and to encourage normal healing.

When deeper pockets between teeth and gums are present, it is difficult to thoroughly remove plaque and tartar. Consequently, periodontal surgery may be needed to restore periodontal health.

Bite Therapy

Tooth wear, or looseness usually indicates a heavy bite (excessive force being applied to teeth) which can contribute to periodontal involvement. Bite therapy helps control a bite so that it can function without damage and destruction. The therapy may include:

• Reshaping the biting surfaces of the teeth to eliminate excessive pressures when the teeth are brought into contact by dividing bite pressures evenly across all of the teeth.
• Bite splint therapy using a custom fitted and adjusted plastic bite guard to control how pressure is applied to your teeth.
• Braces, to reposition mal-aligned or drifted teeth, through referral to your dentist or an orthodontist.
• Replacement of old, worn out or damaged fillings by your general dentist, or reconstruction of badly worn and damaged teeth by your general dentist or another specialist.