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At Amir Sanjabi, DDS, diagnosis of periodontal (gum) disease is part of every dental checkup.
Periodontal diseases range from simple inflammation of the gums to severe damage of the soft tissue and bone structure. At Amir Sanjabi, DDS, we provide you with non-surgical and plastic surgery treatments for your periodontal care.
Stages of Periodontal Disease
The progress of your periodontal disease is estimated by a periodontal probe, which measures the sulcus, or the pocket between the tooth and gum. A healthy sulcus is measured at 3 millimeters or less in depth and is not prone to inflammation and bleeding during brushing. However, if the sulcus is deeper than 3 millimeters, it is indicative of periodontal disease.
The deeper your sulcus, the more your periodontal disease has progressed. We will suggest periodontal care treatments based on the three stages of the disease:
Gingivitis is the inflammation of gingiva or the gum and is the first stage of periodontal disease. In this early stage, the disease is relatively non-destructive and occurs due to the buildup of plaque. You will experience red, puffy and tender gums which bleed during brushing.
If you do not take care of your oral hygiene, calculus will accumulate in the sulcus, and your teeth will begin receding from your gum. When your pocket gets deeper, they become a hub of bacteria and pus. This will lead to painful, bleeding gums as well as moderate loss of the alveolar bone around the teeth.
As the disease steadily progresses, the gums and the supporting structures of the tooth continue to deteriorate. You may feel your tooth becoming very loose and may lose it eventually, due to severe bone loss.
Treatment of Periodontal Disease
Periodontal procedures depend on how severe your disease is. Amir Sanjabi, DDS will evaluate you for periodontal disease and then suggest the appropriate treatment.
If you only have gingivitis in its early stage, that means no damage to the tooth and surrounding structure has been done, and our dentists will recommend a few dental cleanings to combat it effectively. You will also be given instructions on how to properly brush your teeth and improve your oral hygiene, so that plaque does not reappear.
Scaling and Root Planing
If the disease has progressed, non-surgical procedures like scaling and root planing will be recommended. The treatment is done usually on one-half or one-quarter of the mouth during a sitting, under local anesthesia. Our periodontists will use special tools to remove the tightly cemented dental plaque and toxins from around your tooth and gumline. Planing will then be done to remove tooth debris like dentine and cementum and smooth out the rough areas on your tooth’s root. This will allow your gums to heal, your pockets to shrink and your gums to stick back tightly to your teeth.
Prescribed medications like antimicrobial rinses, chlorhexidine, antibiotic gels and microspheres, and enzyme suppressors may be recommended to curb infection and quicken healing.
If the pockets do not heal after these treatments, our dentists may recommend surgery. Some of the viable options include flap surgery to reduce pocket depth, and bone and tissue graft to regenerate the lost structure.
Once your treatment is finished, our dentist may recommend periodic periodontal cleanings, as often as four times a year. During these appointments, we will check your pocket depth and remove tartar that is difficult to brush out.
If your gums are feeling irritated and bleed while brushing, call us at (562) 869-0928 to schedule a periodontal care appointment.