Periodontics

Scaling

Scaling is one such procedure that keeps your gums healthy and firm. Scaling is a procedure involving removal of dental plaque and calculus (scaling or debridement) and then smoothing, or planing, of the (exposed) surfaces of the roots, removing cementum or dentin that is impregnated with calculus, toxins, or microorganisms, If Such deposits not removed by scaling, cause infection and loosening of the gums, ultimately leading to pyorrhoea and tooth loss. Scaling is a safe and routine procedure and does not damage the tooth surface in any way. It must be done by a dental professional.
The sticky, bacteria-filled plaque that causes gum disease tends to accumulate in the area along and just below the gum line. If you have gums that are slightly receded from your teeth, you may be at increased risk for gum disease and your dentist may recommend scaling. Scaling is non-surgical, but it is a different type of procedure from a standard dental cleaning because it involves cleaning the areas of the tooth below the gum line.

 

Treatment of Pyorrhea & All Gum Diseases

Periodontitis, or gum disease, is a common infection that damages the soft tissue and bone supporting the tooth. Without treatment, the alveolar bone around the teeth is slowly and progressively lost. Pyorrhea is a severe condition of periodontal disease in which the ligaments and bones that support the teeth become inflamed and infected. It is the result of advanced gingivitis. Gingivitis is a mild form of gum disease that causes redness and swelling of the gingiva, the part of the gum around the base of the patient’s teeth.

After the inflammation, the gum is gradually drawn back from the tooth cervix, followed by tooth loss. Pyorrhea is a dangerous disease because it does not produce any noticeable symptoms for a long time.

Treatments for Gum Disease

  • Regular scaling and polishing are necessary to remove hard tartar, trapped food, and plaque, which can cause tooth decay and gum disease. The gum may bleed during treatment or may be sensitive for several days after the procedure.
  • It is very important to learn and apply the proper brushing techniques at least twice a day. Flossing also helps to remove plaque from those areas where a toothbrush doesn’t completely reach.
  • In more severe cases, further conservative treatment and surgery is required.
  • In case of moving teeth, replacement of the missing bone tissue (Guided Tissue Regeneration) and a crown can be the proper solution.

Advanced Gum Treatment

There are a variety of treatments for gum disease depending on the stage of the disease, how you may have responded to earlier treatments, and your overall health.

Treatments range from nonsurgical therapies (that control bacterial growth to surgery to restore supportive tissues) to Surgical therapies ( it involve bacteria debridement and surgical reconstruction)

  1. Non-surgical Treatments for Gum Disease
    1. Scaling and root planing
  2.  Surgical Treatments for Gum Disease
    1. Flap surgery/pocket reduction surgery.
    2. Bone grafts
    3. Soft tissue grafts.
    4. Guided tissue regeneration.
    5. Bone surgery.

Mobile Teeth Splinting

Splinting: If the teeth are very loose, they can be splinted or joined together like pickets in a fence so that any biting force is distributed among groups of teeth rather than individual loosened teeth.

  • Temporary Splinting can be achieved by joining the teeth together with:
    • Extra-coronal Splints (“extra” – outside; “coronal” – crown): With this approach, splinting materials are attached to a group of teeth generally by bonding to the enamel, thus making them more rigid.
    • Intra-coronal Splints (“intra” – inside): These splints involve cutting a small channel into the teeth, inserting a rigid custom formed metal splint and bonding or cementing it in place to stabilize the teeth.
  • Permanent Or Fixed Splinting: This method literally (and permanently) “fixes” loose teeth together by crowning the affected teeth and fabricating a splint in which the crowns are joined or fused.
  • Occlusal Splints Or Guards: If parafunctional clenching or grinding habits are evident, then a removable occlusal splint or bite guard may further protect the teeth from the consequences of too much biting force. Since parafunctional forces and habits tend to be stress-related, these removable guards can be used during times of tension, stress or when these bad habits are evident.
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