Periodontal disease is the infection of the bone, ligament and gum tissue surrounding the teeth.
Periodontal disease can be managed by completing scaling and root planing, which allows for the removal of calculus and plaque that is adhered to the tooth and root surfaces.
Cases in which deeply developed pockets between teeth and gums make plaque and tartar removal difficult may demand more extensive measures. As patients seldom successfully keep the pockets clear of plaque, surgery may be the only option to clean them out completely.
The initial stage of treatment is usually a thorough cleaning that may include scaling to remove plaque and tartar deposits beneath the gum line.
The tooth roots may also be planned to smooth the root surface allowing the gum tissue to heal and reattach to the tooth.
Dr. Soordhar may also recommend antibiotics or antimicrobial irrigation via mouth rinses or other chemical agents to control bacterial growth. Treatment may require placement of antibiotic fibers in the periodontal pockets after scaling and planing to control infection while encouraging normal healing.
In some cases, the occlusion (bite) may require adjustment. Dr. Soordhar can recognize a healthy bite by the presence of all or most natural teeth and their lack of destruction by natural daily usage. On the other hand, significant degrees of wear, loosening or TMJ (jaw joint) damage suggest damage extensive enough to warrant bite therapy. This treatment can employ several methods to restore a healthy bite that functions without damaging bones and natural teeth: