The Missing Piece to a Perfect Smile
Stan Shelton, DDS,  San Antonio, TX
Gum Treatment

Gum treatment is the treatment of active gum and jaw bone disease. The treatment can slow or stop the progression of the disease. Since there are different stages of gum disease (from gingivitis to advanced periodontitis), there are different levels of treatment. In some cases, the patient may be referred to a specialist.

Gum treatment consists of one or more of the following procedures, depending on the individual case:

Prophylaxis(Cleaning)

Scaling and Root Planing

Tooth before
Scaling and Root Planing is a common non-surgical treatment for periodontal disease. By using special instruments, we remove bacteria and infection from the unhealthy deep pockets around the teeth below the gum line. This is often referred to as a "deep cleaning".

First the tooth is scaled to remove the plaque and tarter that has accumulated on the tooth.
Scaling

Root Planing
Then the root is planed or smoothed. This eliminates any rough areas on the root that can easily trap plaque and bacteria.

Tooth after

A smooth clean root provides a healthy environment to allow the gums to heal naturally and reattach to the tooth. This will create a reduced pocket, therefore eliminating areas for bacteria to hide and cause further disease.

Scaling and Root Planing combined with a strict home care routine and more frequent periodontal cleanings and exams will increase your chances of keeping your natural smile.

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Gum Surgery

Sometimes, in order to treat advanced gum disease, surgical procedures are necessary, such as:

Advanced Medications

Recent advances in periodontal treatment allow us to now place medications directly at the site of infection. One of the most commonly used medications of this kind is Arestin™. This is often used in conjunction with scaling and root planing. In addition, an antimicrobial rinse is sometimes used after some procedures.

Advanced Medications

Recent advances in periodontal treatment allow us to now place medications directly at the site of infection. One of the most commonly used medications of this kind is Atridox™. This is often used in conjunction with scaling and root planing. In addition, an antimicrobial rinse is sometimes used after some procedures.

PerioChipThe PerioChip® is a small chip designed to fit the dimensions of the gingival pocket precisely. It contains a substance, which is effective in killing bacteria in the gum (2.5 mg. Chlorhexidine gluconate). After scaling, the PerioChip® is inserted into the pocket, the active ingredient takes effect over a period of approximately a week, kills the bacteria, and the chip itself dissolves naturally. There is no need for an additional visit to the dentist to remove the chip, but a follow-up visit after three months is recommended to check whether any further treatment is required.

Oral Medications

A new medication called Periostat® has been developed specifically to combat periodontal infection by bolstering your body's immune response to bacteria that cause periodontal disease. Dr. Shelton will evaluate your specific case to see if Periostat® is right for you.

Peridex

Oral Medications

Peridex® is a prescription mouth rinse that reduces the redness, swelling and bleeding of gums caused by gingivitis. Dr. Shelton may prescribe Peridex® for use between visits.

 

Strict Home Care Regimen

A home care routine specific to the patient's individual needs may be prepared to prevent the patient from relapsing.

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