Non-Surgical and Surgical Periodontal Treatment

The goals of periodontal treatment are to stop the progression of the disease, eliminate inflammation and infection, restore periodontal health, and maintain these results over time. We emphasize a holistic, conservative approach using minimally invasive therapies.

Depending on the severity of the disease, the depth of the pockets, and the degree of bone loss around the teeth, treatment options vary. The following non-surgical therapies, in combination with individualized patient education and oral hygiene instruction, have the potential to minimize or eliminate the need for more aggressive periodontal treatments:

Full mouth disinfection with antimicrobials and bio-oxidative therapies to reduce microbial levels, prevent the spread of infection, and encourage healing;

Debridement to remove irritants (microorganisms, calculus) from the periodontal pockets and allow the tissues to heal;

Ultrasonic and hand scaling to thoroughly remove hard deposits (calculus or tartar) from above and below the gumline;

Root planing to smooth root surfaces in order to promote healing and reattachment of the gum tissue;

Hard and soft tissue lasers comfortably and safely disinfect tissues and enhance repair and regeneration.

Bite correction and oral appliances (bite guard, night guard, splint) to minimize or eliminate trauma to the teeth;

Splinting to connect and stabilize teeth weakened by gum and bone loss;

Nutritional recommendations to stop the breakdown of gum and bone, promote healing, and support the immune system;

More frequent hygiene visits to prevent build-up and decrease the presence of harmful microscopic organisms;

Custom-fitted trays for the delivery of antimicrobial agents at home;

Oil Pulling – most patients prefer and respond well to this non-surgical approach;

Custom Tray Delivery Systems

A tray delivery system consists of a custom-fit tray made from impressions of the patient’s mouth. Patients use the tray at home to deliver medications that have been prescribed by their dentist. Tray delivery systems were cleared by the Food and Drug Administration (FDA) since they are similar to fluoride trays traditionally used to prevent tooth decay. However, the FDA clearance process did not determine that any specific medication delivered via tray delivery systems has been proven to be a safe or effective way to treat gum disease. Additionally, numerous clinical studies have suggested that topically applied medicines do not reach the source of periodontal infections. When determining the best course of treatment for your specific case, be sure to discuss the pros and cons of all available treatment options with your dental professional.