We specialize in the early diagnosis prevention, & treatment of Gum disease. Gingivitis is inflammation of gums caused by plaque and bad oral hygiene, if not treated, it leads to periodontal disease causing pain, mobility & loss of teeth. Our hygienist along with general dentist is trained in diagnosing gums disease and referring it to our periodontist.
All types of Periodontal Treatment in Pakistan
What Causes Gum Disease?
Our mouths are full of bacteria. These bacteria and other particles, constantly form a sticky, colorless “plaque” on teeth. Brushing and flossing help get rid of plaque. Plaque that is not removed can form tartar and only a dentist can remove tartar by Scaling. We help guide and train our patients with basic Oral hygiene measures including demonstration on brushing and flossing techniques. Routine oral checkups are done and recommended to every individual to improve their dental health.
The longer plaque and tartar are on teeth, the more harmful they become. The bacteria cause inflammation of the gums which is called gingivitis. During gingivitis, the gums become red, swollen and can bleed easily. Gingivitis is a mild form of gum disease that can usually be reversed with daily brushing and flossing and regular cleaning by a dentist or hygienist. This form of gum disease does not include any loss of bone and tissue that hold in place.
If gingivitis is not treated, it can advance to “periodontitis” (which means inflammation around the tooth). In periodontitis, gums pull away and form spaces (called pockets).
Need another reason to quit smoking? Smoking is one of the most significant risk factors associated with the development of gum disease. Additionally, smoking can lower the chances of successful treatment. Hormonal changes in girls/women are also a factor. These changes can make gums more sensitive and make it easier for gingivitis to develop. People with diabetes are at higher risk for developing infections, including gum disease. Diseases such as AIDS and its treatments can also negatively affect the health of gums. Moreover, there are hundreds of prescriptions and over the counter medications that can reduce the flow of saliva, which has a protective effect on the mouth.
Treatment of periodontitis may include several steps, the first of which often requires the removal of the local causative factors which are in the form of plaque and hard calculus (both supragingival and sub gingival); in order to create a biologically compatible environment between the teeth and the surrounding periodontal tissues, the gums and underlying bone. If left untreated, chronic inflammation of the gums and supporting tissues can raise a person’s risk of heart disease.
Prior to beginning these procedures, the patient is generally numbed in the area intended for instrumentation. Because of the deeper nature of perio scaling and root planning (the recommended procedure) either one half or one-quarter of the mouth is generally cleaned during one appointment. It is typically not recommended to have the entire mouth scaled at one appointment because of the potential inconveniences and complications of numbing the entire mouth.
Following scaling, additional steps may be taken in order to ensure disinfection of the periodontic tissues. Oral irrigation of the tissues may be done using chlorhexidine gluconate solution, which has high substantivity in the oral tissues. This means that unlike other mouthwashes, whose benefit end upon expectorating, the active antibacterial ingredients in chlorhexidine gluconate infiltrate the tissue and remain active for a period of time. However effective, chlorhexidine gluconate is not meant for long-term use.
Site-specific antibiotics may also be placed in the periodontic pocket following scaling and root planning in order to provide additional healing of infected tissues. Unlike antibiotics which are taken orally to achieve a systemic effect, site-specific antibiotics are placed specifically in the area of infection. These antibiotics are placed directly into the periodontal pockets and release slowly over a period of time. This allows the medication to seep into the tissues and destroy bacteria that may be living within the gingiva, providing even further disinfection and facilitation of healing.
Scaling and root planning procedures are to be considered effective if the patient is subsequently able to maintain his/her periodontal health without further bone or attachment loss. The long-term effectiveness of scaling and root planning depends upon a number of factors. These factors include general patient health, patient compliance, disease progress at the time of intervention, probing depth, and anatomical factors like grooves in the roots of teeth, concavities, and furcation involvement which may limit visibility of underlying deep calculus and debris.
Once the periodontal pockets exceed 6 mm in depth, the effectiveness of deposit removal begins to decrease, and the likelihood of complete healing after one procedure begins to decline as well. The more severe the infection is prior to intervention, the greater the effort is required to arrest its progress and return the patient to health. Diseased pockets over 6 mm can be resolved through periodontal flap surgery, performed by periodontist at Dental Aesthetics.