Non-surgical periodontal therapy is typically the first line of treatment for patients with mild to moderate periodontal disease. Here is a typical sequence of non-surgical periodontal therapy:

Examination and diagnosis: A periodontist will examine your gums, teeth, and bone to assess the extent of the periodontal disease and identify any other oral health issues. This will involve taking measurements of the pockets around your teeth, which are the spaces between your teeth and gums.

Non-surgical periodontal therapy : Scaling and root debridement is a deep cleaning procedure that removes plaque, calculus and bacteria from the teeth and roots below the gum line. This is typically performed using ultrasonic or hand instruments and may require multiple appointments depending on the severity of the disease.

Antibiotics: In some cases, antibiotics may be prescribed to help control bacterial infections and promote healing.

Oral hygiene instruction: A periodontist or dental hygienist will provide instructions on how to properly brush and floss your teeth to remove plaque and prevent further progression of the disease.

Follow-up appointments: Regular follow-up appointments will be scheduled to monitor your progress and ensure that your periodontal health is improving. The frequency of these appointments will depend on the severity of your disease and your individual needs.

Non-surgical periodontal therapy is often very effective in treating mild to moderate periodontal disease. However, in more severe cases, surgical intervention may be necessary to fully treat the disease and prevent further damage to the teeth and gums.

 

Surgical periodontal therapy is typically recommended when non-surgical treatments, such as scaling and root debridement, are not enough to manage advanced cases of gum disease. This type of therapy may also be recommended for patients with other periodontal conditions, such as gum recession, excessive gum tissue, or deep periodontal pockets that cannot be reached with non-surgical methods.

The surgical periodontal therapy procedure involves several steps:

Anaesthesia: The procedure is typically performed under local anaesthesia to numb the area of the mouth being treated.

Incision: The periodontist will make a small incision in the gum tissue to access the root surface of the tooth and underlying bone.

Cleaning: The periodontist will then use specialized instruments to clean the root surface of the tooth, removing any plaque, calculus or bacteria that have accumulated on the surface.

Reshaping: In cases of excessive gum tissue or uneven gum line, the periodontist may also reshape the gum tissue to improve the aesthetic appearance of the smile.

Bone grafting: If there is significant bone loss around the tooth, a bone graft may be placed to help stimulate new bone growth and promote healing.

Suturing: The periodontist will then carefully suture the gum tissue back into place to promote healing and secure the tissue around the tooth.

Postoperative care: Following the procedure, the patient may be given pain medication and antibiotics to prevent infection. The patient will also be instructed on how to maintain good oral hygiene practices and may need to return for follow-up appointments to monitor the healing process.

Surgical periodontal therapy is highly effective in managing advanced cases of gum disease and other periodontal conditions and can help to prevent further damage to the teeth and surrounding tissues. The specific type of surgical therapy recommended will depend on the patient's individual needs and the severity of their condition.