Plaque is a sticky substance that adheres to tooth structure and is teeming with bacteria. Over time, plaque becomes calcified (hardens) and at this stage, it becomes what is called calculus. Plaque and calculus are actually irritants to the tissues of your mouth. The reaction of your body to the irritants and the subsequent gum inflammation, gum recession, bleeding and eventual bone loss around the teeth constitute periodontal (gum) disease. The earliest stage of periodontal disease is called gingivitis (which is reversible) and is characterized by bleeding gums, especially when one brushes and flosses. If the disease is not addressed, it will progress to periodontitis, which is far more destructive, and is characterized by further gum deterioration, bone loss, and ultimately tooth loss.
Scaling and root planning are the most common form of treatment for periodontal disease. Scaling removes calculus (also called tartar) and plaque from the tooth surface above and below the gum line. Root planning improves smoothness of the root's surface and removes any remaining calculus. When the amount of plaque and calculus to remove is extensive, the dentist will numb the area to make the procedure comfortable for you. A combination of sonic and hand instruments are used in the procedure. The sonic instruments remove the large deposits of plaque and calculus. Hand instruments are then used to remove any remaining tartar and ensure all surfaces of the crown and root are clean and free of bacteria. Sensitivity and soreness may be present a few days following treatment and usually can be relieved with over-the-counter pain relievers.
A follow-up visit is usually scheduled for four weeks following treatment to check the improvement of gingival status, and regular intervals (3 month and 6 month intervals are typical) thereafter to monitor the disease. The goals are to eliminate the active inflammation caused by bacteria and reduce the periodontal pockets around the teeth so they cannot trap plaque or calculus thus maintaining the present bone height around the teeth.
Periodontal or gum disease is an infection of the tissues that surround and support your teeth. It is a leading cause of tooth loss in Canadian adults. Good oral hygiene and regular dental examinations are essential in prevention and early detection of gum disease – which sometimes developing without any warning signs.
The inflammation and infection of gums, ligaments, bone, and other tissues surrounding the teeth. Gingivitis (gums disease) and periodontitis (gums and bone disease) are the two main forms of periodontal disease also called gum disease or pyorrhea.
Periodontal disease is an infection of the tissues that support your teeth. Periodontal disease, also known as gum disease, is one of the most common infections today. More than 75% of North Americans over 35 years of age have some form of periodontal disease. Although many are infected, few know they actually have the disease. In a recent study, 8 out of 10 people surveyed believed they did not have periodontal disease, 7 out of 10 exhibited one or more symptoms.