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Gum Disease

Gum disease, or periodontal disease, is an infection of the tissue that surrounds your teeth. When plaque is not effectively removed from teeth every day, the bacteria in the plaque are given the opportunity to flourish. Some bacteria live in harmony with our bodies and some do not. If an aggressive microorganism is present, periodontal disease can result. Oftentimes, symptoms will go unnoticed except by a dental professional.

They include inflammation, redness, tenderness, bleeding, foul smell or taste. Additionally, a dental professional will assess the pocket depths by measuring the space between the teeth and gums, determining the bone level with X-rays and checking for teeth becoming mobile or areas producing pus. Other factors that can contribute to periodontal disease include smoking, poor diet, poor margins on dental work, occlusion (or the way the teeth come together), certain medication and the health of the individual.

Root Planing and Scaling

Root planing is a meticulous debridement of the root surface to obtain a biologically acceptable surface for gum tissue reattachment. The latest research shows that the placement of an antibiotic in the pockets immediately following root planing yields the best result, so this is what we practice. In some cases of severe periodontal disease, it is necessary to refer patients to the care of a specialist, called a periodontist.

Periodontal Maintenance

In most cases, the present infection is brought under control following treatment with root planing or, in some cases, surgery. The bacteria responsible for the infection, however, are still present and always will be. The important factor is to not give the bacteria the opportunity to overgrow and infect the tissue again. According to the American Academy of Periodontology, "Following a course of active periodontal treatment, a three-month time interval for periodontal maintenance therapy remains the most generally accepted." The majority of clinical studies have shown that three months is the most effective in controlling disease. Three-month follow-up visits will be recommended indefinably. Sometime when stability is maintained through several follow-up visits, this can be stretched to four-month or even six-month intervals. This is determined on an individual basis, with all contributing factors being evaluated.

Following any periodontal treatment, patients are no longer in the "preventative" category of dentistry. The correct dental code and corresponding terminology for follow-up care is "periodontal maintenance." At these appointments with the hygienist, the condition of the gums is closely monitored. Probing or measuring between the teeth and gums will be done and compared to previous measurements. Thorough removal of plaque, tartar and stain will be done. Guidance and suggestion in oral home care will be given. Periodic exams and X-rays can be expected, too.

If keeping your teeth is important to you, periodontal maintenance is very important. Treatment will not be successful without patient compliance. Periodontal care truly is a lifetime commitment. Not following through with maintenance can mean recurrence of disease, and oftentimes it progresses much more rapidly and destructively. Periodontal disease can be controlled, but not cured.  



Dr. Douglas P. Allison ~ Dr. Scott E. Zak ~ 1415 N. 8th Street ~ Manitowoc, WI 54220 ~ Phone: 920.684.9685 ~ Fax: 920.684.4895

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