Periodontal treatment methods depend upon the type and severity of the disease.  Dr. Coates and our dental hygienist will evaluate for periodontal disease and recommend the appropriate treatment.

Periodontal disease progresses as the sulcus (pocket or space) between the tooth and gums gets filled with bacteria, plaque, and tartar, causing irritation to the surrounding tissues.  When these irritants remain in the pocket space, they can cause damage to the gums and eventually, the bone that supports the teeth!

If the disease is caught in the early stages of gingivitis, and no damage has been done, one to two regular cleanings will be recommended.  You will also be given instructions on improving your daily oral hygiene habits and having regular dental cleanings.

If the disease has progressed to more advanced stages, a special periodontal cleaning called scaling and root planing (deep cleaning) has traditionally been recommended.  It is usually done one quadrant of the mouth at a time while the area is numb.  In this procedure, tartar, plaque, and toxins are removed from above and below the gum line (scaling) and rough spots on root surfaces are made smooth (planing).  This procedure helps gum tissue to heal and pockets to shrink. Medications, special medicated mouth rinses, and an electric tooth brush may be recommended to help control infection and healing.

Traditionally, if the pockets do not heal after scaling and root planing, periodontal surgery would be the next step to reduce pocket depths, making teeth easier to clean.  Now we also have a new treatment called the Perio Protect MethodTM.

Perio ProtectTM ( is a new conservative approach to periodontal disease. Perio ProtectTM is an effective, non-invasive treatment and long-term solution to manage the bacteria in the mouth. With Perio ProtecTM treatment, many patients have avoided repetative invasive treatment and surgery. Perio ProtectTM is a patented FDA-cleared medical device that delivers doctor prescribed medications that are able to:
    1. Be delivered to the source of the infection
    2. Eradicate bacteria with antimicrobial agents
    3. Reduce inflammation
    4. Promote gum healing
    5. End bleeding
    6. Reduce periodontal pockets 
    7. Side effect include fresher breath & whiter teeth   
Depending on the severity of the disease and your particular situation, Dr. Coates may recommend the Perio Protect Method before the scaling and root planing. This sequence may reduce the number of teeth that need the invasive treatments of scaling and root planing and surgery.


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