Chinese Text  
 
PROMOTIONAL & NEWS
PAYMENT & INSURANCE
CONTACT US
SMILE GALLERY
SEE OUR AD

DIAGNOSIS / TREATMENT OF PERIODONTAL (GUM) DISEASE

Periodontal disease is diagnosed by Dr. Fan Mou during a periodontal examination. This type of exam should always be part of your regular dental check-up.

A periodontal probe (small dental instrument) is gently used to measure the sulcus (pocket or space) between the tooth and the gums. The depth of a healthy sulcus measures three millimeters or less and does not bleed. The periodontal probe helps indicate if pockets are deeper than three millimeters. As periodontal disease progresses, the pockets usually get deeper.

Dr. Fan Mou will use pocket depths, amount of bleeding, inflammation, tooth mobility, etc., to make a diagnosis that will fall into a category below:

  • Gingivitis –Gingivitis is the first stage of periodontal disease. Plaque and its toxin by-products irritate the gums, making them tender, inflamed, and likely to bleed.
  • Periodontitis – Plaque hardens into calculus (tartar). As calculus and plaque continue to build up, the gums begin to recede from the teeth. Deeper pockets form between the gums and teeth and become filled with bacteria and pus. The gums become very irritated, inflamed, and bleed easily. Slight to moderate bone loss may be present.
  • Advanced Periodontitis– The teeth lose more support as the gums, bone, and periodontal ligament continue to be destroyed. Unless treated, the affected teeth will become very loose and may be lost. Generalized moderate to severe bone loss may be present.

Treatment for Periodontal Disease

There are many surgical and nonsurgical treatments the periodontist may choose to
perform, depending upon the exact condition of the teeth, gums and jawbone. A
complete periodontal exam of the mouth will be done before any treatment is performed
or recommended.

  • Scaling and root planing – In order to preserve the health of the gum tissue, the bacteria and calculus (tartar) which initially caused the infection, must be removed. The gum pockets will be cleaned and treated with antibiotics as necessary to help alleviate the infection. A prescription mouthwash may be incorporated into daily cleaning routines.
  • Tissue regeneration – When the bone and gum tissues have been destroyed,
    regrowth can be actively encouraged using grafting procedures. A membrane
    may be inserted into the affected areas to assist in the regeneration process.
  • Pocket elimination surgery – Pocket elimination surgery (also known as flap
    surgery) is a surgical treatment which can be performed to reduce the pocket size
    between the teeth and gums. Surgery on the jawbone is another option which
    serves to eliminate indentations in the bone which foster the colonization of
    bacteria.
  • Dental implants – When teeth have been lost due to periodontal disease, the
    aesthetics and functionality of the mouth can be restored by implanting prosthetic
    teeth into the jawbone. Tissue regeneration procedures may be required prior to
    the placement of a dental implant in order to strengthen the bone.