Non-surgical therapy...

...removes plaque and calculus by controlling the growth of harmful bacteria and by treating conditions that encourage gum disease. This type of treatment may be all that's needed, especially when periodontal disease is caught early. You may also need to have certain procedures, such as replacing worn fillings that can accumulate plaque, taken care of before periodontal therapy can begin.

Scaling and Root Planing

Scaling is a type of cleaning that removes plaque and calculus from the teeth at and slightly below the gumline. Root planing smooths root surfaces, so the supportive tissues can better reattach to the tooth surface. We may use local anesthesia because this procedure goes deeper than regular cleaning.

Antibiotics

Because bacteria cause periodontal disease, you may receive antibiotics depending on the severity of your disease. Antibiotics do not 'cure' periodontal disease but they can be an important part of a comprehensive periodontal treatment plan. These antibiotics may be in pill form or they may be applied directly to the infected areas. An antibacterial mouth rinse also may be prescribed to help control plaque.

Bite Correction

An imbalanced bite may increase bone destruction. You may be given a bite-guard - a removable device that fits over upper or lower teeth - to protect teeth surfaces and relax tense jaw muscles. Or your bite may be adjusted so that your teeth meet properly and function better.

Splinting

If treatment has saved your teeth, but they are still loose because of bone loss, they may be splinted. This technique wires weak teeth together, combining them into a stronger single unit, making them more stable, and make you feel more comfortable.