There are multiple methods of non-surgical and surgical periodontal treatments that can be performed to resolve your
periodontal needs depending on how far the disease has progressed. If caught in the early stages, non-surgical
procedures can be performed to sustain the infection. If the disease has advanced to the point where the periodontal
pockets are deep and the supporting bone is lost, further surgical treatment may be necessary.
Non-surgical treatment of periodontal disease is a minimally invasive therapy used to reduce the size of periodontal
pockets surrounding teeth. This includes periodontal maintenance therapy and Scaling and Root Planing, the removal of
plaque and calculus from below the gum line and disruption of the infection-causing bacteria. These treatments can
reduce the active periodontal infection and improve the overall tissue quality. If the tissues around the teeth remain
unhealthy and cannot be repaired by non-surgical treatments, periodontal surgery is necessary.
If your periodontal disease has progressed into the bone around your teeth, it is likely that a surgical procedure will be
necessary to eliminate the infection. Periodontal procedures are available to regenerate the bone and gum tissue to their
original function and cosmetic appearance.
Periodontal disease is a chronic infection, which requires ongoing vigilance and meticulous maintenance care in order to
control its progression. In order to maintain periodontal stability and optimal oral health, frequent recall maintenance
appointments are necessary- three, four to six months. The frequency is based on the severity of periodontal disease,
personal home care, and post-treatment periodontal stability.
Periodontal maintenance visits include ongoing gum and bone care procedures, scaling and polishing of teeth above and
below gums, periodontal and oral cancer examinations, reevaluation and monitoring of periodontal stability (including
yearly measurement and charting of pocket depth), and reinforcement of home care procedures.
Scaling and root planing is one of the most effective ways to treat gum disease before it becomes severe. This "deep
cleaning" is a non-surgical procedure for meticulously removing plaque and hard tartar deposits from around, below and
under the gum line down to the bottom of the pocket. In addition, the root surfaces of your teeth are cleaned and
smoothed to decontaminate your deep gum pockets so gum tissue can more firmly reattach to clean roots to prevent
tooth loss and sensitivity problems. It is a method of treating gum disease when pockets formed around teeth have a
measurement of greater than 5mm.
Scaling and root planing is much deeper than a standard teeth cleaning. It is generally performed with local anesthesia
and, in most cases, one hour of treatment time is required to complete one quarter (quadrant) of the mouth.
Approximately four to six weeks after scaling and root planing are completed, Dr. Johansen will re-evaluate your gingival
condition to see how well the disease has responded to the initial phase of periodontal treatment. Your individual healing
capabilities, personal home care and the initial severity of your disease will determine whether or not there is a need for