Your dentist may also refer you to a periodontist, a dental specialist who has received three additional years of training in treating and managing the effects of gum disease. [2] X Research source
It is common to be nervous about the deep cleaning, but remember that it is an ’’extremely’’ important first step to treating a serious condition, and most people find it is quite tolerable. [5] X Research source Many dentists offer anesthesia options for the deep cleaning, ranging from topical numbing gel, to numbing injections, nitrous oxide, and in some cases full sedation. If you are nervous, let your doctor know ahead of time, and speak up during the appointment if you experience pain or discomfort.
Your first follow-up will probably be scheduled for 1 month after your deep-cleaning, with additional check-ups every three months after that, until the disease has subsided.
If you are unsure about your flossing technique, be sure to ask your dentist or hygienist for tips when you are in for your exam.
Since periodontal disease is a bacterial infection, some dentists also recommend a toothpaste that contains the antibacterial ingredient triclosan, such as Colgate Total). [8] X Research source
Dental irrigators last up to several years and they are great for gum massage, getting rid of plaque, or cleaning around dental implants
You can also put mouthwash into a dental irrigator’s reservoir and then clean all around your mouth with higher pressure. Be aware some prescription antibiotic rinses used for a prolonged period of time (more than two weeks) can cause tooth staining that can be removed during your next cleaning.
By creating a flap, oxygen can destroy a large number of aggressive anaerobic bacteria, which are almost impossible to eliminate even with deep scaling or cleaning.
If you get a gum graft, soft tissue may be transferred from the roof of your mouth, or donor tissue may be used. [13] X Expert Source Pradeep Adatrow, DDS, MSBoard Certified Dentist & Oral Surgeon Expert Interview. 5 November 2020. A graft may be made of your own bone fragments, synthetic bone, or donated bone. [14] X Expert Source Pradeep Adatrow, DDS, MSBoard Certified Dentist & Oral Surgeon Expert Interview. 5 November 2020. Some doctors may also use guided tissue regeneration to facilitate the regrowth of your bones. A unique biocompatible film is placed between your bone and your tooth, allowing the bone to regrow. [15] X Expert Source Pradeep Adatrow, DDS, MSBoard Certified Dentist & Oral Surgeon Expert Interview. 5 November 2020.
