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If a patient is diagnosed with gum disease
there's a multitude of ways to treat this
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gum disease. The most typical one that a dentist
will prescribe are what's called scaling and
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root planing, also known as deep cleanings.
The purpose of the deep cleanings are to basically
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remove all debris and buildup that occurs
above and below the gum line and the teeth.
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We know that that is ultimately the problem
which which contributes to to to the gum disease,
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such as gingivitis, bone loss, teeth being
lost and loose. And it's important when we
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do these deep cleanings that we go in there
and remove all of the irritating factors that
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contribute to this gum disease. So, in this
model we have an example of this tooth that
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actually has gum disease, and we characterize
gum disease by a couple things. One is that
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we have lots of buildup down right here around
the gum line. Secondly, the tissue is very
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red, inflamed, and tender, and also bleeds
a little bit more frequently than normal.
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What we have to do when we do our deep cleanings
is we're removing all of these, this buildup
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around the teeth. So, in a typical appointment
the patient will come in, the dentist will
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numb the patient up to make them comfortable.
And typically, the hygienist will be the one
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that performs the deep cleanings. In a deep
cleaning what they're doing is they're taking
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several different cleaning instruments, and
placing it across the tooth where the buildup
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is and removing the buildup. So here right
now we have this buildup, but as we take our
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instrument through here we are going to gently
pull some of this material off the tooth just
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like so, and kind of as in the light scraping
motion we're removing all of this buildup
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around the teeth. By removing the buildup
that will help cure the gum disease and get
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the tissue into a more stable and comfortable
condition like so. Once the deep cleanings
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have been completed we will basically bring
the patient back; roughly about four to five
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weeks later after the treatment has been completed,
and we will reevaluate the gums. The things
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that we look at are the tissue color; is is
the tissue nice and pink, or is it still red.
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Is it nice and tight or is it inflamed and
swollen. And how much bleeding do we have?
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Has the bleeding decreased since we initially
evaluated it? Provided all those things have
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improved and responded then that is the first
steps in treating the gum disease. Once we've
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identified that we have that in a stable condition
the next step is to get the patient in a more
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frequent recall interval, where they're getting
more frequent cleanings. This can be as as
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much as every three months to as little as
every six months, and it depends from patient
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to patient based on how much treatment we
think will be necessary.
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