Periodontitis

Periodontitis
Periodontitis occurs when the plaque and calculus causing the gingivitis is left untreated thus allowing it to spread to the alveolar bone and ligaments which support the teeth.  The bacteria and toxins force the gingiva to gradually separate from the teeth, and once underneath the gingiva start to dissolve the ligaments and alveolar bone which anchor the teeth in place.  Bone loss can happen rapidly i.e. within a few months or progressively overtime.  If the periodontitis remains untreated more and more bone is lost, the teeth become lose and eventually fall out. 

Periodontitis is irreversible, we can not regrow the alveolar bone lost to bacterial destruction but with thorough and regular periodontal treatment the bone levels can be stabilized and further destruction prevented.  Treatment for periodontal disease involves assessing the overall condition of the teeth and gums using a tool called a periodontal chart, devising a suitable treatment plan, and then removing the plaque and calculus deposits from the teeth both above and below the gums.  To make it more comfortable for patient to have the bacterial buildup below the gum removed we offer local anaesthetic, your hygienist or dentist will discuss this option further if required.  Thorough cleaning of teeth and their root surfaces usually takes 1-2 appointments depending on the level of buildup on the teeth.  Detailed instructions on how to brush and clean in-between the teeth are then given as these will be the most important part of the periodontal treatment.  A follow up appointment in 3 months is then required to assess the effectiveness of the treatment and if any further action is required.

Periodontitis is a chronic condition that does not have a cure.  Excellent oral hygiene practices at home as well as regular professional dental cleaning will provide the best possible outcome for preventing further bone destruction and tooth loss.

Calculus buildup above and below gumline