Under local anesthesia, disease-causing bacteria is surgically removed. Membranes, bone grafts or tissue-stimulating proteins can be used to encourage your body's natural ability to regenerate bone and tissue.
There are many options to enhance support for your teeth and to restore your bone to a healthy level. We will be happy to discuss those options with you.
What are the benefits of this procedure? Eliminating existing bacteria and regenerating bone and tissue helps to reduce pocket depth and repair damage caused by the progression of periodontal disease.
With a combination of daily oral hygiene and professional maintenance care, you'll increase the chances of keeping your natural teeth and decrease the chances of serious health problems associated with periodontal disease.
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Scaling & Root Planing
Scaling and root planing is a common non-surgical treatment for periodontal disease when pockets are greater than 5mm. Scaling is used to remove plauque and tartar beneath the gumline. A local anesthetic may be given to reduce any discomfort. Using an instrument called a scaler or ultrasonic cleaner, plaque and tartar are carefully removed down to the bottom of the pocket.
The tooth's surfaces are then smoothed or planed. This procedure allows the gum tissue to heal, thus making it more difficult for plaque to accumulate on the newly smoothed root surfaces. Depending on the extent of the disease, Dr. Mangelson may recommend that one or more sections (quadrants) of the mouth be treated with scaling and root planing.
The inside of the mouth is normally lined with a special type of skin (mucosa) that is smooth and coral pink in color. Any alteration in this appearance could be a warning sign for a pathological process. The most serious of these is oral cancer. The following can be signs at the beginning of a pathologic process or cancerous growth:
Reddish patches (erythroplasia) or whitish patches (leukoplakia) in the mouth
- A sore that fails to heal and bleeds easily
- A lump or thickening on the skin lining the inside of the mouth
- Chronic sore throat or hoarseness
- Difficulty in chewing or swallowing
Oral cancer screenings are part of your regular exam. Dr. Mangelson would suggest a biopsy for any suspicious lesions.
Changes may be noted on the lips, cheeks, palate, gum tissue around the teeth, tongue, face, and/or neck. Pain does not always occur with pathology and curiously, is not often associated with oral cancer. However, any patient with facial and/or oral pain without an obvious cause or reason may be at risk for oral cancer.
Dr. Mangelson recommends performing an oral cancer self-examination monthly. It is essential to note that your mouth is one of your body's most important warning systems. Do not ignore suspicious lumps or sores. If you have a concern or see something that you think is abnormal or different for your mouth please contact our office and Dr. Mangelson will evaluate the area of concern.