Early to moderate periodontitis can be predictably treated with scaling and root planing (“deep cleaning”) in conjunction with effective homecare. Ideally, plaque, calculus (tartar), and stain are removed both above and below the gumline. It can easily be accomplished with topical and/or local anesthetics. Afterward, the “gums” might be a little sore with homecare for a couple of days. Typically, even this limited soreness can be managed effectively with a couple of doses of ibuprofen or Tylenol.
Sometimes, Dr. Newhouse will place antibacterial microspheres (Arestin) or an antimicrobial gel (Atridox) in the pockets (spaces between gums and teeth) as an adjunct to non surgical treatments. These materials may enhance the effects of the scaling and root planing.
Periostat (low dose doxycycline), an oral medication, may also be used to minimize further loss of tooth attachment and improve resistance to further infection.