TYPICAL TREATMENT PROCESS
Step 1: Numbing the tooth: The process begins by administration of anaesthesia to numb the tooth, gum, and the surrounding area.
Step 2: Creating the Surgical Flap: The dentist makes small incisions in the gum tissue to create a flap. This flap is carefully lifted to expose the tooth roots and underlying bone structure.
Step 3: Debridement and Deep Cleaning: Once the roots are exposed, the dentist performs debridement, removing plaque, tartar and infected tissue from the deep periodontal pockets. Ultrasonic instruments or specialised hand tools are used to thoroughly clean the area.
Step 4: Smoothing the Root Surfaces: After cleaning, the root surfaces are smoothed (root planing) to prevent the buildup of bacteria and plaque in the future. This also encourages the reattachment of the gums to the teeth, helping to close the periodontal pockets.
Step 5: Tissue Reattachment and Flap Closure: Once the debridement and cleaning are complete, the gum flap is repositioned over the treated area. The dentist will suture the gums back into place to ensure proper healing. In some cases, additional regenerative materials (such as bone grafts or tissue-stimulating proteins) may be used to encourage the growth of bone or gum tissue.
Step 6: Post-operative Follow-up: After the surgery, the dentist will provide detailed aftercare instructions to support healing. This includes maintaining proper oral hygiene, managing swelling and attending follow-up visits to monitor recovery and remove sutures.
Maintenance Therapy: After your treatment, maintenance therapy is crucial. Periodontal disease can recur within two to four months, regardless of your diligence in oral care, as plaque continues to accumulate. During maintenance visits, which may last for several months, your dentist will check for plaque buildup and assess your oral hygiene habits. This may include measuring the pockets around your teeth and taking X-rays to evaluate the condition of the bone beneath your teeth. Regular maintenance also includes periodontal scaling and polishing, root planing and is vital for preventing disease relapse and ensuring long-term oral health.