Non-surgical Treatment - Scaling and Root Planing

Subgingival Scaling: Cleaning the tooth below the gumline. The initial stage of treatment is usually a thorough cleaning that may include scaling to remove plaque and tartar deposits beneath the gumline

Root Planing: Smoothing the tooth root. The tooth roots may also be planed to smooth the root surface allowing the gum tissue to heal and reattach to the tooth. In some cases, the occlusion (bite) may require adjustmnent

Antibiotic Therapy - Antibiotics or irrigation with anti-microbials (chemical agents or mouth rinses) may be recommended to help control the growth of bacteria that create toxins and cause periodontitis. In some cases, antibiotics are placed into the periodontal pockets after scaling and planing. This may be done to control infection and to encourage normal healing.

When deep pockets between teeth and gums are present, it is difficult for Dr. Orth to thoroughly remove plaque and tartar. Patients can seldom, if ever, keep these pockets clean and free of plaque. Consequently, surgery may be needed to restore periodontal health.