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If a patient is diagnosed with gum disease there's a multitude of ways to treat this
gum disease. The most typical one that a dentist will prescribe are what's called scaling and
root planing, also known as deep cleanings. The purpose of the deep cleanings are to basically
remove all debris and buildup that occurs above and below the gum line and the teeth.
We know that that is ultimately the problem which which contributes to to to the gum disease,
such as gingivitis, bone loss, teeth being lost and loose. And it's important when we
do these deep cleanings that we go in there and remove all of the irritating factors that
contribute to this gum disease. So, in this model we have an example of this tooth that
actually has gum disease, and we characterize gum disease by a couple things. One is that
we have lots of buildup down right here around the gum line. Secondly, the tissue is very
red, inflamed, and tender, and also bleeds a little bit more frequently than normal.
What we have to do when we do our deep cleanings is we're removing all of these, this buildup
around the teeth. So, in a typical appointment the patient will come in, the dentist will
numb the patient up to make them comfortable. And typically, the hygienist will be the one
that performs the deep cleanings. In a deep cleaning what they're doing is they're taking
several different cleaning instruments, and placing it across the tooth where the buildup
is and removing the buildup. So here right now we have this buildup, but as we take our
instrument through here we are going to gently pull some of this material off the tooth just
like so, and kind of as in the light scraping motion we're removing all of this buildup
around the teeth. By removing the buildup that will help cure the gum disease and get
the tissue into a more stable and comfortable condition like so. Once the deep cleanings
have been completed we will basically bring the patient back; roughly about four to five
weeks later after the treatment has been completed, and we will reevaluate the gums. The things
that we look at are the tissue color; is is the tissue nice and pink, or is it still red.
Is it nice and tight or is it inflamed and swollen. And how much bleeding do we have?
Has the bleeding decreased since we initially evaluated it? Provided all those things have
improved and responded then that is the first steps in treating the gum disease. Once we've
identified that we have that in a stable condition the next step is to get the patient in a more
frequent recall interval, where they're getting more frequent cleanings. This can be as as
much as every three months to as little as every six months, and it depends from patient
to patient based on how much treatment we think will be necessary.