A 43-year-old male visited a dentist for an initial examination and checkup. These non-surgical procedures which completely cleanse the periodontium, work very effectively for individuals suffering from gingivitis (mild gum inflammation) and moderate/severe periodontal disease. Left untreated, periodontal disease may lead to tooth and bone loss. The treatment recommendation consisted of six to eight PTs at two-week intervals with the repetitive placement of Atridox and the use of the diode laser. Teresa Barjenbruch, RDH, is a 1990 graduate from Indiana University at South Bend. These results are measurable and clinically controllable, even as evaluators of various stages of agitation or disease improvement [3-7]. The patient is also aware of the importance of SPTs to maintain and control the disease process. Procedure — At the initial periodontal therapy (IPT), the patient was disclosed and was given manual and power brushing and flossing instructions. Treatment plan — At the treatment plan consultation appointment, we reviewed our findings, the etiology behind these concerns, and the treatment necessary to restore carious lesions and achieve perfect tissue health. Twelve months post-treatment, the patient's tissue is no longer bulbous and is generally pink. Our clinical findings showed posterior cross bite, anterior open bite, and 80 percent overbite. What are the implications of residual root sockets? Co-therapy by the patient is critical. Application of Lasers in the treatment of periodontal diseases can be considered as an effective and minimally invasive treatment modality for moderate to advanced periodontitis cases. The patient had generalized recession of one to two millimeters. A 26-year-old male patient presented with a desire to alleviate generalized bleeding, inflammation, and sore gums. The goal of a Fifth Ave periodontist is to keep as much of your dental structure in tact as possible while still treating your periodontal problems. Treatment would consist of four to six PTs, which include scaling and root planing, micro-ultrasonics with chlorhexidine for irrigation, soft tissue laser to reduce and contour the bulbous infected tissue, and decontamination of the periodontal pockets. © 2021 Endeavor Business Media, LLC. Dental considerations of neuroendocrine tumors and carcinoid cancer . The authors acknowledge that this article incorporates both conservative and nonsurgical periodontics as taught by JP Consultants Institute, as well as occlusal and restorative principles taught by Drs. I`d like to add a note about your article on Transcendental Meditation (TM) (March 1999 issue). Results — The patient was brought back for a six-week SPT. Procedure — At the IPT, the patient was disclosed and was given both manual and electric brushing instructions as well as flossing instructions. One patient had a lesion that hurt when she ate, and another felt like she had an infection in her wisdom tooth. It will mean less recovery time for you and a better chance that these restorative gum disease treatments will actually work. There are other treatments in addition to scaling and root planning used to treat periodontal disease. The nerve and the root are exposed, causing a higher level of sensitivity in your teeth. The purpose of the appointment is to remove toxic deposits that are under and around the gums. Six months later, periodontal progress had been tremendous, but periodontal health was still not ideal, so the patient was placed on Periostat. Her new setup makes it more comfortable for her to practice, makes it easier to educate patients, and is HIPAA friendly. He was also evaluated for healing and plaque control. The first step of this system is to perform a comprehensive clinical and diagnostic evaluation. In the control group teeth received solely conservative periodontal therapy. This includes the number of therapy appointments to be scheduled, the sequence in scheduling, and the actual clinical modalities that are to be used. Since plaque and tartar are the things that cause periodontal disease, removing them will be the first step in treatment. At this appointment, the patient was found to have dramatic improvement with pocket depths ranging from two to seven millimeters (previously 2-12 mm), bleeding light, tissue pink, and contour normal. The ultimate goal of periodontal therapy is to stop disease progression and to stabilize and improve tooth attachment. The patient was given a Braun 3-D Excel Electric Toothbrush and Oxyfresh toothpaste and fluoride rinse. Here’s a startling fact: gum disease lurks in the mouths of about 80% of the American population—beating out heart disease, stroke, or cancer as the most common disease in the country. Scaling removes deposits of bacterial plaque, calculus, food debris, and pus that … Of course, these are just some of the procedures a periodontist near Midtown offers to treat gum disease and keep your teeth in fact. Scaling and Root Planning. Laser assisted periodontal therapy. During this appointment, we also re-treated with micro-ultrasonics and chlorhexidine for irrigation. They become actively involved in their treatment recommendations. Additionally, the precision of the laser allows us to avoid removing significant tissue. He has generalized one to four millimeters pocketing with 16 bleeding points (originally 109 bleeding points). Some marginal redness was noted on the upper arch. Seeing a dentist and a periodontist regularly will keep your teeth and gums healthy, particularly after getting a regular cleaning. Gingival grafting, for example, addresses exposed tooth root as a result of gum recession. He also stated his goal was to keep his natural teeth and bring his needed dentistry up-to-date. Policies and Service guidelines of our practices, General information regarding Dental Insurance, Some testimonials from our satisfied patients, The satisfaction of our patients' is our only goal, Articles regarding Dentistry, Teeth Health, and much more, LANAP® - Laser Assisted New Attachment Procedure, LAPIP® - Laser Assisted Peri-Implantitis Procedure, Correlation Between Oral Hygiene And Overall Health. Co-diagnosis and treatment planning with the patient set the stage for the next step – providing conservative treatment. He was diagnosed with Moderate Periodontitis Type III, with light to moderate generalized bone loss (see Figure 1). Common etiologic agents removed by this conventional periodontal therapy include dental plaque and tartar (calculus). Our system involves re-evaluation after six weeks and again after three months. Getting restorative gum disease treatments will be greatly beneficial for you and your overall health. We performed co-diagnosis techniques with the patient by using a hand mirror, radiographs, and intraoral camera in order to have the patient involved in the clinical data process and to understand the findings as we presented them to him. Once profound anesthesia was obtained, treatment began by using the micro-ultrasonic to remove supragingival and subgingival calculus. It’s made a very positive difference in the practice. This procedure requires numbing and is a deeper, more extensive cleaning. With the help of a Fifth Ave periodontist, you’ll be back home in no time with a much healthier dental system. Deep gum pockets form that trap mouth bacteria, causing the infection to worsen. 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