After the periodontal pre-treatment (prophylaxis with cleaning of the teeth, consultation about oral hygiene and documentation of the findings) is concluded, the dentist will identify the need for further treatment.
The primary aim of the periodontal therapy is to remove the bacterial bio-film from the pockets formed around the tooth through receding gums, to stop the inflammation process and the loss of the tooth supporting apparatus/structures. The therapy starts with a deep cleaning procedure; usually the dentist will abstain from surgery at this stage of the therapy. The bacterial bio-film is removed mechanically and the root surface of all teeth should be cleaned beneath the gums within 24 hours.
This treatment is usually done under local anaesthesia or, if necessary through insert of an anaesthetic gel into the gingival pocket. As a supporting measure local antiseptic inserts can be brought into the gingival pocket. In severe cases it is necessary, to additionally prescribe a supportive antibiotic.
In the first days after the treatment the gums are a little irritated and sensitive. Hence, a mouthwash will be given so that the cleaning of teeth can be postponed for a short while. Very soon recovery of the tooth-surrounding structures will be noticed: The gums become firmer and do not bleed so easily anymore.
Eight weeks after this therapy another professional dental cleaning should be undertaken and a re-evaluation will be completed. On this occasion, it is more than likely that a shrinking of the gingival pocket will be noticed.
You will be consulted about the success of the therapy by your dentist and he will determine whether additional treatment is necessary.
The long-term success of the periodontal treatment depends on cooperation and on the ongoing care by the dental practise team. During these aftercare visits, also called ‘Recall’, teeth and gums are once again examined and cleaned professionally. In most cases these measures are necessary every three to six months.