Treatment
The treatment of periodontal disease begins with the removal of sub-gingival calculus (tartar) and biofilm deposits. A dental hygienist procedure called scaling and root planing is the common first step in addressing periodontal problems, which seeks to remove calculus by mechanically scraping it from tooth surfaces.
Dental calculus, commonly known as tartar, consists almost entirely of calcium phosphate salt, the ionic derivative of calcium phosphate (the primary composition of teeth and bone). Dental calculus deposits harbor harmful bacteria. Clinically, calculus stuck to teeth appears to be hardened to the point requiring mechanical scraping for removal.
The bacteria responsible for most periodontal disease are anaerobic, and oxygenation reduces populations. Thorough brushing with dilute hydrogen peroxide, with emphasis on the gum line, and flossing, help prevent the formation of harmful biofilm, gingivitis, and tartar. Therapeutic mechanical delivery of hydrogen peroxide to subgingival pockets can be provided by a water pick. Wound "healing following gingival surgery was enhanced due to the antimicrobial effects of topically administered hydrogen peroxide". For most subjects, beneficial effects were seen with hydrogen peroxide levels above 1% though concentrations between 1% and 3% have been suggested, and commercial preparations contain 1.5% hydrogen peroxide.
Enzymatic agents found in commercial preparations can loosen, dissolve, and prevent biofilm formation. Beneficial agents include lysozyme, lactoperozidase, glucose oxidase, mutanase, and dextranase.
Another method for treatment of periodontal disease involve the use of an orally administered antibiotic, Periostat (Doxycycline). Periostat has been clinically proven to decrease alveolar bone loss and improve the conditions of periodontal disease with minimal side-effects. However, Periostat does not kill the bacteria, as it only inhibits the body's host response to destroy the tissue.
Laser-assisted periodontal therapy has been shown to kill the bacteria that causes periodontal disease as well as grow bone in certain cases.
Read more about this topic: Periodontal Disease
Famous quotes containing the word treatment:
“Our treatment of both older people and children reflects the value we place on independence and autonomy. We do our best to make our children independent from birth. We leave them all alone in rooms with the lights out and tell them, “Go to sleep by yourselves.” And the old people we respect most are the ones who will fight for their independence, who would sooner starve to death than ask for help.”
—Margaret Mead (1901–1978)
“I will use treatment to help the sick according to my ability and judgment, but never with a view to injury and wrongdoing. Neither will I administer a poison to anybody when asked to do so, nor will I suggest such a course. Similarly, I will not give to a woman a pessary to cause abortion. I will keep pure and holy both my life and my art.”
—Hippocrates (c. 460–c. 370 B.C.)
“I am glad you agree with me as to the treatment of the mining riots. We shall crush out the lawbreakers if the courts and juries do not fail.”
—Rutherford Birchard Hayes (1822–1893)