Periodontitis Treatment

The biofilm cannot be removed by only mouthwash or only antibiotics due to sticky matrix surrounding the micro-organisms protecting the “bugs” against antibiotics and mouthwashes.  The good bugs with antibiotic resistance can also protect bad bugs without any resistance! Additionally mouthwashes don’t penetrate enough in the pocket (gap between gums and teeth) to work against biofilm.

Effective control of biofilm cannot be achieved by:

• Regular use of mouthwash (mouthwashes don’t even go below the gum-line)
• An antibiotic script (it does not penetrate enough to get rid of the biofilm)
• Dental scale and clean is not aimed at thorough removal of biofilm and systematic control of its recolonization. (“Deep cleans are generally not deep enough.”)

Removal of biofilm below the gum line is required to subside the damaging inflammatory response. 

Periodontitis inflammation/infection is largely controlled with nonsurgical periodontal therapy.

Nonsurgical periodontal therapy is comprehensive, meticulous approach of removing plaque and tarter from below gum line, without cutting the gums.

Success of nonsurgical periodontal therapy relies on:

• Operator’s training and experience
• Instruments used during the debridement
• Patient’s home care after the treatment
• Regular maintenance
• Control of risk factors (i.e. smoking, diabetes, stress, etc.)

Based on our extensive experience at Perio’Plant, in combination with special tools and methods we implement, we can assure most of our patients with severe disease, during the initial assessment, about the teeth that would respond well to nonsurgical periodontal therapy.

In a small fraction of teeth, we further recommend periodontal regeneration.

An example of advanced periodontal treatment using growth factors to stimulate periodontal regeneration: