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12840 Riverside Drive, #100 Studio City CA 91607

Treatment of Periodontal Disease

Periodontal Scaling and Root Planing:
This procedure involves the removal of the bacterial substance known as plaque, which is the principal cause of periodontal disease and the removal of calculus, which is an accumulation of infectious calcified plaque on the tooth above and below the gingival margin.

Depending on your schedule you may have 2 sessions or 4 sessions of Scaling and Root Planing

Visit #1 : (this may be broken into 2 sessions)

  • Scaling and Root Planing is the removal of calculus (a hard deposit) from below the gum line.
  • Upper and or Lower half of the mouth
  • Anti-bacterial Irrigation of the treated areas

Visit #2: (this may be broken into 2 sessions)

  • Scaling and Root Planing is the removal of calculus (a hard deposit) from below the gum line.
  • Upper and or Lower half of the mouth
  • Anti-bacterial Irrigation of the treated areas

Visit #3: (One appointment)

  • First Periodontal Maintenance and 4 to 6 week re evaluation
    • Full Mouth Probe (measurement of gums)
    • Full mouth scale
    • Tissue check
    • Home care review
  • Possibility of Anti— bacterial Irrigation dependent on Clinical Assessment

Periodontal Maintenance:

This procedure follows periodontal therapy and continues at regular intervals — every 3 months— determined by clinical evaluation.

These visits include removal of the bacterial plaque and calculus, periodontal probing (annually) and coronal polishing.

Possibility of Anti— bacterial Irrigation dependent on Clinical Assessment

Recommended optimal treatment for home care:

  • Electric Toothbrush & flossing daily
  • Fluoride Paste
  • Mouth Rinse — antibacterial (CariFree CTx4 treatment followed by CariFree CT x3 rinse, Listerine or Breath RX)

Once this program has been completed, good home care on a daily basis, as well as regular periodontal maintenance appointments every 3 months are needed to help keep periodontal disease in check. If new or recurring periodontal disease appears, additional diagnostic and treatment procedures must be considered.

Gum Disease and Heart Disease

Heart Disease

Several studies have shown that periodontal disease is associated with heart disease. While a cause-and-effect relationship has not yet been proven, research has indicated that periodontal disease increases the risk of heart disease.

Scientists believe that inflammation caused by periodontal disease may be responsible for the association.

Periodontal disease can also exacerbate existing heart conditions. Patients at risk for infective endocarditis may require antibiotics prior to dental procedures. Your periodontist and cardiologist will be able to determine if your heart condition requires use of antibiotics prior to dental procedures.

Stroke

Additional studies have pointed to a relationship between periodontal disease and stroke. In one study that looked at the causal relationship of oral infection as a risk factor for stroke, people diagnosed with acute cerebrovascular ischemia were found more likely to have an oral infection when compared to those in the control group.

Diabetes and Periodontal Disease

Diabetic patients are more likely to develop periodontal disease, which in turn can increase blood sugar and diabetic complications.

People with diabetes are more likely to have periodontal disease than people without diabetes, probably because people with diabetes are more susceptible to contracting infections. In fact, periodontal disease is often considered a complication of diabetes. Those people who don’t have their diabetes under control are especially at risk.

Research has suggested that the relationship between diabetes and periodontal disease goes both ways – periodontal disease may make it more difficult for people who have diabetes to control their blood sugar.

Severe periodontal disease can increase blood sugar, contributing to increased periods of time when the body functions with a high blood sugar. This puts people with diabetes at increased risk for diabetic complications.

Gum Disease and Other Systemic Diseases

Osteoporosis

Researchers have suggested that a link between osteoporosis and bone loss in the jaw. Studies suggest that osteoporosis may lead to tooth loss because the density of the bone that supports the teeth may be decreased, which means the teeth no longer have a solid foundation.

Respiratory Disease

Research has found that bacteria that grow in the oral cavity can be aspirated into the lungs to cause respiratory diseases such as pneumonia, especially in people with periodontal disease.

Cancer

Researchers found that men with gum disease were 49% more likely to develop kidney cancer, 54% more likely to develop pancreatic cancer, and 30% more likely to develop blood cancers.

Gum Disease and Women

A woman’s periodontal health may be impacted by a variety of factors.

Puberty

During puberty, an increased level of sex hormones, such as progesterone and possibly estrogen, causes increased blood circulation to the gums. This may cause an increase in the gum’s sensitivity and lead to a greater reaction to any irritation, including food particles and plaque. During this time, the gums may become swollen, turn red and feel tender.

Menstruation

Occasionally, some women experience menstruation gingivitis. Women with this condition may experience bleeding gums, bright red and swollen gums and sores on the inside of the cheek. Menstruation gingivitis typically occurs right before a woman’s period and clears up once her period has started.

Pregnancy

Some studies have suggested the possibility of an additional risk factor — periodontal disease. Pregnant women who have periodontal disease may be more likely to have a baby that is born too early and too small. However, more research is needed to confirm how periodontal disease may affect pregnancy outcomes.

All infections are cause for concern among pregnant women because they pose a risk to the health of the baby. The Academy recommends that women considering pregnancy have a periodontal evaluation.