Dental Services

Prophylaxis (Teeth Cleaning)

Scaling and Root Planing

If you live near the Villages and have been diagnosed with some form of gum disease, the first step in trying to eliminate the infection

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and getting the disease under control is done through a non-surgical approach called scaling and root planing.

Scaling and root planing (sometimes called a deep cleaning) is a very thorough cleaning done under anesthetic (you are numb), so we can aggressively get under the gum line and into the deep pockets in an attempt to clean out as much of the plaque, calculus (tarter), toxins, and bacteria as possible that have caused the pockets. The deeper the pockets, the harder it is to completely eliminate the factors (i.e., plaque, calculus, toxins, and bacteria) leading to the disease.

Studies have shown you can effectively clean 4mm deep pockets, but as the pocket depths increases the ability to clean and smooth the roots of your teeth significantly decreases.

What can I expect?

Normally with this procedure your whole mouth is cleaned in one extended appointment with the hygienist. On occasion, depending on your time schedule and the difficulty of your case, this may be broken into shorter appointments. After your cleaning you may have some mild discomfort or soreness which can normally be relieved with something like Tylenol® or Ibuprofen. As the inflammation goes down some of your roots may become exposed causing possible thermal sensitivity to hot or cold. This sensitivity will get better, but it may take time for it to

Four to six weeks following this deep cleaning you return to our office for a re-evaluation. At this appointment, which has no charge, you receive another exam similar to your first visit to the office in order to determine how you have responded to your initial therapy.

Sometimes scaling and root planing is enough to completely correct mild to moderate periodontal problems, greatly reducing both the inflammation, bleeding, and pocket depths in your mouth.

Treatment Methods

If residual disease and deep pockets remain however, you most likely will need some form of surgical treatment and intervention. Our goal is to help you keep and maintain as many of your natural teeth for as long as possible without compromising adjacent teeth.

Treatments include:

  • Tissue Reconstruction
  • Crown Lengthening
  • Periodontal Plastic Surgery (Gum Grafting)
  • Connective Tissue Grafts
  • Pocket Reduction Surgery
  • Bone Grafting
  • Laser Periodontal Therapy

Making Treatment More Comfortable with an Anesthetic Wand

Today, we’re making it more comfortable than ever to treat your gum disease. One of the biggest advances is the anesthetic wand.

The syringe, a 150-year-old technology, was one of the first methods to deliver local anesthetics. Today, much of the fear, anxiety and pain have been taken out of dental anesthetic injections, with improved equipment, such as the anesthetic wand, which makes periodontal treatment more pleasant. The wand is a computer-controlled, local anesthesia system that enables periodontists to deliver a painless injection of local anesthetic, virtually eliminating discomfort, and providing a more pleasurable experience for the patient.

Periodontal Maintenance

While the professional examination and cleaning of your gums and teeth is part of the care you always receive at Periodontal Associates, the detection of gum disease at any stage alerts us to a greater need for scheduled examination and care. Dr. Bonner and your hygienist will plan and perform a regularly scheduled program of Periodontal Maintenance Therapy tailored specifically to your needs.

Because plaque forms on your teeth on a constant basis, the bacteria in plaque regularly attack your teeth and gums. When plaque is not thoroughly removed, it hardens into a deposit known as calculus or tartar. Daily brushing and flossing will minimize the formation of calculus but cannot entirely prevent it. In spite of your best home oral care, plaque can cause the recurrence of gum disease in just two to four months following a professional cleaning.

You can see how important it is to your oral health to maintain a regular schedule of periodontal care once gum disease has been diagnosed and you have received treatment to bring it under control. The continuing health of your gums and teeth as well as your health in general depend upon it.

2nd Opinions

Electing to receive periodontal treatment or dental implants is not an easy decision. When faced with the possibility of periodontal treatments or dental implant surgery, patients should seek advice from a trusted dentist.

Dr. Bonner has the experience and expertise to note if recommended treatments are necessary, or actually more invasive than the patient’s condition requires. He may guide a patient in a direction which will save patients’ time and money. While most dentists and periodontists are conscientious and strive to make accurate diagnoses and provide useful treatments, it is best to ensure that the treatment plans are necessary.