Periodontal disease progresses in stages and has different levels of treatment options depending on the severity of the case. The disease begins as the space (sulcus) between the tooth and gums gets filled with bacteria, plaque, and tartar, causing damage to the gums and the bone that supports the teeth.
If the disease is caught in the early stages of gingivitis, it may be treatable with professional cleanings. If the disease has progressed, a special deep cleaning called scaling and root planning will be recommended. This procedure is usually done one quadrant of the mouth at a time while the area is numb. In this procedure, tartar, plaque, and toxins are removed from above and below the gum line (scaling) and rough spots on root surfaces are made smooth (planning). Medications, special medicated mouth rinses, and an electric tooth brush may be recommended to help control infection and healing.
If the disease has progressed to far and the pockets do not heal after scaling and root planning, periodontal surgery may be needed and your dentist will refer you to a Periodontist.