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What kills gum infections?

Gum Disease Treatment

Gum disease treatment may be nonsurgical or surgical, depending on the stage of disease and your oral and overall health. Nonsurgical treatments include scaling and root planing and antibiotics. Surgical options include pocket reduction surgery and guided tissue regeneration. Most often, a periodontist (gum specialist) performs these procedures.

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What is gum disease treatment?

Gum disease treatment encompasses a wide range of dental procedures. Healthcare providers use these procedures to reduce infection in your mouth and rebuild tissues damaged by periodontal (gum) disease. Periodontists (gum specialists) usually perform these procedures. But general dentists sometimes treat milder forms of gum disease.

Gum disease occurs when plaque and tartar build up on your teeth surfaces. Your gums react to the bacteria in these irritants and become red, swollen and tender. Your gums may also bleed when you brush or floss.

The sooner you treat gum disease, the better chance you have for long-lasting oral health. At its earliest stage (gingivitis), gum disease is reversible. But the later stages (periodontitis) damage your gums and underlying bone. This results in gaps — or periodontal pockets — around your teeth, leading to further infection, loose teeth and even tooth loss.

How common is gum disease treatment?

Gum disease treatments are among the most commonly performed dental procedures. In the U.S., almost half of all adults aged 30 or over have some form of gum disease. About 9% of adults in the U.S. need advanced gum disease treatment.

Procedure Details

Nonsurgical vs. surgical treatments for gum disease: What are my options?

Whether you need surgical or nonsurgical gum disease treatment depends on several factors, including:

  • The stage of gum disease.
  • Your existing oral health.
  • Your existing overall health.
  • Your ability to follow post-treatment oral hygiene instructions.

There are a number of nonsurgical and surgical gum disease treatment options available. In addition, many periodontists offer sedation dentistry to keep you comfortable during your treatment. To learn more, talk to a healthcare provider.

Nonsurgical gum disease treatments

People with early-stage gum disease — such as gingivitis or mild periodontitis — can benefit from nonsurgical therapies. Nonsurgical treatments for gum disease include:

Dental prophylaxis

Dental prophylaxis is a routine dental cleaning — like the one that many people have with their hygienist twice a year. During this procedure, a provider removes plaque and tartar from your teeth surfaces.

People who have gingivitis (the first stage of gum disease) can often reverse it with professional dental cleanings and improved oral hygiene at home. Depending on your specific situation, you might need more frequent cleanings with your dentist or hygienist to keep harmful bacteria at bay.

Scaling and root planing

Scaling and root planing — a deep dental cleaning — reaches deep beneath your gum line to remove plaque and tartar on your root surfaces. In addition to thoroughly cleaning your teeth, your periodontist or dental hygienist will smooth away any rough spots on your teeth roots. This helps prevent bacteria and plaque from reattaching. Your periodontist will give you local anesthesia to numb your gums and keep you comfortable during this procedure.

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Antibiotic therapy

Your periodontist may use antibiotics — either as a stand-alone treatment or in combination with other procedures. Common antibiotics used in the treatment of gum disease include products like minocycline HCl (Arestin®) or chlorhexidine (PerioChip®). Your periodontist can place these medications in the space between your gums and teeth (the periodontal pocket).

Laser periodontal therapy

During this procedure, your periodontist uses a tiny laser to remove diseased tissue and kill bacteria under your gums. In some cases, providers recommend laser therapy as an alternative to traditional gum surgery. Unlike traditional gum surgery, laser therapy doesn’t require incisions or sutures.

Surgical gum disease treatments

People with moderate to advanced periodontal disease usually require surgical intervention. Surgical treatments for gum disease include:

Pocket reduction surgery (flap surgery)

During this procedure, your periodontist will create incisions along your gum line, then temporarily move your gums away from your teeth. This allows them to see the roots underneath. Next, they’ll remove the tartar buildup and clean your root surfaces. In some instances, they may smooth and reshape areas of damaged bone, making it harder for bacteria to hide and grow. Finally, they’ll reposition your gums and suture them into place.

Bone grafting

A dental bone graft uses your own bone, donated bone or synthetic bone to rebuild areas that have been damaged by gum disease. The graft serves as a type of scaffolding that holds space until your body can regenerate new bone. Periodontists often perform bone grafting in combination with pocket reduction surgery.

Gum grafting

A gum graft uses your own tissue, donated tissue or synthetic tissue to treat gum recession (when your gums pull away from your teeth). Gum recession is a common symptom of periodontal disease.

During gum grafting surgery, your periodontist places the tissue graft in areas where your gums have receded and sutures (stitches) it into place. If they use your own tissue, they’ll take the graft from the roof of your mouth.

Guided tissue regeneration

Periodontal disease can cause gaps that form between your tooth root and bone. During guided tissue regeneration, your periodontist places a membrane in the damaged area to keep your gum tissue from growing where bone should be. This gives your body time to regenerate bone around your tooth. In many cases, periodontists place a bone graft during the same procedure to help this process.

Risks / Benefits

What are the potential benefits of treatment for gum disease?

The pros of treating gum disease outweigh the cons. Left untreated, gum disease continues its destructive path, leading to a cycle of infection, bone loss and eventual tooth loss. With prompt treatment, you can:

  • Eliminate disease-causing bacteria in your mouth.
  • Stop bone loss in your jaw.
  • Get rid of bad breath (halitosis).
  • Have healthier gums that aren’t red, swollen or tender.
  • Reduce your risk for stroke, heart disease and a myriad of other medical conditions.

How successful is gum disease treatment?

Periodontal disease treatment has impressive success rates that can reach 95% in some instances. These rates vary based on several factors, including the type of procedure performed and how a person cares for their teeth and gums following treatment.

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Gum disease treatment can change the long-term outlook for teeth damaged by periodontitis. In many cases, this type of therapy can save teeth that were hopeless without treatment.

It’s important to understand that you can’t cure gum disease, you can only manage it. Treatments focus on prevention and management, rather than a cure.

What are the risks or complications of periodontal disease treatment?

Possible complications following gum disease treatment include:

  • Bleeding.
  • Infection.
  • Post-treatment pain.
  • Teeth sensitivity.
  • Gum recession.

If you develop any of these complications, call your periodontist. They can prescribe medications or recommend therapies to help ease these side effects.

Recovery and Outlook

How long will it take to recover from gum disease treatment?

It depends on the type of treatment you receive. If you have scaling and root planing, you won’t need any downtime. If you undergo procedures for advanced periodontal disease — such as flap surgery, bone grafts or gum grafts — you’ll need anywhere from one to four weeks to recover.

How should I care for my teeth and gums after gum disease treatment?

Immediately following your gum disease treatment, your periodontist will give you a list of detailed care instructions. These guidelines vary depending on what type of procedure you had. Be sure to ask your periodontist about specific post-treatment care. In general, you should:

  • Take all medications exactly as prescribed by your periodontist.
  • Call your periodontist if you develop any concerning side effects, such as bleeding that won’t stop or pain that doesn’t go away with medication.
  • Keep the treatment area clean. (Your periodontist will tell you how to do this based on your specific situation.)

Long-term oral hygiene

Gum disease treatment helps reduce harmful bacteria in your mouth. But if you don’t practice good oral hygiene at home, the bacteria can regrow, leaving you in the same place you started. To prevent this from happening, you should follow your periodontist’s specific instructions. Here are some general guidelines:

  • Brush your teeth two to three times every day, angling your toothbrush toward your gum line. This helps sweep away harmful bacteria that hide between your teeth and gums.
  • Floss your teeth once every day. It doesn’t matter whether you floss in the morning, during the day or before bed. But flossing is essential for removing plaque, tartar and bacteria between your teeth.
  • Use an antibacterial mouthwash twice a day. Choose a formula that’s alcohol-free to reduce your risk of dry mouth (xerostomia).
  • See your dentist or hygienist for routine dental cleanings. The frequency of these visits is different for everyone, based on the severity of your disease. For example, some people may only need two cleanings a year, while others may need four.

When to Call the Doctor

When should I call my healthcare periodontist?

Following periodontal disease treatment, you should call your periodontist right away if you develop:

  • Severe pain that doesn’t go away.
  • Pain that gets worse after three or four days.
  • Fever.
  • Infection (pus) at the treatment site.
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Additional Details

Do you go to a dentist or doctor for gum disease?

A periodontist (gum specialist) is usually the type of provider to treat periodontal disease. General or family dentists may choose to treat some mild cases themselves.

You can get a referral to a periodontist from your dentist or primary care physician (PCP).

Does mouthwash help with periodontal disease?

Mouthwash is an effective tool for preventing and treating periodontal disease. Keep in mind, though: Mouthwash isn’t a substitute for brushing, flossing or routine dental visits.

Choose an alcohol-free antibacterial formula — one that contains either chlorhexidine or hydrogen peroxide. These ingredients help reduce plaque and tartar. If you’re unsure about which brand or formula to purchase, ask your dentist or periodontist.

Can I use hydrogen peroxide for gum disease treatment?

While hydrogen peroxide reduces plaque and tartar on your teeth, you should never use it undiluted, as it can burn your gum tissue. But if you’d like, you can combine one part hydrogen peroxide with three parts water. Swish this mixture for 60 seconds, then spit. Or you can purchase a mouthwash that already contains hydrogen peroxide.

Can I cure gum disease without a dentist?

Gum disease isn’t curable. It’s only manageable. But you can’t successfully manage gum disease without the help of a dentist or periodontist. This is because bacteria seep way down under the surface of your gums, where brushing and flossing can’t reach.

At best, diligent oral hygiene might slow the destruction process. But professional treatment is the key to proper management and long-term oral health.

What are the pros and cons of laser treatment for gum disease?

Periodontists use laser light therapy to kill disease-causing bacteria and sterilize the treatment area. As with most procedures, there are pros and cons.

Pros of laser treatment for gum disease

Here are the most notable benefits of laser therapy:

  • Accuracy and precision. Periodontal lasers target diseased tissue while leaving healthy tissue intact.
  • Reduced pain. Because laser therapy is less invasive compared to traditional gum surgery, people who undergo this procedure usually have less pain, swelling and discomfort.
  • Shorter recovery. Recovery after laser therapy tends to be shorter compared to traditional gum surgery. But exact healing times vary depending on how many teeth need treatment and the severity of the disease.

Cons of laser treatment for gum disease

There’s one major disadvantage when it comes to periodontal laser therapy: It’s not always effective when treating advanced periodontal disease. If you have severe periodontitis, your periodontist may recommend traditional flap surgery.

A note from Cleveland Clinic

Gum disease treatment encompasses several surgical and nonsurgical procedures used to combat gingivitis and periodontitis. Professional treatment is the only way to effectively treat and manage these conditions. Remember, there’s no cure for gum disease. But you can manage it with proper treatment and improved oral hygiene at home.

10 Simple Ways to Relieve Painful Gums

Relieve Painful Gums

Swollen gums can be a sign of a serious oral condition. If you’re one of those individuals who fear the dentist, you might be glad to hear you can treat painful gums at home.

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If you want to learn how you can treat painful gums at home. Read on to get started.

1. Warm and Cold Compresses

A great and easy way to relieve painful gums is by applying compresses on your gum to relieve your pain. Either hot or cold compresses will do.

Hot Compress: Heat up some water but make sure you don’t bring it up to a boil. The water should be hot enough for you to tolerate it.

Grab a clean cloth and soak it in the water, squeeze off the excess water, and place it on your face in the area of the gum pain.

Cold Compress: Use an ice pack wrapped in a clean cloth and apply the same way as a hot compress.

You can alternate the use of both compresses until the pain and swelling go down.

2. Salt Water Rinses

Salt water rinses are a great home remedy to help aid painful gums. The salt in the water prevents the growth of bacteria and helps get rid of the one already growing in your mouth.

Start by warming a cup of water, make sure is not boiling, and add 1 tsp of salt to it. Swish the salt water in your mouth and rinse well for a few seconds, and spit out into the sink.

Make sure you don’t swallow the water. Rinse your mouth with the salt water at least twice a day.

3. Hydrogen Peroxide

The hydrogen peroxide helps you soothe the pain and reduce gum inflammation. Hydrogen peroxide is a great agent to kills germs and fights many other oral problems.

To start, mix equal parts of water and hydrogen peroxide. Swish the peroxide solution in your mouth for about 20 seconds, spit on the sink, and rinse your mouth off with warm water.

Another way to use hydrogen peroxide is to make a paste using baking soda. Apply the paste to your mouth, wait a minute, and then rinse off.

4. Tea Bags

Soak a tea bag in boiling water for at least 5 minutes, as if you were to make tea. Let the tea bag cool off for a few minutes, so it’s not burning hot and apply on the affected gums.

Not any tea will do, try to pick a tea that has astringent properties such as green tea, black tea, or hibiscus tea. You can also pick a tea rich in anti-inflammatory properties such as chamomile and ginger.

Teabags are a great way to soothe painful gums.

5. Tea Tree Oil

Tea tree oil is known for its natural anti-inflammatory and antibiotic properties. It’s perfect to help with your painful gums and other oral ailments.

To use, drop a few drops of tea tree oil into a glass of water and use it as a regular mouthwash.

You can also try to get toothpaste that contains tea tree oil for a little extra help.

6. Turmeric Paste

Turmeric is another natural ingredient that contains antioxidant and anti-inflammatory properties. Turmeric helps reduce the swelling, pain, and inflammation of your gums.

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You will need to make a paste using 1/4 teaspoon of turmeric and mix it with a little water until you make a paste.

Apply on your affected gums and leave on for 5 minutes. Make sure you rub it on your gums using gentle massage motions.

After, ensure you rinse the turmeric residue with warm water. Repeat the process every day for 1 to 2 weeks or until the pain is gone.

7. Over-the-Counter Pain Killers

If the pain is getting in your way, why not try instant pain relief. Some over the counter pain relievers will do the trick.

You can try pain relievers such as aspirin, acetaminophen, or ibuprofen. You can find these at your local drug store.

For more effectiveness, you can combine the painkillers with other home treatments.

8. Oral Anaesthetic Gels

You can also use oral anaesthetic gels you can get over the counter to help you with your gum pain.

These gels combine natural and synthetic ingredients to help numb your gums and bring you pain relief.

Oral gels usually use natural pain relievers such as clove or Spilanthes. Orajel and Anbesol, are common over the counter anaesthetic gels.

9. Homemade Dental Spray

You can make a dental spray to help relief your gum pain by using essential oils as your main ingredient.

Use a new and clean spray bottle (make sure no other product has been inside it) and add clean water to it.

You will need about 5 drops of the essential oils of your choosing. Great oils to use are oregano, peppermint, and clove — these oils have pain relief and anti-inflammatory properties.

Spray the solution directly onto your gums daily until your condition improves.

10. Improve your Nutrition

The best way to help with painful and inflamed gums is to prevent it in the first place.

A great way to prevent and improve your gums is to improve your nutrition. Start by incorporating calcium, vitamin C, and folic acid into your diet.

Not having these vitamins in your diet could be one of the culprits of swollen gums.

Vitamin C can be found in a variety of foods such as broccoli, bell peppers, oranges, pineapples, kale, kiwi, and strawberries.

Getting the right amount of calcium can bring many benefits for your overall oral health. Calcium is found in dairy, soy milk, tofu, sardines, cereals, and collard greens.

Add folic acid to your diet by eating beans, lentils, broccoli, asparagus, greens, peas, and avocados.

Improve Painful Gums with These Remedies

Simple home remedies such as salt water rinses, cold compresses, turmeric paste, tea tree oil, amongst other can help you soothe gum pain.

If nothing works, you should visit a professional.

Need help with your overall dental health, Dee Kay Dental can help you. Learn more about us or contact us to make an appointment.

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