The method of treatment depends upon how far the disease has progressed. In the early stages of periodontal disease, usually the only treatment needed is scaling and root planing. Scaling is the removal of calculus deposits on the teeth. Root planing is the smoothing of the root surfaces so that the supporting tissues can reattach. Gum tissue can reattach to roots that have been meticulously cleaned. Since this process goes deeper than a standard cleaning, local anesthetic is often used.
Since its inception over 25 years ago, we have worked closely with the University of Southern California School of Dentistry Antimicrobial and Culture Testing Service. In certain situations, specific antibiotics are needed instead of or in addition to mechanical therapy (scaling and root planing or surgery). Plaque bacteria are carefully collected and then sent to USC. Technicians at USC will use culturing methods and DNA analysis to identify suspected periodontal pathogenic bacteria. Once identified, your bacteria will be challenged to an entire range of antibiotics. We then receive a detailed report that helps us recommend the exact antibiotic or combination of antibiotics best suited for your needs.
In addition to plaque and tartar, improper tooth positioning (malocclusions) may contribute to loose teeth. In these situations, the bite is adjusted so that teeth meet properly and function better. Sometimes impressions are taken and a heat cured acrylic guard or stent is made. This guard is worn at night and is a very inexpensive way of splinting and stabilizing the loose teeth.