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Periodontal treatment

Do you clean your teeth the right way? Brushing mistakes will, in the long run, lead to plaque buildup, or the buildup of tartar between the teeth and the gums, resulting in loose teeth, wider gaps between teeth, receding gums, toothaches and other symptoms of gum disease, which will become increasingly serious if left ignored.

As gum disease and tooth decay might not both be present in the patient’s oral cavity at the same time, many patients tend to overlook the existence of gum disease, with the misconception that their teeth and gums are normal and healthy in the absence of cavities. As such, they may miss the opportune period for treating gum disease, and tragically, have to deal with tooth loss from severe gum disease.

Do you clean your teeth the right way? Brushing mistakes will, in the long run, lead to plaque buildup, or the buildup of tartar between the teeth and the gums, resulting in loose teeth, wider gaps between teeth, receding gums, toothaches and other symptoms of gum disease, which will become increasingly serious if left ignored.

As gum disease and tooth decay might not both be present in the patient’s oral cavity at the same time, many patients tend to overlook the existence of gum disease, with the misconception that their teeth and gums are normal and healthy in the absence of cavities. As such, they may miss the opportune period for treating gum disease, and tragically, have to deal with tooth loss from severe gum disease.

Gum Disease Symptoms

Gum disease is a general term for periodontal diseases, such as periodontitis and gingivitis, which are chronic diseases in the oral cavity. While the symptoms of periodontitis and gingivitis may differ, they both pertain to the periodontal tissue and are thus collectively referred to as gum or periodontal disease.

Like many chronic diseases, the initial symptoms of gum disease are not immediately obvious and it is often painless. Sometimes, there the gums may gradually become red and swollen or there may be bad breath, but these symptoms are often ignored.

When the above symptoms of gum disease are present, further treatment is required to prevent irreparable harm. The development of gum disease is a lengthy process, stretching from the initial symptom of bleeding gums when brushing, to the mid-stage symptoms of gum boils, bad breath, and receding gums, to loose teeth in the advanced-stage of gum disease.

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Causes of Gum Disease

The main culprit behind gum disease is bacteria. The bacteria attach themselves to the teeth, gradually calcifying particles into tartar while producing toxins that attack the periodontal tissue, eventually leading to tooth loss.
Gum disease gradually worsens over time, but in some special cases such as in smokers and those with fibrotic gingiva, symptoms of bleeding or swollen gums may not be present. As such, one cannot simply rely on the naked eye to identify gum disease. Instead, you should get a professional dentist to do a thorough examination of your gums regularly. It is crucial that you work together with your dentist to fight gum disease!

The main culprit behind gum disease is bacteria. The bacteria attach themselves to the teeth, gradually calcifying particles into tartar while producing toxins that attack the periodontal tissue, eventually leading to tooth loss.
Gum disease gradually worsens over time, but in some special cases such as in smokers and those with fibrotic gingiva, symptoms of bleeding or swollen gums may not be present. As such, one cannot simply rely on the naked eye to identify gum disease. Instead, you should get a professional dentist to do a thorough examination of your gums regularly. It is crucial that you work together with your dentist to fight gum disease!

Self-Examination for Gum Disease: 8 Common Symptoms

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• Bleeding gums when brushing your teeth
• Toothache, swollen gums, or dark red gums
• Gums do not fit snugly against the teeth, forming gingiva grooves
• An unpleasant odor in the mouth (bad breath)
• Pus between the gums and the teeth
• Tooth mobility or loose teeth
• A strange sensation when the upper and lower teeth are clenched together
• When your removable dentures suddenly do not fit your mouth well

Treatment of Gum Disease

To treat gum disease, tartar and plaque is first removed from the gums and teeth, and the inflammation is treated with drugs to keep the loose teeth in place. Next, the dentist comes up with a plan based on the patient’s condition. If there are missing teeth, dentures or dental implants will become part of the treatment. In general, the treatment of gum disease takes several months, during which the patient has to do their part and exercise good oral hygiene, as well as cultivate good habits to avoid future reoccurrence. The severity of gum disease might differ between patients, and it helps to clarify whether gum disease treatment is covered by the national health insurance or must be paid out of pocket when booking a consultation. This is to prevent any disputes between the two parties about the treatment cost from arising.

To treat gum disease, tartar and plaque is first removed from the gums and teeth, and the inflammation is treated with drugs to keep the loose teeth in place. Next, the dentist comes up with a plan based on the patient’s condition. If there are missing teeth, dentures or dental implants will become part of the treatment. In general, the treatment of gum disease takes several months, during which the patient has to do their part and exercise good oral hygiene, as well as cultivate good habits to avoid future reoccurrence. The severity of gum disease might differ between patients, and it helps to clarify whether gum disease treatment is covered by the national health insurance or must be paid out of pocket when booking a consultation. This is to prevent any disputes between the two parties about the treatment cost from arising.

【Periodontal treatment assisted

with Waterlase dentistry】

What dental procedures can Waterlase dentistry help with?

Dental Implants

  • Smaller wounds, less bleeding 
  • Less swelling and lower chance of infection
  • Treating peri-implantitis without damaging the implant surface
  • Effectively sterilizing the area
Periodontal
Treatment
  • Effective root surface debridement and sterilization
  • Efficient removal of plaque – more efficient than traditional methods
  • Reducing postoperative swelling and pain
  • Effective removal of tartar

Pediatric Dentistry

  • No high frequency vibration and shrill sound, helping to eliminate children’s anxiety
  • Efficient cleaning and sterilization of crevices to prevent tooth decay

Root Canal Treatment

  • Effective cleaning of the root canal and reducing postoperative inflammation
  • Physically removing stains by laser technology while sterilizing the canal

Dental Restoration

  • Removal of caries and pigmentation spots
  • Avoiding red and swollen gums

Aesthetic Dentistry

  • Gum depigmentation
  • Contouring the gum to improve your smile

Tooth Extraction

  • Helping to stop bleeding
  • Effective sterilization
  • Prevention of postoperative infection

【Gum Disease Treatment Procedure】

STEP 1

Basic examination (full mouth X-ray, pocket depth measurement)

STEP 2

Course of treatment covered by the national health insurance

STEP 3

Assess whether another course of uninsured adjunctive treatment is required

STEP 4

Finish the course of treatment or move on to the uninsured adjunctive treatment

STEP 5

Regular check-ups
Treatment of Mild Gum Disease
Treatment of Mid-stage Gum Disease
Treatment of Advanced-stage Gum Disease

(First stage)

▪Tartar removal: Also known as teeth cleaning, tartar is removed around the gums through ultrasonic scaling. The scaler head vibrates against the surface of the tooth to remove tartar and bacteria.
▪Root planing: This is mainly aimed at removing the dental plaque on the surface of the root and cleaning the dentin contaminated by bacteria.

(Second stage)

In this stage of gum disease, the periodontal tissue has been damaged. The following procedures can be used to restore the teeth.
▪Regenerative periodontal therapy: Artificial bone meal, animal bone meal or synthetic materials are used to repair the alveolar bone and restore the basic function of the teeth.
▪Periodontal flap surgery: An incision is made in the gum to remove the highly inflamed tissue and tartar.
“Periodontal surgeries are day surgeries, and life goes back to normal the next day. It is recommended that regular visits be made after periodontal surgery at three-to-six-month intervals for the maintenance of your teeth.”

(Third stage)

In the advanced stage of gum disease, there may be loose teeth or your teeth that may have been severely eroded and irreparably damaged, which means that the teeth may have to be extracted. To avoid your teeth deteriorating to this stage, it is recommended that you go for teeth cleaning regularly.

Treatment of Mild Gum Disease

(First stage)

▪Tartar removal: Also known as teeth cleaning, tartar is removed around the gums through ultrasonic scaling. The scaler head vibrates against the surface of the tooth to remove tartar and bacteria.

▪ Root planing: This is mainly aimed at removing the dental plaque on the surface of the root and cleaning the dentin contaminated by bacteria.

Treatment of Mid-stage Gum Disease

(Second stage)

▪ In this stage of gum disease, the periodontal tissue has been damaged. The following procedures can be used to restore the teeth.

▪Regenerative periodontal therapy: Artificial bone meal, animal bone meal or synthetic materials are used to repair the alveolar bone and restore the basic function of the teeth.

▪Periodontal flap surgery: An incision is made in the gum to remove the highly inflamed tissue and tartar.

“Periodontal surgeries are day surgeries, and life goes back to normal the next day. It is recommended that regular visits be made after periodontal surgery at three-to-six-month intervals for the maintenance of your teeth.”

Treatment of Advanced-stage Gum Disease

(Third stage)

In the advanced stage of gum disease, there may be loose teeth or your teeth that may have been severely eroded and irreparably damaged, which means that the teeth may have to be extracted. To avoid your teeth deteriorating to this stage, it is recommended that you go for teeth cleaning regularly.

【Periodontal Treatment Q&A】

Q.Can gum disease be cured?

A. Once gum disease damages the teeth, it is irreversible, so what we can do is to discover it early and treat it in its earliest stages. We can also go for regular preventive teeth cleaning and checkups. In any case, once gum disease is treated, it will stop getting worse, which will prevent tooth loss and avoid the need for dental implants.

Q.Is gum disease contagious?

A. Yes, it is. Bacteria that cause gum disease can be transmitted through saliva. Should you discover that you have bad breath, bleeding when brushing your teeth, or aching teeth, it is recommended that you seek medical attention as soon as possible.

Q.How does one prevent gum disease?

A. Method 1: Use the Bayesian method to brush your teeth. Method 2: Floss your teeth. Method 3: Get examined for gum disease regularly and avoid bad habits.
▸( Click here for more  periodontal surgery precautions )

Q.o I need to take leave from work for periodontal surgery?

A. Once your periodontal surgery is done, you can rest at home and return to your usual routine the next day. Generally, it is not necessary to take leave just for it.

Q.How much do gum disease treatments cost?

A. Treatments such as teeth cleaning and subgingival scaling are covered by the national health insurance, while laser gum treatment, microscopic monitoring of periodontal bacteria, air abrasion, periodontal ointments, guided tissue regeneration and periodontal plastic surgery are not. Before surgery, doctors and patients should confirm the details of periodontal surgery and treatment costs to avoid disputes.

Q.Is tartar a sign of gum disease?

A. Yes, although mild tartar does not cause inconvenience to your daily life, it is a symptom of mild gum disease. It is recommended that you go for a dental checkup every six months and get your teeth cleaned so as to maintain the health of your teeth and gums.

Q.Is periodontal surgery painful?

A. There is usually some discomfort after periodontal surgery that generally goes away a day or two after the operation. However, it depends on the severity of gum disease and what type of surgery was done. Early detection and treatment are recommended to reduce pain. There are many areas of the mouth that cannot be cleaned by brushing your teeth every day, so regular teeth cleaning and checkups should form the basis for preventing gum disease.

Q.How is gum disease treated?

A. The treatment of gum disease can be divided into those covered by the national health insurance and those that are not. The national health insurance pays for the following basic gum disease treatment: tartar removal (teeth cleaning), emergency treatment of gum disease, periodontal dressings, subgingival scaling, Gingival flap surgery and gingivectomy.