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Gum disease, also known as periodontal disease, is a common condition characterized by inflammation of the gums and, if left untreated, can lead to damage of the soft tissue and bone supporting the teeth. Here is an overview of the treatment process for gum disease:

1. Dental Examination and Diagnosis:

  • A comprehensive dental examination is conducted to assess the extent of gum disease.

  • Diagnosis involves measuring the depth of periodontal pockets, assessing gum recession, and checking for signs of inflammation.

2. Stages of Gum Disease:

  • Gingivitis: The earliest stage, characterized by inflamed gums and bleeding during brushing.

  • Periodontitis: If gingivitis progresses, it can lead to periodontitis, where the supporting structures of the teeth are affected, leading to pocket formation and potential bone loss.

3. Professional Dental Cleaning (Scaling and Root Planing):

  • The first line of treatment is usually a professional dental cleaning.

  • Scaling: Removal of plaque and tartar (calculus) from the tooth surfaces and below the gumline.

  • Root Planing: Smoothing the root surfaces to discourage further plaque and tartar buildup.

4. Antibiotic Therapy:

  • In some cases, antibiotics may be prescribed to control bacterial infection and inflammation.

  • This can be in the form of oral antibiotics or antibiotic mouth rinses.

5. Maintenance and Oral Hygiene Education:

  • Patients are educated on proper oral hygiene practices, including effective brushing and flossing techniques.

  • Regular maintenance appointments are recommended for ongoing monitoring and cleaning.

6. Periodontal Maintenance:

  • Individuals with a history of gum disease may need more frequent dental cleanings (periodontal maintenance) to manage the condition.

  • These appointments may be scheduled every three to four months.

7. Scaling and Root Planing with Anesthesia:

  • For more advanced cases of gum disease, scaling and root planing may be performed under local anesthesia for patient comfort.

8. Periodontal Surgery:

  • In severe cases where non-surgical treatments are not sufficient, periodontal surgery may be recommended.

  • Surgical procedures can include flap surgery (pocket reduction), bone grafts, or soft tissue grafts.

9. Guided Tissue Regeneration:

  • In cases of significant bone loss, guided tissue regeneration may be performed to stimulate the regeneration of lost bone and tissue.

10. LANAP (Laser Assisted New Attachment Procedure):

  • Some dentists use laser therapy as an adjunct to traditional treatments to remove diseased tissue and promote healing.

11. Dental Implants for Tooth Replacement:

  • In cases where tooth loss has occurred due to advanced gum disease, dental implants may be considered after the disease is under control.

12. Collaboration with Specialists:

  • Periodontists, who specialize in the treatment of gum disease, may be involved in more complex cases or surgical procedures.

13. Smoking Cessation and Lifestyle Changes:

  • Patients are encouraged to quit smoking as it can hinder the success of gum disease treatment.

  • Lifestyle changes, such as a healthy diet and stress management, can also contribute to improved gum health.

14. Ongoing Monitoring:

  • Regular follow-up appointments are crucial to monitor the progress of treatment and address any signs of recurrence.

15. Connection with Systemic Health:

  • Periodontal health is linked to overall health, and the treatment of gum disease may positively impact systemic conditions such as diabetes and cardiovascular disease.


Effective treatment of gum disease involves a combination of professional dental interventions and diligent at-home oral care. Early detection and intervention are key to preventing the progression of gum disease to more severe stages. Regular dental check-ups and cleanings, along with maintaining good oral hygiene practices, contribute to the long-term health of the gums and supporting structures. Individuals experiencing symptoms of gum disease, such as bleeding gums or persistent bad breath, should seek prompt dental attention for diagnosis and appropriate treatment.

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