A GUIDE TO
ADVANCED DENTISTRY WITH A GENTLE TOUCH
Periodontal (Gum) Services
Periodontal disease, which is caused by poor oral health care, is one of the most common sources of inflammation in the body. Brushing twice a day, flossing, and making regular trips to the dentist are the best ways to prevent the disease
Non-surgical Gum Treatment
Deep cleaning together with home care instruction, mechanical cleaning products as well as therapeutic rinses and gels are the cornerstone of non-surgical gum treatment.
Success is usually found when the periodontal pockets are shallower than 4–5 mm.
In most cases, this therapy can avoid surgery entirely, or reduce the amount of surgery necessary.
A reevaluation is performed soon after to determine the success of the non-surgical treatment and to determine if surgical care is now required.
Pocketing deeper than 5–6 mm which remain after non-surgical care, with bleeding upon probing, show disease is progressing and will worsen over time.
Antibiotic Gum Therapy
Optimal reduction of the germs causing gum infection can be assisted with antimicrobial solutions, including varying types of peroxide liquids irrigated into gum spaces with custom trays, or oral irrigators.
This breaks up colonies and reduces infections and inflammation. Even better results can be found when adding small doses of antibiotics including variations of Tetracycline, such as Doxycycline.
This medication slows the breakdown of the supporting collagen in the gum tissue, thus slowing the progress of the disease.
This is not a stand-alone process, requiring deep cleaning to remove hard deposits under the gums.
Scalpel-free laser gum surgery
The Academy of General Dentistry (AGD), has stated that dental lasers can reduce symptoms and healing times of gum inflammation.
The laser disinfects and reduces the amounts of bacteria in diseased gum tissue, can removed diseased tissue and controls bleeding during surgery.
Traditional Gum Therapy
Basic gum treatment includes twice-daily brushing and flossing.
An interdental brush can be useful if there is space between the teeth.
A powered toothbrush is up to five times more effective than a manual brush, and an oral irrigator flushes away left-over food debris and loosened bacteria.
When gum disease is present, additional care is needed including cleanings every three months, deep cleaning, bite guards, bite adjustment, and possibly antibacterial medications and antibiotics.
Chunky deposits of calcified bacteria irritate the gums and are a factor in the bone loss in gum disease.
Removing this irregular material helps in cleaning during home care and allows healing by removing irritants besides bacteria.
Cleaning below the gumline to remove soft plaque and hard calculus is the first step in bringing gums back to health.
Overwhelming teeth with unconscious bite forces happens to everyone.
The teeth can become sensitive, but more importantly, the gum and bone shrink away from overworked teeth.
Concentrating on not clenching during the day is helpful and using a bite guard at night when asleep keeps damaging bite forces from causing bone shrinkage.
A properly made night guard helps preserve valuable supporting bone, but an improperly fitted online do it yourself kit can cause more damage.
When bone and gum shrink away, grafting to regrow gum and bone is now a reality. Modern methods are comfortable and can even be done with without incisions using tiny pinholes and without sutures.
Improve breath and smile
No one likes to be near someone with bad breath.
The most common reason for bad breath is bacterial build up around the teeth.
This build up will release hydrogen sulfide like gases (rotten egg odor).
To improve your breath, daily brushing, flossing and regular sessions of cleaning your teeth with your dentist or hygienist will do the trick.
Dear Dr Korwin and Team Members:
I just want to take this time to thank everyone for your professionalism and great dentistry! After only a couple of visits my gums and teeth seem to be in better shape- After many years of struggling with bleeding and swollen gums they finally seem under control also.
Thank you for a “painfree” experience.
Maria D., Point Pleasant, NJ