Advanced Gum (periodontal) Care

Root Surface Debridement (RSD)

This is usually carried out by our hygienists. The pockets in your gum which form around your teeth are regularly monitored. Left unchecked, plaque and calculus build up on the teeth above AND below the gum line. First we measure the depth of the pocket. The plaque and tartar can easily be removed above the gum. Below the gumline takes longer.

If all the plaque is removed this should encourage the gum to re-attach to the tooth. The pocket depth should then reduce over time.

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Periodontal Treatment 1

Plaque and calculus first need to be removed.
The pocket depths can be measured using a special probe.
It slips easily into the pockets.
Filling the pockets with Dentomycin …
… kills the bacteria.
The clean pockets start to heal.
The depth of the pockets is measurably reduced.

Periodontal Treatment 2

A special probe is used to measure the depth of the pockets.
Plaque and calculus first need to be removed.
A chip of anti-bacteria material is then inserted.
This disolves slowly killing the bacteria …
… and encouraging the gum to re-attach to the tooth …
… reducing the depth of the pockets.

Perio Bone Grafting

This is usually carried out by specialist periodontists under referral.

A periodontal pocket can be ‘repaired’ using artificial bone. Firstly, the pocket must be carefully cleaned and any gum tissue removed in order for the new bone to fuse to the existing structure.

After a long period after a tooth has been lost the bone often shrinks away and becomes too thin to place an implant.
New bone can be ‘harvested’ from various places shaped and secured underneath the gum.
A healing period of several months will be necessary before an implant can be placed.

Last Modified: Aug 14, 2017 @ 12:32 pm