Periodontal and Soft Tissue Management at Alliance Dentistry
At our Cary NC dentist office, we often see periodontal and soft tissue related issues in our patients. Research from the Centers for Disease Control and Prevention suggests over 47 percent of the US population aged 30 years and older have mild, moderate or severe periodontitis.* Periodontitis, also referred to as periodontal disease, is an inflammatory disease characterized by the loss of connective tissue between teeth and gums. If not treated, the bones and tissues that support the teeth may be destroyed. Eventually, teeth become loose and have to be removed.
Dentists in Cary, NC That Care
Bad breath, red, swollen or bleeding gums, loose teeth and longer appearing teeth are signs of gum disease. Every adult patient at Alliance Dentistry is screened for periodontal disease at our Cary, NC dentist office. We review medical history and identify underlying conditions or risk factors that may contribute to gum disease. Our Cary NC dentists examine your gums and measure your pocket depths (the spaces formed when gums pull away from teeth.) We also take radiographs to see whether there is any bone loss. Based on these findings, we establish an appropriate soft tissue treatment plan. While the number and types of treatment may vary, based on the severity of the disease, the main goal of our dentist office is always to control the infection.
Scaling and Root Planing (Deep Cleaning)
In what most people consider a dental cleaning, plaque and tartar is removed from above the gum line. Individuals with periodontal disease, however, require a deep cleaning, called scaling and root planing. Scaling consists of removing tartar from above and below the gum line. Root planing smoothes out the rough spots along the root surface where germs gather, which helps to remove bacteria that contribute to the disease.
Arestin® is an antibiotic that helps kill the bacteria that contribute to periodontal disease. At Alliance Dentistry, we place Arestin ® into gum pockets at the time of scaling and root planing, making scaling and root planing more effective. Tiny, round particles slowly release the antibiotic over time into the gum tissues which allows for better healing and a reduction in the size of the periodontal pockets.
iLase ™ is a dental soft tissue laser designed for a variety of dental procedures. At our Cary, NC dentist office, we most commonly use iLase ™ for the retraction of tissues prior to crown impressions and for soft tissue crown lengthening in teeth that are otherwise too short for restorations.
Oral Surgery/Tooth Extractions by Qualified Dentists in Cary, NC
While we do all we can to maintain teeth, there are occasions when removal of a tooth or multiple teeth is the best treatment for some patients. When such a procedure is necessary,a Cary NC dentist will discuss options for replacement of the missing teeth and have a satisfactory plan in place with which our patients feel comfortable. Often, this involves one or more implants. Our Cary, NC dentist office works closely with oral surgeons and periodontists in the area to deliver the best and most appropriate treatment for our patients.
*Eke P, Dye BA, Wei L, Thorton-Evans GO, Genco RJ. Prevalence of periodontitis in adults in the United States: 2009 and 2010. J Dent Res 2012; 91 (10):914-920.