The methods of periodontal treatments will depend largely on the severity and type of the disease. Your dental hygienist or dentist will conduct the necessary evaluation and recommend the best treatment for you.
Periodontal disease progresses as the as the space between the gums and teeth gets filled with tartar, plague, and bacteria, resulting in the irritation of the surrounding tissues. These irritants, when allowed to remain in the pocket space, can damage the gums and eventually, the bone supporting the teeth!
If the disease is detected in the early stages of gingivitis, and assuming there is no damage yet, a few regular cleaning may be recommended. The dentist will give you tips on how to improve your oral habits and do regular dental cleanings.
However, if the disease has reached advanced stages, root planing and scaling (both known as deep cleaning) will be needed. While the area is numb, a quadrant of the mouth is done at a time. The procedure involves removing toxins, plaque, and tartar from below and above the gumline; rough spots on root surfaces are smoothened (planing). This procedure aids the healing of gum tissue and shrinking of pockets. Also, medications, electric toothbrush, and special medicated mouth rinses may be recommended to aid infection control and healing.
If there is no significant improvement after root planing and scaling, periodontal surgery may be used in reducing the pocket depths. You may be advised by your dentist to consult a periodontist (supporting bone and gums specialist).