Treating Periodontal Disease Research Papers

Once it has been determined that someone has periodontal disease (by studying the patient’s medical history, inspecting the gum areas, testing tooth movement, studying X-rays, and using a procedure called Periodontal Screening and Recording (PSR)), treatment is begun to try to stop and control the progress of the disease, leave the periodontal tissues in a state that is easy to maintain, and, if possible, restore the supporting structures which include bone, gum tissue, and ligaments .  A relatively new saliva test has also been developed which can detect the presence of periodontal diseas in as fast as 15 minutes.  It is hoped that new procedures like this will help doctors better determine the nature of the infection, how it is affecting the patient’s body and measure treatment success.

There are three phases of treatment: initial cleaning, scaling, and curettage; surgery (if needed); and maintenance.  Surgery is used when there are still deep pockets underneath the gum after extensive cleaning has taken place.  The goal is to reduce these pockets. Maintenance begins once the mouth has been returned to a relatively healthy state. The patient should schedule regular cleaning sessions lasting 45 minutes to one hour every three months. A dental hygienist, periodontist, or general dentist may do the cleanings. In addition, the patient must practice home care. Antibiotics are given to individuals prior to treatment is they have a mitral valve prolapse or a history or rheumatic heart disease in order to prevent the possibility of bacterial endocarditis which can cause death .

Studies concerning the effectiveness of active treament and maintenance vary, however some dentists have reported a 85% success rate when professional treatment and good home care are combined.  Treament seems to help nonsmokers more than smokers and one study found that treatment in people with diabetes type II helped inprove blood sugar levels.  However, it is unknown whether treatment will help reduce other health risks like heart attack and stroke

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