The most common element causing periodontal (gum) disease is the build-up of plaque; a sticky, colorless film that forms on your teeth. However, there are many other factors that can cause or affect the progression of the disease. Even when periodontal disease is in a fairly advanced stage, it is possible to improve or even reverse the condition utilizing minimally invasive and cost-effective methods. Dr. Burwell often accomplishes this through non-surgical procedures, including scaling and root planing (a thorough cleaning of root surfaces to eliminate plaque and calculus (tartar) from deep periodontal pockets, and smoothing the root to rid it of bacterial toxins), followed by therapy, such as local delivery of antimicrobials and host modulation, as required on a case-by-case basis.
Most clinicians would acknowledge that following scaling and root planing, most persons do not need further treatment, which includes surgical therapy. However, many patients will need continual therapy to maintain proper health. There are limitations to non-surgical therapy. If non-surgical treatment does not improve oral health, Dr. Burwell can refer you to a periodontal specialist who may be able to restore your oral health through surgery.