Having gum problems can be devastating to your oral and overall health. In some instances, dental issues can arise from other issues in the body. It is best to practice good oral hygiene and visit your local dentist in Honolulu regularly. This short post will review one by one the important information you will have to take into account when deciding whether to resort to any surgical treatment of periodontal disease.
It is important to note that the tartar isolation and root therapeutic methods are difficult to master. The difficulties in getting the appropriate debridement increase proportionally with the increase of the depth of periodontal pockets, with the increase in the width of the root surfaces and the presence of cracks root, root concavities, forks, and defective margins of dental restorations in the sub-gingival area. Whenever you proper techniques and appropriate tools are used, it is usually possible to properly clean pockets up to 5 mm deep, however, this limit cannot be considered a universal rule to eye. The reduced availability of the above conditions can prevent proper surface cleaning.
It is often difficult to determine in clinical settings if the sub-gingival procedure has been properly performed by a Dentist in Honolulu. After isolation, the root surfaces should be smooth and hard – a roughness indicates the presence of subgingival calculus. It is also important to carefully monitor the gingival reaction to debridement. If swelling persists or there is bleeding, even with a sensitive probe, the dentist must suspect the presence of deposits below the gum. If such symptoms do not resolve with repeated cleanings, the dentist will then look to surgery to expose the root surfaces.
The second key indication for periodontal surgery is the inadequate access to plaque and tartar. The level of plaque control is determined not only by the interest and skill of the patient but also, to some extent, by the morphology of the dentogingival area. The responsibility of the patient should obviously include the cleaning of tooth surfaces and the marginal portion of the gingival areas which can be reached by the toothbrush, floss and other resources. Pronounced gingival hyperplasia and gingival craters are examples of morphological aberrations that can obstruct proper personal care. Similarly, the presence of defective restorations or adverse contour and surface characteristics can seriously compromise the plaque removal.
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