Nonsurgical Care

Nonsurgical periodontal therapy

Often we can halt and reverse gum disease without surgery.

Deep cleaning

Deep cleaning, called scaling and root planing, reduces inflammation and bacterial debris below the gum line. This provides a smooth, clean surface to which the gum can reattach, reducing pocket depth.

How is scaling and root planing performed?

You may choose to have local anesthetic applied to your gums to reduce any potential discomfort. Your hygienist will thoroughly scrape away plaque and tartar deposits below the gum line. He or she will then ‘plane’ or smooth the surfaces of the roots. Smooth, clean surfaces make it harder for bacteria to adhere, and easier for gum tissue to reattach as it heals. Depending on the number of teeth that require deep cleaning and the depth of the pockets, it may take more than one appointment to complete the treatment.

Your periodontist will recommend a schedule for your periodontal maintenance. Regular periodontal re-care is essential to continue to improve your gum health and avoid surgery or tooth loss. Patients often alternate general dental cleanings and periodontal re-care to better manage their gum disease.

Other nonsurgical periodontic treatments

Our periodontic therapy also includes:

  • Delivery of localized antibiotics below the gum line
  • Regular periodontal re-care visits (maintenance cleanings)
  • Screening of oral lesions and soft tissue biopsy
Night guards

Night guards help reduce jaw soreness due to tired muscles caused by grinding or clenching the teeth. They are also used to stabilize loose teeth and prevent excessive wear on your teeth. This custom-made hard plastic device covers chewing surfaces of the upper or lower teeth.

Care instructions for night guards:
  • It is intended to be worn at night, but you may wear it anytime, for up to 12 hours.
  • Brush your night guard after wearing to remove debris and odor.
  • Clean your night guard with denture cleaner once a week.
  • Have your night guard checked at your regular dental cleaning visits to ensure proper fit.
  • After wearing your night guard, your teeth may not feel like they fit together immediately. This is due to the relaxation of your jaw, and your bite should quickly adjust.
  • If you have any discomfort, discontinue use and call the office for a check and refit appointment.

We work closely with your general dentist to keep him or her informed of your treatment with us. If you or your dentist have concerns about your periodontal health, ask for a referral to Dr. Michael Spektor, or call (425) 454-1322.