Initial Periodontal Therapy (SRP + Perioscopy)

Scaling & Root Planing (SRP)

Scaling and root planing is a nonsurgical periodontal treatment that is typically recommended when periodontal disease is diagnosed. Gingivitis is the first stage of gum disease, affects only the gum tissues, and is completely reversible if detected and treated early. If left untreated, however, it can progress into the deeper tissues and potentially cause bone and tooth loss. Many patients who have gingivitis or more advanced stages of periodontal disease often experience bleeding and sore gums when brushing, flossing, and eating. The general steps of scaling and root planing treatment may include a local anesthetic to numb the areas that will be treated; however, your doctor may suggest a form of sedation if necessary. The treatment often requires hand instruments and an ultrasonic tool to remove the plaque and calculus accumulation. Your hygienist will use the instruments below the gum line to clean the roots of your teeth and smooth any rough surfaces (with the aid of our Perioscope). The goal of this deep cleaning process is to clear away plaque and tartar as well as smooth the surfaces of the teeth to encourage the gum tissues to reattach to the teeth. It is necessary for scaling and root planing treatment patients to maintain their oral health and cleanliness after the procedure. Home maintenance is a major part of the healing process. The mouth needs to be free of food, debris, and plaque in order to keep the bacteria from causing further destruction. Thorough brushing and flossing will be required to ensure that the mouth is clean at all times. It is also important to discontinue the use of tobacco products. This will promote healing and reduce the risk of infection.

Perioscopy

Perioscopy is a procedure that utilizes the Perioscope, or small fiber-optic camera that lights up and magnifies the treatment area. The perioscope is attached to an instrument that is gently placed beneath the gumline, or in the spaces between the teeth and gums, called periodontal pockets. Once in place, the periscope gives our team a 45X magnified and illuminated view of the root surfaces and gum tissues, which can be viewed on a large computer screen.  This allows us to visualize minor deposits of residual tartar, inflammation, and any potential fractures or decay. At Rogue Periodontics + Implant Dentistry, we routinely use perioscopy in conjunction with scaling and root planning to achieve the best possible results during Initial Periodontal Therapy.