Dens Evagination
September 2, 2020Smile Makeover
September 9, 2020
Gum Diseases
Prepared by Dr. So Ann Jie
"Do I have gum diseases?"
The answer is YES, you have gum diseases if you experience:
✔️ Persistent bad breath
✔️ Red or swollen gum
✔️ Bleeding gum
✔️ Painful while chewing or food stuck between teeth
✔️ Unpleasant taste in mouth
✔️ Loose teeth or new gaps between teeth
✔️ Sensitive teeth
✔️ Teeth appear longer
The Progression of Gum Diseases
3. Moderate Periodontitis
4. Advanced Periodontitis
Treatment Proposals For Gum Diseases
Gingivitis
Treatment needed:
1. Scaling & polishing
2. . Regular follow-up
Early Periodontitis
Treatment needed:
1. Scaling & polishing
2. Root Planning & Debridement
3. Regular follow-up
Moderate Periodontitis
Treatment needed:
1. Scaling & polishing
2. Root Planning & Debridement
3. Periodontal Surgery
4. Regular follow-up
Advanced Periodontitis
Treatment needed:
1. Scaling & polishing
2. Root Planning & Debridement
3. Periodontal Surgery
4. Tooth removal for hopeless tooth
5. Regular follow-up
The Removal of calculus
Scaling is a procedure to remove the calculus from teeth surface, either with ultrasonic scaler device or manually by hand instruments. If there is some tiny calculus remained on root surface after ultrasonic scaling, hand scaling with Gracey's curette might be necessary to make sure the root surface is smooth. It is important to do scaling at least once a year, or sometime every 6 months to prevent accumulation of calculus, especially sub-gingival calculus that more harmful to the tooth.
Someone might worried about scaling, thought that it will be painful. Yes, it may cause some pain if your teeth already suffered moderate to advanced stage of Periodontitis, but the process of scaling is pleasant and comfortable if the amount of calculus is minimum!