You have been diagnosed with an aggressive form of gum disease which is affecting the support for your remaining teeth. Some people have a genetic susceptibility which cannot be changed and unfortunately this means that success cannot be guaranteed. However, there are things which we can change. We can demonstrate more effective ways of removing dental plaque from teeth and gums. Also those people who smoke will be accelerating the problem.
Gum disease is caused by the bacteria in plaque and tartar. Full mouth disinfection is a way of removing all deposits of plaque and tartar from the mouth in a single day. In this way the newly cleaned areas cannot become re-infected by the uncleaned areas. Every last bit of plaque and tartar must be thoroughly removed, especially in those areas below the gum line. For this reason the procedure is carried out under local anaesthetic.
At your first visit we will take a bacteriological sample which will be sent for analysis. This will give us an indication of the bacteria which are involved and help to plan treatment. We will also take recordings of the levels of gum disease so that we can monitor progress. At your next visit, our dental therapist will carry out the removal of all the deposits of plaque and tartar from in a single day. Often one half of the mouth will be done in a morning and the other half the same afternoon. We use antibiotics and anti-inflammatory medication before the appointment which further help reduce the infection and inflammation. A further appointment is made to review the recording of gum disease levels. Another bacteriological sample is also taken so that we can assess the difference in infection.
What are the limitations ?
We are limited by susceptibility to gum disease. Therefore no promises can be made about the long term survival of teeth. However we would not embark on this course of treatment if we did not think that there was a good chance of keeping most teeth for several years.
The success of treatment depends in large part on the plaque control which patients are able to maintain on a daily basis.