Initial or sanative phase | deep cleaning

Deep cleaning:

This first step is to reduce the gingival inflammation and thus allow the supporting bone to partially recover. For an optimal result, the oral hygiene must be excellent. This step includes the following:

  • Personalized oral hygiene instructions using techniques and tools adapted to your needs.
  • Scaling and root planing (deep cleaning) to remove the plaque and tartar buildup which adheres to the root surface below the gum line. This procedure is not a surgery, but rather a very thorough cleaning (compared to the habitual more superficial cleanings). It is done mainly under local anesthesia (freezing) and usually requires 2 to 4 appointments.
Special instruments are used below the gum line to remove soft and hard deposits from the tooth surface.
10-Special instruments are used below the gum line to remove soft and hard deposits from the tooth surface
The irritants have been removed from the root surface. Deep cleaning does not eliminate deep pockets and may have to be redone periodically.
11-The irritants have been removed from the root surface

Once the freezing has worn off, there is usually no pain. However some patients may experience the following side effects :

  • Tooth sensitivity (especially to cold, although temporary, it may last up to 2 months)
  • Contraction of the healing gums (as the inflammation decreases). This may create some spaces between certain teeth.

However, the benefits of the treatment significantly outweigh the potential side effects, especially considering that without the treatment, the teeth would be eventually lost.

Risk factors:

Several risk factors, although incapable of starting periodontal disease on their own, can speed up its evolution and render it unstable when in the presence of inflammation.

In an effort to eliminate these factors, some of the following treatments may be required :

  • Making of a bite plane to control the trauma caused by teeth grinding (bruxism)
  • Occlusal adjustment
  • Splinting of weakened adjacent teeth
  • Extraction of untreatable teeth
  • Antibiotics
  • Smoking cessation

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