Periodontal Treatment: Antibiotics and Tooth Gaps

Periodontal scaling?

Hello doctor, I am currently abroad.
About a week ago, I went for a dental cleaning, and they told me that I had severe tartar buildup.
After the cleaning, they mentioned that I should take antibiotics and that the bone or something around my front teeth would gradually grow back.
Is this correct?

jj, 30~39 year old female. Ask Date: 2022/07/19

Dr. Zeng Guanghui reply Dentistry

If there is still inflammation in the gums after a dental cleaning, it indicates a possible bacterial infection.
Therefore, the dentist may prescribe antibiotics to suppress the oral bacterial infection, allowing the resorbed alveolar bone to have a chance to return to normal metabolism.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2022/07/19

More Info

When it comes to understanding periodontal treatment, especially in relation to antibiotics and tooth gaps, it's essential to grasp the underlying issues and the recommended treatment protocols. Periodontal disease, which includes conditions like gingivitis and periodontitis, can lead to inflammation of the gums and loss of supporting bone around the teeth. This can result in tooth mobility and gaps between teeth, which can be concerning for many patients.

In your case, it seems that after your dental cleaning, your dentist recommended antibiotics to help manage any potential infection and promote healing of the periodontal tissues. Antibiotics are often prescribed in cases of significant periodontal disease to help control bacterial infection that can exacerbate gum inflammation and bone loss. The goal of this treatment is to reduce the bacterial load in the mouth, allowing the gums to heal and potentially facilitating the regeneration of lost bone around the teeth.

Regarding the gaps you mentioned, these can occur due to several factors, including the progression of periodontal disease, where the supporting bone and gum tissue recede, leading to increased spacing between teeth. After a thorough cleaning, the removal of tartar and plaque can sometimes make these gaps more noticeable, especially if there has been significant bone loss. The use of antibiotics, in conjunction with good oral hygiene practices, can help stabilize the condition and may allow for some regeneration of the bone and gum tissue over time.

It is important to follow your dentist's instructions regarding the antibiotic regimen. Typically, antibiotics should be taken as prescribed, starting immediately after your dental visit, unless otherwise directed. This is crucial because the effectiveness of the treatment can be time-sensitive, particularly in managing infections and promoting healing.

In addition to antibiotics, maintaining excellent oral hygiene is vital. This includes brushing your teeth at least twice a day with fluoride toothpaste, flossing daily, and possibly using an antibacterial mouthwash to help reduce plaque buildup. Regular dental check-ups and cleanings are also essential to monitor your periodontal health and make necessary adjustments to your treatment plan.

If you have concerns about the gaps between your teeth or the effectiveness of the treatment, it is advisable to communicate openly with your dentist. They can provide you with a more tailored approach based on your specific condition, including potential options for further treatment, such as scaling and root planing, or even surgical interventions if necessary.

In summary, the use of antibiotics in your case is likely aimed at controlling infection and promoting healing in the periodontal tissues. While gaps between teeth can be a concern, with proper treatment and maintenance, it is possible to manage these issues effectively. Always consult with your dental care provider for personalized advice and treatment options tailored to your specific needs.

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