Do You Need Surgery for Periodontal Disease? Alternative Treatments Explored

Periodontal disease

I'm asking for my mother.
Does periodontal disease always require surgical treatment? My mother is very afraid of surgery and is wondering if there are other options.
Could you recommend a dentist in the Chiayi area? She has already seen many dentists, but her condition has not improved for almost six months.
Thank you.

Xiao Wu, 20~29 year old female. Ask Date: 2005/12/19

Dr. Yuan Ziming reply Dentistry

Severe periodontal disease (with periodontal pocket depth greater than 5mm) cannot be adequately cleaned through brushing alone and requires periodontal surgery to address the issue.
Please visit a periodontal specialist at a larger hospital for evaluation and treatment.

Reply Date: 2005/12/19

More Info

When it comes to treating periodontal disease, surgery is not always the only option. Periodontal disease, which affects the supporting structures of the teeth, can range from mild gingivitis to severe periodontitis. The treatment approach largely depends on the severity of the disease and the individual patient's circumstances.

For mild to moderate periodontal disease, non-surgical treatments are often effective. These may include:
1. Scaling and Root Planing: This is a deep cleaning procedure that removes plaque and tartar from below the gum line. It can help reduce inflammation and promote healing of the gums.

2. Antibiotics: Topical or systemic antibiotics may be prescribed to help control bacterial infection in the gums.

3. Improved Oral Hygiene: Regular brushing and flossing, along with professional cleanings, can significantly improve gum health. Patients are often advised to use special mouth rinses or toothpaste designed for gum health.

4. Laser Therapy: Some dental practices offer laser treatments that can help reduce bacteria and promote healing without the need for traditional surgery.

5. Maintenance Therapy: After initial treatment, regular follow-up appointments are crucial to monitor gum health and prevent recurrence.

If non-surgical methods do not yield satisfactory results, or if the periodontal disease is more advanced, surgical options may be necessary. These can include:
1. Flap Surgery: This involves lifting the gums back to remove tartar and then suturing them back in place for better gum health.

2. Bone Grafting: If there has been significant bone loss, bone grafting may be performed to regenerate lost bone.

3. Guided Tissue Regeneration: This technique involves placing a special membrane to encourage the growth of new bone and tissue.

Regarding your mother's fear of surgery, it is essential to have an open discussion with her dentist about her concerns. Many dental professionals are experienced in managing anxiety and can offer sedation options to make the procedure more comfortable.
As for recommendations for dental professionals in the Chiayi area, I cannot provide specific names, but I suggest looking for a periodontist or a dental clinic that specializes in periodontal disease. It may also be beneficial to seek a second opinion from a different dental practice, especially one that offers a comprehensive approach to periodontal care.

In summary, while surgery is a viable option for treating advanced periodontal disease, it is not the only solution. Non-surgical treatments can be effective, and it is crucial to explore all available options with a qualified dental professional. Regular follow-ups and maintaining good oral hygiene are key to managing periodontal health. If surgery becomes necessary, discussing sedation options and addressing any fears with the dentist can help alleviate anxiety.

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