Some cases of acute periodontal (gum) disease that do not respond to more conventional treatment and self-care, such as flossing may require a special kind of cleaning called scaling and root planing.

The procedure begins with administration of a local anesthetic to reduce any discomfort. Then, a small instrument called a "scaler," or an ultrasonic cleaner, is used to clean beneath your gum line to remove plaque and tartar.

The root surfaces on the tooth are then planed and smoothed. If effective, scaling and root planing helps the gums reattach themselves to the tooth structure. Additional measures may be needed if the periodontal pockets persist after scaling and root planing.

Your bone and gum tissue should fit snugly around your teeth. When you have periodontal disease, this supporting tissue and bone is destroyed, forming "pockets" around the teeth. Over time, these pockets become deeper, providing a larger space for bacteria to thrive and wreak havoc.

As bacteria accumulate and advance under the gum tissue in these deep pockets, additional bone and tissue loss follows. Eventually, if too much bone is lost, the teeth will need to be extracted.

Flap surgery is sometimes performed to remove tartar deposits in deep pockets or to reduce the periodontal pocket and make it easier for you or your dental professional to keep the area clean. This common surgery involves lifting back the gums and removing the tartar. The gums are then sutured back in place so that the tissue fits snugly around the tooth again.

A pocket reduction procedure is recommended if daily at-home oral hygiene and a professional care routine cannot effectively reach these deep pockets.

In some cases, irregular surfaces of the damaged bone are smoothed to limit areas where disease-causing bacteria can hide. This allows the gum tissue to better reattach to healthy bone.

For more information on Periodontics in Roswell or to schedule your appointment with Dr. Stuart Coe call (770) 824-8904 today!

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"I have found my new Dental Home! Dr. Coe and his staff are everything you look for in a dental office! They are very professional, friendly, gentle but thorough and they listen to your concerns. I did not feel like I was rushed and was very happy to find such a wonderful dentist with that personal hometown feel! This office is up to date with the latest technology and procedures, and is very clean and comfortable! It is so refreshing to find an office that focuses on the patient by providing honest open options without the pressure. My whole family will be coming to see Dr. Coe and his outstanding team!"

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"All I can say is, "Wow!" Being relatively new to Roswell, I contacted Dr. Coe's office on the basis of a referral. From the moment you walk into the office everyone is friendly, low key, and calm in manner, and professional. Dr. Coe invests the time in his new patients to interview them as to their concerns and expectations before one even enters his dental chair. Each member of his staff explains what they will be doing and why. Most of all, they are gentle in manner as well as practice. Great practice and staff. I'm a patient for life!"

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