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Gum disease treatment in South Edmonton

Direct billingCDCP registeredSame dentist every visit

Gum disease is an infection of the tissue that holds your teeth in. Non-surgical therapy cleans the bacteria and tartar out from below the gum line so the gums can heal, with freezing and without cutting or stitches.

What happens

The treatment, start to finish

Nothing is started at the first visit that you have not agreed to.

ScreeningWe measure the pockets around each tooth and check where the bone sits. That is what decides the treatment.
Usually more than one visitThe mouth is normally treated a section at a time, so you are not frozen everywhere at once. How many visits depends on how much is affected.
FreezingThe area is frozen first, so the cleaning itself should not hurt.
ScalingPlaque and tartar are lifted off the tooth and out from under the gum.
Root planingThe root surface is smoothed so bacteria cannot easily reattach and the gum can tighten back against the tooth.
ReviewWe remeasure to see how the gums responded, then set the cleaning interval from those numbers.
Not sure how far along it is?Request AppointmentCall 780-434-8749

Do you recognise this

The signs, and what they mean

Gum disease is slow and usually painless, which is why most people miss it. These are the things worth acting on.

Bleeding when you brushThe most common first sign, and the easiest one to explain away. Healthy gums do not bleed when brushed.
Red, swollen or tender gumsInflammation is the body responding to bacteria under the gum line. It does not settle on its own.
Bad breath that keeps coming backBacteria below the gum line produce the smell. Brushing and mints cover it rather than clear it.
Teeth that look longerThat is the gum receding rather than the tooth growing. It exposes the root, which is softer and more sensitive.
A bad taste that will not shiftOften the first thing a patient mentions, and often infection draining from a pocket.
Teeth that feel loose or have movedThe latest sign, and the most urgent. It means support has already been lost.

What we do

The treatment itself

Three things, used in combination depending on what the screening finds.

ScalingLifting the hardened plaque off the tooth and out of the pocket. This is the part that stops the infection having something to live on.
Root planingSmoothing the root surface below the gum. A smooth root gives bacteria nothing to grip and lets the gum reattach.
Antibacterial treatmentWhere a pocket is deep or stubborn, a topical or oral antibiotic is used alongside the cleaning to bring the bacterial load down.

What is measured

What the numbers mean

Every tooth is measured before anything is decided. These are the depths the hygienist is calling out.

The dashed line is the gumline. The colour is the pocket: how far the gum has come away from the tooth.

  1. Healthy1 to 3 mmA regular cleaning reaches the bottom of this.
  2. Early4 to 5 mmA regular cleaning no longer reaches it.
  3. Advanced6 mm and deeperBone has been lost. This is what deep cleaning treats.
Depth is measured around every tooth before anything is decided. The number is what separates a regular cleaning from treatment, not how the gums look.

How far along

Gingivitis, or periodontitis?

They are the same disease at two stages, and the difference decides how much can be undone.

If
Your gums bleed and look red, but nothing feels loose
Then
GingivitisInflammation of the gum only. This stage is reversible, and a thorough clean plus better home care usually settles it.
If
Gums have receded and teeth look longer than they did
Then
Early periodontitisThe infection has reached the bone that holds the tooth. Treatment stops it going further, but the support already lost does not come back.
If
Teeth feel loose, have shifted, or bite differently
Then
Advanced periodontitisA significant amount of support has gone. We treat to save what can be saved and plan honestly for what cannot.

Only an examination with pocket measurements tells you which one you have. The signs overlap, and the early stages are usually painless.

Afterwards

Keeping it from coming back

Gum disease is managed rather than cured. What happens between appointments decides more than the appointments do.

Clean below the gum lineBrushing the surface is not enough once pockets have formed. We will show you the technique and the tools that reach where the brush does not.
Come more often, for a whileMost patients move to a shorter cleaning interval after treatment so the gums can be watched. It goes back out once things are stable.
Expect tenderness for a few daysSome sensitivity to cold after treatment is normal and usually settles within a week or two. Tell us if it does not.
Smoking undoes the workIt reduces blood flow to the gums, so they heal worse and the disease comes back faster. It is the single biggest factor we see.

A deep cleaning, or a regular cleaning?

Regular cleaning

What it is
  • Above the gumline, and a little below it.
  • For gums that are healthy, to keep them that way.
  • Usually one appointment, no freezing.
  • Measured pockets are shallow and the bone is where it should be.

Deep cleaning

What it is
  • Below the gumline, down the root surface, where the bacteria are.
  • For gums already losing attachment. It is treatment, not maintenance.
  • Often two appointments, usually with freezing.
  • Pockets measured deep enough that a regular clean cannot reach them.

Which one you need is measured, not judged by eye. We chart the pockets around every tooth first, and the numbers decide it. If they are shallow we will say so and clean them the ordinary way.

Opens at 8am, Monday to Saturday

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780-434-8749
2118 109 St NW, Edmonton, AB T6J 7C1
In Heritage Square, right next to the IDA Pharmacy
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FAQ

What does gum disease treatment cost?

We go over the quote with you before any work is done. We bill your insurer directly wherever your plan allows it. We make every attempt to work with your insurer so your plan covers as much as it can, and what a plan finally pays is the insurer's decision. The practice is a registered provider for the Canadian Dental Care Plan. There is more on fees and insurance.

What are the early signs of gum disease?

Red, swollen or bleeding gums, persistent bad breath, tenderness when brushing, gums that are receding so teeth look longer, a bad taste in the mouth, and teeth that feel loose or have shifted. Early gum disease is often painless, which is why it is easy to miss.

Is gum therapy painful?

The area is frozen first, so the treatment itself should not hurt. Some tenderness and sensitivity for a few days afterwards is normal, and usually settles on its own.

What is the difference between gingivitis and periodontitis?

Gingivitis is inflammation of the gums and it is reversible. Periodontitis is the later stage, where the infection has reached the bone and the structures holding the teeth in place. Periodontitis can be managed and stabilised but the lost support does not grow back.

How many appointments does it take?

It depends on how much of the mouth is affected. Treatment is often split so one side is frozen and treated at a time, which is more comfortable than doing everything at once.

Will my gums grow back?

Gum tissue that has receded does not grow back on its own. The purpose of treatment is to stop the disease progressing and protect the support that remains.

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