Posts tagged: SRP

Scaling and Root Planing Isn’t Always Enough to Treat Gum Disease

SRP is not always 100% effective. Calculus and bacteria can be left behind.

Dental scaling and root planing, known as SRP, is often used when a straightforward cleaning isn’t enough, and is sometimes called deep cleaning. This nonsurgical procedure aims to remove the plaque and calculus or tartar which has built up around and just under the gum line by scaling or scraping the teeth. The process can help leave nice smooth surfaces enabling the gum tissue to attach more firmly to the surface of the tooth, and is one of the most common therapies used to treat gum disease1.

While SRP is often regarded as being the gold standard in the treatment of gum disease, it isn’t always 100% effective. Part of the problem is due to the fact that the clinician cannot generally see the calculus below the gum line, and must rely on their sense of touch to scrape away the calculus. This lack of visual feedback heightens the chance some small areas of calculus being inadequately removed. When gum disease is left improperly treated, the patient can experience tissue inflammation, gum recession, and even bone loss. Not only can this put the patient’s overall health at risk, but it can also allow the gum disease to worsen to a point where it requires additional treatments. Read more »

Periowave™ Case Study #3 – Unsuccessful Prior Periodontal Therapy

Case Report
This is the case of a 52-year-old East Indian female who was on regular four-month maintenance following previous periodontal therapy. The patient had been treated three years prior for generalized severe periodontitis. The treatment at that time consisted of scaling and root planing, home care instructions, occlusal equilibration, and osseous surgery. The patient was in generally good health apart from high blood pressure, which was stable on lisinopril (Prinivil®) once a day. The dental examination showed a 6 mm inflamed bleeding pocket that was evident between 43 and 42 the rest of the mouth was healthy.

Periowave™ Treatment and Results

Scaling and root planing with local anesthesia was used to treat 43 and 42, with adjunctive treatment with Periowave following the scaling. The patient was out of the country after treatment for several months, but did return for a 12-week follow-up visit, at which time the pocket probing depth was reduced to 3 mm with no signs of inflammation

Left: Pre-treatment gingival inflammation near the pocket, Right: Post-treatment resolution of gingival inflammation

Perspectives of Periowave™ – Views From A Registered Dental Hygienist

This week is National Dental Hygienists Week. It marks a fantastic opportunity to highlight the important role dental hygienists play in maintaining good oral health. As prevention professionals, we help patients understand how oral hygiene is more than just teeth, and that gum care is key in their overall health. As many of you may already know, gum disease continues to be the #1 cause of tooth loss in adults, and over half of all people today over the age of 30 have some form of this disease.

As a practicing dental hygienist in a periodontal practice in Saskatchewan for almost 30 years, I have treated thousands of patients that present with cases of severe gum disease. For many years now, I have believed that we have been missing something in the treatment of periodontal disease. Scaling and root planing, or periodontal debridement, is not 100% effective and patients are very keen on avoiding painful periodontal surgery. In my heart of hearts, I thought that there would be some ‘magical antibiotic’ that we would be able to prescribe patients. But this was not the case, and I realized that there had to be a better solution for my patients.

"Not only are we winning the battle against gum disease, with Periowave we are winning the war"

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Scaling & Root Planing – The Gold Standard In Treating Gum Disease

Scaling and root planing removes the plaque and calculus that accumulate on teeth.

Scaling and root planning (periodontal debridement) is the most common therapy used to treat gum disease. Commonly known as SRP, it removes the plaque and calculus that accumulate on the teeth. If left untreated, the patient can experience severe gum inflammation, gum recession, and bone loss.

During SRP, ultrasonic instruments are typically first used to remove the larger deposits of plaque and calculus that are attached to the teeth. After this is done, hand scalers and curettes are used to remove the remaining deposits and ensure that the tooth surface is smooth. This smooth surface inhibits plaque formation, as the accumulations form more readily on rough surfaces. SRP has been shown to be an effective treatment for the early stages of gum disease, particularly mild forms of gingivitis.  SRP may be all that is required to bring these mild conditions under control.

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