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Periodontal Therapy

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Best Periodontal Therapy In Cincinnati, OH

Gum disease, also known as periodontal disease, affects roughly 30% of the adult population and is the leading cause of tooth loss in adults. This persistent disease is the source of many denture instances. While it is not curable, it can be managed with regular professional hygiene appointments and diligent home care.

Gum disease can progress without showing any signs or symptoms. Many patients who are diagnosed with periodontal disease do not experience any discomfort and are astounded by the silent but rapid damage that periodontal disease causes. To put it another way, think of your gums and bone around your teeth as the foundation of a home. The foundation, like that of a house, must be sound independent of the home’s aesthetic appeal. When the foundation collapses, the entire structure collapses with it.

Periodontitis can be detected and managed with regular dental exams, professional cleanings, and correct home care practices.

Gum Diseases

What Are The Reasons For Gum Disease?

Millions of microorganisms, both good and toxic, live in our mouths. Plaque is a sticky substance formed by bacterial excrement that sticks to the teeth. This can be removed by brushing and flossing before it mineralizes into tartar. Tartar serves as a breeding ground for microorganisms that release toxins into the gums.

Gums respond to the bacterial invasion with an inflammatory response thanks to your immune system. A tiny pocket arises at the base of each tooth due to a collar of gum tissue. This heated, dark environment is ideal for tartar and bacteria to establish themselves.

Gingivitis, or bleeding gums, is the outcome of early inflammation. Bacteria left untreated and undisturbed in the periodontal pocket cause a persistent infection. In many situations, the bone around the teeth begins to degenerate. While the gums may be slightly painful at this point, when the bone begins to dissolve, there is usually very minor discomfort.

Before you detect any signs of looseness or pain, more than half of the bone around your teeth can disintegrate. As germs lurk deeper in the gums, the bone around teeth never regenerates, making this loss irreversible and difficult to regulate. Untreated gum disease can lead to abscesses and tooth loss in severe situations.


Before the dentist establishes a diagnosis of gum disease, we consider a number of criteria. The little collar of gum, or pocket, that surrounds each tooth is usually 2-3 millimeters deep, a place that floss or toothpicks may readily clean. Using small measuring equipment called a periodontal probe, Dr. Manju R. Kejriwal or our hygiene team can measure and document these areas. Periodontal disease is diagnosed if these measures are greater than 3 millimeters and bleed when probed.

Dr. Manju R. Kejriwal will also check the texture and form of your gums, as well as any tooth movement. On digital x-rays, you should also check the levels, form, and density of the bone around your teeth. By compiling this information, a comprehensive picture of your gum condition emerges.

Periodontal Therapy in Cincinnati
Gum Treatment

Gum Treatment

We can create a specific treatment plan after establishing a diagnosis that identifies the severity of your gum condition. One or two visits with our hygiene experts may be enough to get the situation under control in milder instances with little or no bone loss. Little extra treatment may be required once you leave our office with a daily home care approach and a professional maintenance routine in place.

If the inflammation has progressed to the point that there is detectable bone loss, a proactive method to prevent further worsening should be seriously explored. Often, we will recommend moderate gum numbing and root planning or scaling. A part of your mouth will be deep cleansed at a time over the course of a few appointments. With both hand and ultrasonic devices, the diseased pocket around each tooth, including the mineralized tartar, must be meticulously cleaned out. This initial therapy is usually completed by polishing the teeth to generate smooth surfaces that help repel stain and plaque collection.

To assist you with your home care routine, Dr. Manju R. Kejriwal may recommend a medicated rinse, an electric or ultrasonic toothbrush, and other particular tactics. Keep in mind that gum disease can be managed but not cured. To keep the sickness under control, you’ll need to have regular home care.

Maintaining Your Gum Is Important

Regular home care is critical to stop the progression of gum disease. Within a few hours of cleaning, the bacteria begin to repopulate and adhere to the teeth. Plaque left undisturbed will start to harden and mineralize within 24 hours. Remember, deeper gum pockets require even more diligence to prevent the bacteria from undermining the foundation of your teeth.

Since gum pockets previously damaged by bacteria can be difficult to clean at home, a faithful maintenance schedule with us is essential. We can customize your plan to include two, three, or four visits a year depending on the severity of the disease, its response to treatment, and the consistency of your home care.

If our combined efforts don’t slow or stop the progression of your gum disease, we may suggest a referral to a specialist, known as a periodontist.

Oral Health
Oral Health and Body

Connection Between Your Mouth And Body

Oral bacteria has been linked to heart disease, stroke, arthritis, Alzheimer’s disease, and even certain types of cancer in studies. The connection between a person’s dental and overall health has never been better understood than it is now.

Gum bleeding provides a direct route into the bloodstream, where oral bacteria can quickly spread. Infection would be a problem if you had an open wound on your skin. Gum tissue that bleeds should be treated the same way. This helps to explain why oral bacteria deposits have been found in many parts of our bodies by researchers.

Diabetes and other auto-immune illnesses reduce the body’s ability to fight infection, allowing unmanaged gum disease to progress more quickly and cause more damage. Inflammation in the mouth has also been linked to diabetes, making it more difficult to manage. The necessity of appropriate dental hygiene is highlighted by this two-way association between two chronic illnesses.


MK Dental Excellence is accepting new patients of all ages. Call today to schedule an appointment. Dr. Kejriwal and her team offer a full suite of services, including breathtaking, customized smile makeovers.


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