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reviewing your medical and dental history, Dr. Polimeni will
examine your gums, teeth and mouth. This examination will include looking at the color and
firmness of your gums, studying which teeth are loose and checking how much gum tissue has
been lost. Necessary radiographs may be taken to evaluate the bone supporting the teeth. After gathering this information, the periodontist will discuss your
condition with you and suggest the most helpful treatment for your dental health.
In the earlier stages of gum disease, most of the treatment involves
scaling and root planing, which means removing plaque and calculus in the pockets around
the tooth and smoothing the root surfaces. In most cases of early gum disease, scaling and
root planing and proper daily cleaning of the teeth are all that are required for a
satisfactory result.
More advanced cases may require surgical treatment. The goals of
this treatment are to remove calculus from deep pockets around the teeth, shrink the
pockets, smooth root surfaces and arrange gum tissue into a shape that will be easier to
keep clean. The periodontist is trained to deal with many varieties of gum disease.
Whatever your treatment plan entails, the periodontist's goal is to bring you to a state
of good oral health, and then help you maintain it.
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