The dentist will refer you to a dental hygienist for the treatment of serious gum disease. The treatment includes:
– Oral examination to locate all affected areas in the mouth.
– Thorough cleansing of openings in the gums (pockets).
– Detailed instructions on how to correctly maintain your oral health.
Three months after the initial treatment a follow-up oral examination will take place to assess the inflammation and whether further treatment is required. Additional professional cleaning of problematic areas is sometimes required and the hygienist may modify the instructions for your home oral care.
If the inflammation has not healed sufficiently, the dentist will take a tissue sample to assess if there are dangerous bacteria present causing the inflammation. If that is the case, the dentist can prescribe a course of antibiotics which will help the treatment be successful.
In serious cases it may be necessary to refer you to a specialised periodontal clinic where a periodontist can treat a persistent infection. After numbing the area with a local anaesthetic, the gums are surgically opened (flaps) to enable thorough cleaning of the underlying area.