Scaling & Root Planing East Brunswick, NJ
The initial stage of treatment is usually a thorough cleaning that may include scaling to remove plaque and tartar deposits beneath the gum line.
The tooth roots may also be planed to smooth the root surface allowing the gum tissue to heal and reattach to the tooth. In some cases, the occlusion (bite) may require adjustment.
Antibiotics or irrigation with anti-microbials (chemical agents or mouth rinses) may be recommended to help control the growth of bacteria that create toxins and cause periodontitis. In some cases, Dr. Reich may place antibiotic fibers in the periodontal pockets after scaling and planing. This may be done to control infection and to encourage normal healing.
When deep pockets between teeth and gums are present, it is difficult for Dr. Reich to thoroughly remove plaque and tartar. Patients can seldom, if ever, keep these pockets clean and free of plaque. Consequently, surgery may be needed to restore periodontal health.
A bite is considered to be healthy when all or most of the teeth are present and not destroyed by normal daily usage.
It is destructive when teeth show wear, looseness or when TMJ (jaw joint) damage is seen. Bite therapy helps restore a bite that can function without damage and destruction.
The therapy may include:
- Reshaping the biting surfaces of the teeth and eliminating spots of excessive pressures where the teeth are brought into contact. This is done by carefully dividing bite pressures evenly across all of the teeth.
- Bite splint therapy using a custom-fitted and adjusted plastic bite guard to keep the teeth apart, day, night, or both.
- Braces to reposition mal-aligned or drifted teeth.
- Replacement of old, worn out, or damaged fillings.
- Reconstruction of badly worn and damaged teeth.
Middlesex Periodontics & Dental Implants, PC
I was very impressed with the staff and Dr. Reich who all took the time to answer all of my questions and made sure that I was comfortable before and after the procedure. He also noticed issues that even my dentist missed and took the time to notify my dentist of his findings. Very professional. Will recommend.
- Dasha B
Best experience I've had at a dental related practice
- Len C
i have recommended this practice to any one of my friends/family that need to see a periodontist. The staff is so courteous and helpful. The medical care given is done with the utmost care for the patient, utilizing up-to-date treatment modalities that i had not seen in previous offices.
- diane r
I am glad my Dentist recommended this office. I am very pleased with the work that been done on my gums and my teeth and people here is just amazing . I would recommend this office to anyone. Thank you .
- Tatyana m
My first experience at Middlesex Periodontics & Dental Implants was very easy and enjoyable. They made me feel like I have been coming there for years.
- Christian R