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
Dr. Reich and his staff are all very thorough and precise with their diagnosis' and treatments. After seeing a few doctors who could not figure out my mouth problem, Dr. Reich was able to diagnosis me and solve my issue almost completely after just my first visit. I will definitely be coming back regularly.
- Aimee D
I was very anxious regarding the scaling and root planing procedure but Beth made me quite comfortable and put me at ease. I would recommend her for anyone needing this procedure.
- Robert F
Today was my first visit to Dr. Reich, for a "second opinion" that turned into finding the right practice to address my issues. After suffering from dental phobia for many years, I had been given frightening and overwhelming news at another dental practice (not a periodontist) Dr. Reich performed his own evaluation and gave me news that was much less dire, and actually full of hope as to how he could help me. I was already impressed with Dr. Reich's qualifications, and now I am very impressed with the Doctor himself. He answered all my questions, calmed my fears, and mapped out a treatment plan that he has confidence in, and therefore so do I. I actually cried with relief. I now look forward to getting started on my treatment plan. And that is a lot coming from a severe dental phobic person!
- Noreen B