Dr. Mark H. Zablotsky The Academy for Reconstructive Periodontics and Implant Dentistry Welcome Procedures Patient Info Meet Us Contact Us
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Non-Surgical Services

Treatment Methods

Treatment methods depend upon the type of disease and how far the condition has progressed. The emphasis in Dr. Zablotsky’s practice is conservative periodontal therapy. Many times, the early stages of periodontal disease are best treated with non-surgical periodontal therapy. This usually consists of placing a fine ultrasonic tip or hand scaler/curette in between the tooth and gum tissue to remove bacterial plaque and calculus (tartar) below the gum line. The tooth roots may also be planed to smooth the root surfaces. This procedure is commonly known as Scaling and Root Planing or Periodontal Debridement. This initial periodontal therapy along with good personal oral hygiene allows the gum tissue to heal and reattach to the tooth. Four to six weeks later, periodontal pockets are eliminated due to gum shrinkage (if the disease is in its earliest stage). Then the patient can personally maintain these areas with routine brushing and flossing.

Even in most severe cases of periodontal disease, non-surgical periodontal therapy most often precedes surgical therapy. This is done so that the active periodontal infection is reduced and the overall tissue quality is improved prior to surgery. This procedure may also limit the areas requiring surgery.

Root Planning Smoothing the tooth

Subgingival Scaling
Cleaning The Tooth Below The Gum


Small probe-like instruments which vibrate at precise frequencies with sterile water coolants are utilized as adjuncts to conventional curettes (above viewed instruments) to comfortably more completely reduce the periodontal infection on root surfaces.  These procedures are commonly utilized with Perioscopy.

Perioscopy (Periodontal endoscopy)

Recent advances in dental technology have enabled us to utilize a very small camera at the end of a periodontal probe, much like the technology used in arthroscopic procedures.  This probe can comfortably access the base of periodontal pockets to allow for complete visualization of the infected root surface at as much as a 40 times magnification.  Periodontal debridement can then be performed allowing more complete root cleaning.  In addition, we can visualize many other problems, i.e. root fractures, root decay, root resorption, etc., which otherwise can only be visualized through surgical procedures.  In addition to the previously mentioned uses, we utilize this technology in the treatment of sites with recurrent gum disease during maintenance/supportive periodontal care. For more information:  http://www.dentalview.com

The Role of your bite (Occlusion) in the progression of gum disease.

In some cases, the bite may play a significant role in exacerbating the progression of periodontal disease. Parafunction happens when there are tooth contacts occuring outside normal function (i.e. chewing and swallowing). This is often a manifestation of stress, and clenching or grinding forces can be many times that of normal function.

Damage from parafunction may occur to:

tooth structure in the form of wear on the biting surfaces of teeth or to the gumline aspect of teeth resulting in a notching lesion (called abfractions) which are commonly associated with gum recession lesions.

Severe wear on the inner aspects of this patient's
upper front teeth and notching lesions (abfractions)
on the outer aspects of teeth at the gumline

the gum support by accelerating the loss of bone in conjunction with active periodontitis. The weakened support around these teeth may not be able to prevent the drifting of teeth or unhealthy movement of teeth under function (called fremitus).

restorative treatment on the affected teeth. This may lead to tooth fractures as well as loosening of restorations which could require more frequent replacement.

The muscles used to chew with as well as the jaw joint (Temporomandibular joint/TMJ)

Treatment of biting problems include:

Night guard/bite appliances which separate the teeth, reduce muscle forces, and splint the teeth to give them strength to resist overloading forces.

Bite adjustment which reduces overloading forces by reducing heavy contacts through gentle recontouring of tooth structure.

Restorative treatment. It may be necessary to build up the bite in some areas to facilitate a more normal occlusion/bite.

Orthodontic treatment, if tooth positions are significantly out of alignment such that restorative treatment or bite adjustment cannot overcome the bite discrepencies.

Biofeedback, if clenching occurs during the day, can be used to deprogram the musculature. This will allow the jaws to stay apart.

Referral to Oral and Maxillofacial Pain Specialist is sometimes considered, if bite problems and pain cannot be conservatively dealt with.

Read about Periodontal Maintenance Therapy.