About Periodontitis Treatment

Non-surgical treatments including professional hygiene treatments, and antimicrobial and anti-microbiotic therapies. These are particularly good for early cases. However, advanced cases or those unresponsive to non-surgical interventions may necessitate periodontal surgery.

If needed, the objective of periodontal surgery is to cleanse the area, reduce pocket depths, and re-establish a soft tissue contour that can be maintained in regular hygiene appointments. Professional hygiene appointments are imperative to prevent the repopulation of bacteria. It is important to emphasize that without regular 3 month hygiene cleanings the disease will progress and bone, gums and even teeth will be lost.

Periodontal surgery in one site takes one hour. Multiple sites will take longer. Sutures are placed to maintain stability in the area during healing. After 2 weeks normal hygiene and eating habits can be resumed. It takes up to 6 weeks for the gums to achieve their pre-surgical state and one year to achieve a stable state. Some consequences of periodontal surgery include tooth spaces, longer teeth, and sensitivity (usually short lived).

If you are avoiding treatment of your gum disease because of anxiety, you may be a candidate for sedation. We have multiple options from nitrous oxide (laughing gas) to full sleep sedation administered by a medical anaesthesiologist.


Frequently Asked Questions

Periodontitis is caused by any condition that promotes bacterial infection around teeth. These include a patient’s medical condition, not adhering to ongoing maintenance, or a lack of adequate oral hygiene.

Any factors that increase bacterial growth will increase your risks of periodontitis. The major risk factors include:

  • Poor oral hygiene
  • Smoking
  • Poorly controlled diabetes
  • Non-compliance with prescribed hygiene maintenance program

Other risk factors include:

  • Aging
  • Genetic predisposition
  • Systemic diseases and conditions
  • Stress
  • Inadequate nutrition
  • Puberty
  • Hormonal fluctuations
  • Pregnancy
  • Substance abuse
  • HIV infection
  • Certain medications
  • Patient symptoms may include: pain, tooth mobility, bad taste, and bleeding gums. It is important to note that in most cases there may be no symptoms noticed.
  • Signs observed by your dentist or hygienist include: suppuration (pus), bleeding, progressive bone loss, and increasing probing depths around all or some teeth.

To protect your oral health, learn to recognize the signs of infection.  Periodontal disease symptoms include:

  • red, inflamed gums
  • bleeding gums
  • Receding gums
  • Loose teeth
  • Chronic bad breath
  • Pus around teeth and gums
  • Changes in bite

There are multiple ways in which periodontitis can be addressed, both surgically and non-surgically. The precise treatment plan depends on your unique conditions. In most cases a regular hygiene regimen with antimicrobial and anti-microbiotic therapies are prescribed.  In some cases periodontal surgery is needed.

Often the initial symptoms of Periodontitis are very mild and may not be noticed by the patient. Without treatment, the disease progresses, bacteria infect the gums and bone, at which point the teeth can become loose and may have to be removed.

Same as with our teeth, bacterial infections can affect the tissue around an implant.  This is a similar disease called peri-implantitis  Adhering to your prescribed hygiene regimen is the most important action to prevent this from happening to you.  If you think you may have a problem with your implant(s) (pain or tenderness, bleeding, mobility, difficulty cleaning) contact us and we can help.


Contact Us

Our front office team will assist with scheduling your appointments, and processing dental insurance claims. We will answer all your question and concerns before any treatment begins. We strive to ensure our patients receive the most conservative treatment plan that will lead to the best treatment outcome. You do not need a referral to have a consultation.


Global Speaking Engagements and the Caudry Education Centre


Over the past 20 years Dr. Caudry has travelled the world imparting her knowledge, research, and technical skills to other Dental professionals.

Today Dr. Caudry carries on the tradition of using her exceptionally high level of education and surgical skills to the benefit of her patients while sharing those skills and experiences with her colleagues so they too can provide her knowledge and techniques to their patients.

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