Early-stage gum disease (gingivitis camera) that is not treated promptly or that does not respond to treatment
can progress to advanced gum disease (periodontitis camera). Periodontitis requires prompt treatment to get
rid of the infection and stop damage to the teeth and gums, followed by long-term care to maintain the health of
your mouth.

Your dentist or dental hygienist will remove the plaque and tartar both above and below your gum line. This
procedure, called root planing and scaling, makes it harder for plaque to stick to the teeth.

Your dentist may give you antibiotics to kill bacteria and stop the infection. They may be applied directly on the
gums, swallowed as pills or capsules, or inserted into the pockets in your gums.

You may need surgery if these treatments don't control the infection or if you already have severe damage to your
gums or teeth. Surgery options may include:

  • Gingivectomy, which removes and reshapes loose,diseased gum tissue to get rid of the pockets
    between the teeth and gums where plaque can build up.
  • A flap procedure, which cleans the roots of a tooth and repairs bone damage.
  • Extraction, to remove loose or severely damaged teeth.

After surgery, you may need to take antibiotics or other medicines to aid healing and prevent infection.

After treatment, you will need to keep your mouth disease-free by preventing plaque buildup. You will need to
brush carefully and thoroughly after all meals and snacks and floss daily. Your dentist will probably prescribe an
antibacterial mouthwash.

Your dentist will schedule follow-up appointments regularly for cleaning and to make sure that the disease has
not returned.
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