After Scaling During the Periodontal Intervention

It only means that unlike the other mouthwashes, whose advantages ended up on expectorating, an active antibacterial ingredient in chlorhexidine gluconate infiltrates a tissue and will stay active for some period of time. But effectiveness, chlorhexidine gluconate will not be meant for the long-term use. The recent European case study suggested that the link between a long-term application of the mouth rinse and the high blood pressure, that will lead to the higher incidence of having cardiovascular events. While in the US, this will only be available only with the doctor's prescription, and with infrequent and small doses, it had been illustrated to help in the tissue cure after surgery. The present researches indicated the irrigation of the CHX right after the SC/RP will inhibit the reconnection of the periodontal tissues. This will specifically prevent the formation of the fibroblasts. This is the alternate irrigation with the povidone-iodine that can be utilized – when no contra-indications will exist.

The site specific antibiotics can also be situated in a periodontal pocket that will follow the scaling and the root planing just in order to give the added cure of the infected tissues. Unlike the antibiotics, which will be consumed orally to attain that systemic effect, the site specific antibiotics will be situated specifically in that place of infection. The antibiotics are directly placed into the periodontal pocket and being gradually released over some period of time. It will permit the medications to seep in the tissues and then destroy the bacteria that can be dwelling within the gingiva, giving even facilitation of healing and further disinfection. There are some sites specific antibiotics give not only these advantages, but also boast with an additional benefit of the decrease in pocket depth. The famous site, Arestin, a specific brand of this antibiotic minocycline, has been claimed to able regaining of about mm of the gingival reconnection of the height.

Severe Periodontitis


In cases of serious periodontitis, scaling & root planing can be taken into consideration as a primary initial therapy prior to the future surgical needs. The added procedures like the bone grafting, gingival flap surgery and tissue grafting done by the periodontist (the dentist that specializes in the periodontal treatment) will be important for serious cases or for the patients with refractory (recurring) periodontitis.

The patients that present with serious or necrotizing periodontal illness can have that further step involving in the treatment. The patients usually have systemic or genetic factors that will contribute to the severity and improvement of the periodontitis. The usual samples will contain type I and also type II diabetes, the family record of periodontal diseases and immunocompromised persons. For certain patients, a practitioner will take the sample from a pocket to permit for the culture and the more specific treatment and identification of a causative organism. The intervention can also include stopping of the medication that contributed to the vulnerability of the patient or the referral to the doctor to address the present, but previously untreated situation if this will play a role in periodontal disease processes.

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