Periodontal Therapy 2. Moderate periodontal disease is the accumulation of tarter above and below the gum line. Gum tissue is irritated and red with moderate pocketing throughout or localized with bone loss, but stability of teeth. Therapy options would begin with a full-mouth-debridement if the tarter were above gum line preventing from an accurate evaluation of the degree of periodontal activity below the gum line, then an appointment for the scaling and planning would begin. Your mouth is divided up into four sections, called quadrants. These sections could be done in stages, one at a time, two at a time, or all four can be done at once. The best results are obtained with all four quadrants to be done at one appointment, but positive results are obtained however the appointments fit into your time schedule and budget. After the quadrants are completed, a periomaintenance appointment will be set to check the healing and re-evaluate the activity of the periodonal disease. At that appointment, fine scaling, polishing and fluoride treatment will be completed. Also a periomaintenance/recall regimen will be agreed upon between the hygienist and the patient. 3. Severe periodontal disease is where tarter has accumulated above and below the gum line. Gum tissue is irritated, bone levels are greatly decreased and tooth loss is questionable. Therapy options would begin immediately with a full-mouth-debridement and the use of the periodontal therapy kit. A recommendation of aggressive treatment would be all four quadrants of scaling and planning. At that time, further evaluation of tissue health would be assessed. There could be options of tooth extractions and/ or surgical intervention with a periodontist. After therapy is completed, a periomaintenance/recall regimen would be agreed upon the hygienist, periodontist, and patient. If there are any further questions, please call and we will be glad to help. Thank you. 2801 Broadway St. Quincy, IL 62301 (217) 224-7645 3327 Main St. Keokuk, IA 52632 (319) 524-8811 www.buffaloprairiedental.com Stages & Options