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What are the treatment options for aggressive periodontitis?

Treatment options for aggressive periodontitis include cleaning, scaling, root planing, antibiotics, flap surgery, soft tissue and bone graft surgery, and guided tissue regeneration surgery. Through scaling and planning, the bacteria and tarter are removed from the teeth and gums, and the roots smoothed to control further tarter buildup. Antibiotics may be prescribed to completely resolve infection caused by the bacteria and may also be prescribed as a precaution for those individuals with certain types of heart conditions.

In many cases, non-surgical techniques combined with good home care will successfully control the condition. For cases of advanced aggressive periodontitis, surgery may be recommended.
Sanda M. Moldovan, DDS
Periodontics

Aggressive periodontitis manifests itself with severe bone loss. The first thing we need to do is determine the bacterial profile in the mouth, by doing a bacterial culture or bacterial DNA testing, to see who is causing this bone destruction. We also test to see if the patient has a genetic predisposition to periodontal disease. Antibiotics are usually prescribed, once we know the type of bacteria. Scaling of the plaque and tartar around the teeth is done under local anesthetic concurrent with the antibiotic treatment. Laser therapy has become a great adjunct to treating this disease, as it is found to improve healing. A 2-3 month evaluation of this initial therapy is done by the periodontist to determine if surgery is necessary to improve the bone around the teeth.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.