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Dentists and periodontists both tend to gums and support oral health and hygiene. Dentists specifically focus on the visible tooth and concerns with this however, this can relate to underlying issues with the gums, bone and tissue. The difference between a periodontist vs general dentist, is that general dentists are specialised in helping to prevent tooth decay, repair teeth and also fill any cavities. Antibiotics: Your dentist may prescribe oral antibiotics to fight infection. Or they may place a topical antibiotic underneath your gums to target the affected area. During this phase, patients are seen 3–6 weeks after initial therapy; it is required to re-evaluate the steps carried out after the phase I therapy. [41] Usually 3–6 week re-evaluation is crucial in severe cases of periodontal disease. The elements which are required to be re-evaluated are the results of initial therapy (phase I therapy), oral hygiene and status, bleeding and plaque scores and a review of diagnosis and prognosis and modification of the whole treatment plan if necessary. [42] Phase II therapy (surgical phase) [ edit ] A periodontist is a dentist who specializes in the prevention, diagnosis, and treatment of periodontal disease (a chronic inflammatory disease that affects the gums and bone supporting the teeth also known as gum disease), and in the placement of dental implants. Periodontists receive extensive training in both of these areas and more, including three additional years of education beyond dental school.

This area of tissue is non-keratinized and is located beyond the mucogingival junction. It is less firmly attached and is redder than attached gingiva. It provides for the movement of cheek and lips. [8] Periodontal ligament [ edit ] Brogden, K.; Guthmiller, J. (2002). "8 – Periodontal diseases". Polymicrobial diseases. Washington, D.C.: ASM Press. Gum disease treatment depends on the extent and severity of your condition. There are nonsurgical and surgical options for treating periodontitis. Nonsurgical periodontitis treatments Scaling and root planing are non-surgical treatments to remove plaque and tartar from deep under the gum line. These procedures are sometimes paired with antimicrobial or antibiotic medicines as well, depending on the case. O'Toole, George; Kaplan, Heidi B.; Kolter, Roberto (October 2000). "Biofilm Formation as Microbial Development". Annual Review of Microbiology. 54 (1): 49–79. doi: 10.1146/annurev.micro.54.1.49. PMID 11018124.Diabetes Mellitus: diabetes falls under the category of modifiable risk factors as although it cannot be cured, it can be controlled, which greatly helps periodontal disease control. A clear two-way relationship has been established with blood glucose control directly affecting periodontal disease severity and progression, and vice versa. Periodontal disease patients with diabetes mellitus also have poorer healing abilities than those without diabetes, and hence are at an increased risk for more severe diseases if blood glucose control is poor and when healing abilities are affected by systemic disease. [23] The non-surgical phase is the initial phase in the sequence of procedures required for periodontal treatment. [41] This phase aims to reduce and eliminate any gingival inflammation by removing dental plaque and calculus, restoration from tooth decay and correction of defective restoration, as these all contribute to gingival inflammation, also known as gingivitis. [41] Phase I consists of treatment of emergencies, antimicrobial therapy, diet control, patient education and motivation, correction of iatrogenic factors, deep caries, hopeless teeth, preliminary scaling, temporary splinting, occlusal adjustment, minor orthodontic tooth movement and debridement. [41] Re-evaluation phase [ edit ] Surgery can be done under general anesthesia and many people don’t feel pain after the surgery. Most will miss only one day of work. Phase III: The maintenance phase

A periodontist is a specialist dentist who treats patients for periodontal-related diseases and conditions. They are involved in the prevention, diagnosis and treatment of periodontal disease. Periodontists receive further specialist training in periodontics after completing a dental degree. Periodontists provide treatments for patients with severe gingival diseases or complex medical histories. Periodontists offer a wide range of treatments including root scaling and planing, periodontal surgery, implant surgery and other complex periodontal procedures. [49] Dental implant A periodontist can perform a wide range of periodontal treatments, including periodontal maintenance, scaling and root planing, and several types of periodontal surgery. Periodontal maintenance At Meadows Dental Care, we focus on making your experience relaxing and comfortable. Our dental experts provide an outstanding service to our patients so that they can smile more confidently and brighter. McCaul, L. K.; Jenkins, W. M. M.; Kay, E. J. (June 2001). "The reasons for extraction of permanent teeth in Scotland: a 15-year follow-up study". British Dental Journal. 190 (12): 658–662. doi: 10.1038/sj.bdj.4801068. PMID 11453155.

Periodontal Procedures – What To Expect

Dufty, J; Gkranias, N; Donos, N (2017). "Necrotising Ulcerative Gingivitis: A Literature Review". Oral Health & Preventive Dentistry. 15 (4): 321–327. doi: 10.3290/j.ohpd.a38766. PMID 28761942. S2CID 32401805.

The 2018 Disease Classification for periodontal health, gingivitis, and gingival diseases and conditions are outlined in detail below: [7] :81 During bone grafting, your dentist will place natural or synthetic bone in the area of the loss, which can help promote bone growth. Keeping your gums healthy will not only keep your smile looking good but may improve your overall health. Gum disease can increase your risk of such serious conditions as heart disease, and respiratory infections.

A periodontist’s education begins with dental school. There they receive a doctor of dental surgery or doctor of medicine in dentistry degree. After graduating, the doctor continues specialized training. A risk factor is a variable that in health can be defined as "a characteristic associated with an increased rate of a subsequently occurring disease". [23] Risk factors are variables that contribute to disease, rather than being factors that induce disease. Risk factors may be seen as modifiable and non-modifiable. Modifiable risk factors are often behavioural in nature and can be changed by the individual or environmental circumstances, whereas non-modifiable factors are usually intrinsic to an individual's genetics and cannot be changed. To determine risk factors for a disease, evidence-based research and studies are needed for evidence, with longitudinal studies giving the most statistically significant outcomes and the best reliability for determining risk factors. Risk factors often coexist with other variables, rarely acting alone to contribute to a disease. Risk factors can be genetic, environmental, behavioural, psychological, and demographic in nature. [24]