Antimicrobial Therapy For Gum Disease

Dental ToolsAntimicrobial therapy is a form of oral treatment used to eliminate or reduce the development of bacterial infections in the mouth. The therapy aims to prevent periodontal disease resulting from infections, which can cause painful, bleeding gums and loosening of your teeth.

Preparation and Treatment

If your dentist decides you will benefit from antimicrobial treatment, they will likely start with scaling and root planing. This process removes plaque and calculus (tartar) from the sulcus area around the teeth using either a scaler or instruments as well as an ultrasonic scaling device. In severe cases where there are periodontal pockets greater than 5-6 mm deep, the dentist may recommend that the patient be seen by a periodontist to evaluate the area with deeper pocketing and determine if gum surgery may be necessary. The scaling and root planing and gum surgery treatments require local anesthesia to reduce the patient's discomfort. The dental hygienist performs the scaling and root planing procedure.

During gum surgery, the periodontist makes an incision into the gum tissue, flaps the tissue back and cleans and scales the surface of the affected teeth and bone to remove the diseased tissue and infection. The gum tissue is then put back in place and sutured and the gum tissue will heal, and the periodontist will check the area a week or so after surgery. The use of an antiseptic mouthwash or antibiotic medication may be recommended for the next seven to 10 days.

Antiseptic Mouthwashes

Mouthwashes containing antiseptic ingredients help control the reproduction of the bacteria, which grow on the gum tissue in the mouth, and help to clean out the pockets around the individual teeth. The ingredients in antiseptic mouthwashes may include chlorhexidine, essential oils, and metal salts Sn11 and Zn11 to help control dental plaque and halitosis.

Antibiotic Medications

Antibiotics may be recommended in cases where a periodontal infection has arisen and there may be other oral conditions, such as treatment of necrotizing ulcerative gingivitis, according to the Merck Manual. Other medications that may be prescribed for gum infections contain:
  • Amoxicillin in cases where patients are allergic to penicillin.
  • Clindamycin may be recommended in cases where a patient is allergic to amoxicillin.
  • Chlorhexidine, which is used to control plaque and gingivitis as well as bleeding gum tissue in patients with moderate to severe gingivitis.
The dentist can also offer local antimicrobial therapy, which involves inserting an antibiotic treatment containing doxycycline or minocycline powder directly into the sulcus area around the gum tissue of the teeth in order to kill the bacteria causing the gum infection.

After Treatment

Maintaining a strict oral health routine is critical after antimicrobial therapy to make sure you get the benefit of the treatment. First, brush your teeth twice a day for at least two minutes each time, and floss at least once daily. Next, swish with a mouthwash, such as Colgate Total Mouthwash for Gum Health, which offers advanced gum protection for 45 percent stronger, healthier gums.
If your dentist prescribed any form of antibiotics, it's imperative you take the full course of medicine exactly as instructed to reduce the risk of infection.

Schedule an examination with your periodontist within two to three months after therapy to determine whether your infection has been eliminated and your mouth is healthy. Provided all is well, you can resume your regular routine of annual periodontal examinations, routine cleaning and polishing, and a full set of X-rays every four to five years.

Keep your mouth and teeth clean through the use of antimicrobial therapy and regular visits to see your dentist, dental hygienist and periodontist for overall health and mouth wellness.
This article is intended to promote understanding of and knowledge about general oral health topics. It is not intended to be a substitute for professional advice, diagnosis or treatment. Always seek the advice of your dentist or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment.

Why Dentin Is Just as Important as Tooth Enamel

When it comes to teeth, there's a lot of talk about enamel and why we should protect it, but you never really know why. Is it to keep your teeth shiny and white? Is it to prevent cavities? Both of these answers are YES, but there's an even more important answer: If you don't take care of your enamel, your dentin will become exposed.

If enamel is the star of the show, dentin is the supporting actor. Located beneath your enamel, dentin consists of a sensitive layer of living tissue and tubules that communicate with the nerve of your teeth. When your gums recede and dentin becomes exposed, things that never hurt your teeth before may feel very painful. That's because the dentinal tubules are allowing things like hot soup or cold ice cream to directly stimulate the nerve in your tooth, which results in the shooting pain we call tooth sensitivity.

Now that you know, don't forget about your dentin! Take care of your enamel by brushing gently, avoiding acidic foods and preventing dry mouth and you will save your dentin.