As you may know, the periodontal disease is affected by two major factors – genetics and bacterial affection.
While we cannot (yet) modify your genetics to make it harder for the bacterias to affect you gums, we can certainly do everything within our today’s knowledge to affect the bacterias and weaken their influence on our patient’s gums. Among those methods would be those ones:
If upon re-evaluation of a deep cleaning results the doctor finds that some gum pockets did not respond well to the non-surgical treatment, it may be reasonably to think that the patient’s body response against those bacterias is not sufficient to eliminate those bacterias and despite all efforts, the bacterias stay to do their damage. In those cases the antibiotics can become very handy to help your body to fight the bacterias.
Today’s science achievements give us many great and effective antibiotics that can stay in the gum pocket and release from the carrier slowly, prolonging the effect of the treatment. In many cases that allows to reduce the increased periodontal pocket without going to need a periodontal surgery.
After determining those stubborn areas, the dentist under the local anesthesia will place a powder of the special antibiotic into those areas, where the antibiotic will remain for 7-14 days helping your body to establish the control over the gingival bacterias. There are usually certain post-op instructions that allow you to keep the antibiotic in the pocet longer, such as to avoid flossing several days around those areas etc. There is no pain or post-op sensitivity associated with the procedure.