Deep Cleaning (Scaling and Root Planing)
Upon your initial visit to Dr. Bouclin’s office, we will measure the depth of your “pocket(s)”. If we identify areas where the depth of the gingival pockets is greater than 3 mm, we will usually recommend actively treating these areas. When the pockets are less than 5mm we can normally treat the problem non-surgically. This involves anesthetising (freezing) the area and performing a deep cleaning under the gum tissue. This is performed to eliminate the bacteria and tarter deposits lodged underneath the gum tissue.
Pocket reduction surgery
In some cases the pockets are very deep (≥ 6mm). In this situation, a pocket reduction procedure may be recommended because you have pockets that are too deep to treat with deep cleaning. The procedure is carried out in the office with local anaesthetic. During this procedure, Dr. Bouclin gently elevates the gum tissue in the affected area. This allows the visibility necessary to remove the disease causing plaque and calculus. In some cases, irregular surfaces of the damaged bone are smoothed to limit areas where disease-causing bacteria can hide. Finally the gums are secured with sutures to allow for proper healing.
Guided Tissue Regeneration
In some cases we can attempt to grow back the previously lost gum and or bone tissue around the natural teeth. Regenerative techniques often include the use of bone grafts or specifically engineered cells. Research is ongoing in an effort to increase the predictability of these techniques and new products are being introduced. These procedures are carried out in the office with local anaesthetic.