Signs & Symptoms
The symptoms of gingivitis are somewhat non-specific and manifest in the gum tissue as the classic signs of inflammation:
- Swollen gums
- Bright red or purple gums
- Gums that are tender or painful to the touch
- Bleeding gums or bleeding after brushing
Additionally, the stippling that normally exists on the gum tissue of some individuals will often disappear and the gums may appear shiny when the gum tissue becomes swollen and stretched over the inflamed underlying connective tissue. The accumulation may also emit an unpleasant odor.
When the gingiva are swollen, the epithelial lining of the gingival crevice becomes ulcerated and the gums will bleed more easily with even gentle brushing, and especially when flossing.
To keep you comfortable we usually numb the area before root planning begins.
Using specialized instruments, we carefully and meticulously remove the plaque and tartar around and beneath the gumline, and then smooth the root surfaces. This removes the source of infection and helps your gums heal. As they heal, your gums will tighten around your teeth.
We may schedule scaling and root planning over several appointments. This way we can promote your comfort, check the healing, and help you fine-tune your homecare efforts.
As Part of our therapy for periodontal disease, we have an effective treatment called Arestin that helps us control the infection in your mouth.
How is Arestin Used?
Arestin is used together with scaling and root planning to significantly reduce the depth of the infected pockets and prevent the progression of the disease.
Arestin is an antibiotic in powder form. After scaling and root planning, we apply the powder to your periodontal pockets, where it combines with moisture in your mouth and adheres immediately to the infected gum tissue.
The individual powder particles release a controlled, steady flow of the active ingredient, minocycline, a potent antibiotic. The medication helps fight your periodontal infection for at least 21 days.
Arestin and your periodontal therapy
In certain conditions, Arestin may not be the right treatment for you. The active ingredient in Arestin is in the tetracycline family, so we won’t use it for patients who are allergic to tetracycline, pregnant or nursing, or under the age of eight.
You should also know that Arestin is not a cure for periodontal disease. Once bone is lost, no medication will bring it back. For periodontal therapy to be successful, you’ll still need to be very thorough with your daily oral hygiene and come see us regularly for exams.
Arestin is an important part of the overall periodontal therapy program that we have designed for you to restore health to your gums.