General treatment of periodontal disease with a dental group in Hawaii can be divided into different phases. The first one is usually an examination covering your medical and dental history, temporary treatment plan and treatment of acute conditions when indicated. The second phase is related to the cause. It involves the removal of dental deposits and such. This phase also includes dental extractions, restorations and placement of a temporary prosthesis and endodontic treatment when it is indicated. The third phase is the evaluation of the patient’s cooperation and the response of tissues. The time elapsed between treatment and the evaluation phase is usually 1 to 6 months. The penultimate stage is the definitive treatment that usually includes (but not always) periodontal surgery and restorative / functional treatment. Finally, the last phase is the maintenance phase.
According to this sequence, the final decision concerning the type and extent of periodontal surgery performed must be taken after evaluating the therapeutic effect related to the cause. This practice has the following advantages. First, removal of tartar and plaque can end or markedly reduce gingival inflammation (edema, hyperemia, soft tissues), which can help the Dental Group in Hawaii evaluate the “true and deep” gingival contours and pockets. Secondly, the resolution of gingival inflammation may facilitate surgical treatment. The propensity for bleeding is reduced and an inspection is provided. The tissue reaction to the scaling and your personal efforts provide information about the “resistance” of the patient. The effectiveness of patient care is critical to the long-term prognosis. The lack of effective personal care often means that the patient is excluded from surgical treatment.
Although surgical treatment is not always necessary, sometimes for one reason or another, such treatment becomes absolutely essential. However, there are also cases where performing any type of operation involves meeting a whole lot of requirements. Theoretically, even people with poor oral hygiene can be compensated with frequent dental visits (for example, once a week), but it is unrealistic to imagine large groups of patients managed in this way. The best way to stay out of the dentist’s chair is to practice good oral hygiene and schedule routine visits every 6 months to a year.
