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Pyorrhea Treatment

The good news is that at every stage, gum disease is treatable. Even in severe cases, it could be possible to save your teeth and get you feeling like smiling again. You can forget any feelings of fear or shame.
Periodontists are specialists in identifying, treating, and managing gum disease. They work to achieve the best outcome for you.

Pyorrhea Treatment Options

Pyorrhea, also known as Periodontitis, is a multifactorial disease. It affects the oral gums and the bone. If you have gum disease, you can choose from a variety of treatments. The options depend on the details of your situation and the severity of the problem. We always start with the least invasive options, which are non-surgical. Non-surgical periodontal therapy often treats the early stages of periodontal disease. Yet, in more serious cases, surgery may be necessary.

Non-Surgical Treatment

The first line of defense against gum disease is a unique type of cleaning. It’s called “scaling and root planning.” During this procedure, the dentist uses an ultrasonic cleaning device. They remove plaque and tartar from your teeth. Regular cleaning devices can’t reach these areas: under the gum line, on the tooth, and around the root. Then, the dentist smooths out (planes) the rough surface of the tooth and the root. This provides a healthy, clean surface that makes it easier for the gum tissue to reattach to the tooth. If you address your gum disease before it becomes severe, scaling and root planing may be the only treatment you need. But, as with any dental procedure, after-care is vital. To keep your teeth healthy, brush and floss daily. Eat a healthy diet, avoid tobacco, and get regular dental checkups. Even after a successful scaling and root planing, you will likely develop gum disease again if you don’t attend to your teeth.

Surgical Treatment Options

If the tissue or bone around your teeth is seriously damaged, non-surgical procedures may not work. You may need one of several surgical options. These procedures can help prevent further damage and restore your smile to a healthy, beautiful state. Our team will assess the condition of your teeth and gums to determine which procedure is best suited for your needs. Below is a list of common types of periodontal surgery:

Pocket Depth Reduction

In a healthy mouth, the teeth are firmly surrounded by gum tissue and securely supported by the bones of the jaw. Periodontal disease damages these tissues and bones, leaving open spaces around the teeth that we call pockets. The larger these pockets are, the easier it is for bacteria to collect inside them, leading to more and more damage over time. Eventually, the supportive structure degrades to the point that the tooth either falls out or needs to be removed. During pocket reduction procedures (also known as “flap surgery”), we fold back the gum tissue. We remove the bacteria hiding underneath, as well as the hardened plaque and tartar that have been collected. We may also remove any tissue that is too damaged to survive. We then sew the healthy tissue back into place. Now that the tooth and root are free of bacteria, plaque, and tartar, and the pockets have been reduced, the gums can reattach to the teeth.


We can restore the areas where severe gum disease has caused bone and tissue loss. This has led to a loss of support for the teeth. We use a regeneration procedure. During this process, we begin by folding back the gum tissue. We remove the bacteria, plaque, and tartar. Depending on your situation, we may then perform a bone graft to stimulate new bone growth. We may also apply a special protein that stimulates tissue growth. This helps repair the areas destroyed by the disease.

Soft-Tissue Graft

A frequent symptom of gum disease is gum recession (also called gingival recession). As the gums recede, they reveal more of the roots. This can make teeth appear longer and can also create sensitivity to hot or cold liquids or food. It also exposes the tooth to increased damage from gum disease. Bacteria, plaque, and tartar attack the surface of the tooth and the root. During a soft-tissue graft, tissue from the top of your mouth or another source is sewn to the gum area. This covers the roots and restores the gum line to its original, healthy location. You can also perform this procedure for cosmetic reasons.

What is a Periodontist?

A periodontist is a dentist. They specialize in preventing, diagnosing, and treating gum disease. It is also known as periodontal disease. They also specialize in the placement of dental implants.

Periodontists: Periodontal & Dental Implant Specialists

Periodontists receive extensive training in both of these areas. They also complete three more years of education beyond dental school.
Many general dentists treat less serious periodontal cases. They often refer their patients to periodontists for more challenging cases. Some general dentists perform dental implant procedures. However, many refer their patients to periodontists for the more challenging implant cases.
Periodontists handle challenging periodontal and implant cases. They also provide a variety of other specialized services. These include scaling and root planning. Also, root surface debridement involves removing damaged root tissue. Lastly, they include oral inflammation treatment and cosmetic periodontal procedures.

What is Gum Disease?

Untreated plaque and bacteria buildup cause gum disease, also known as Periodontal Disease. Tobacco use, teeth grinding, some medications, and genetics also cause periodontal disease. Gingivitis is the beginning stage of gum disease, and, if detected, is treatable. Gingivitis left untreated may turn into gum disease. Advanced gum disease will lead to tooth and bone loss, and is a permanent condition. Brush your teeth regularly. Visit the dentist every six months to prevent gingivitis. It will also help prevent more severe cases of periodontal disease. Common signs of gum disease:

  • Red, irritated, bleeding, or swollen gums
  • Chronic bad breath
  • Loose teeth, or loss of teeth
  • Extreme tooth sensitivity
  • Receding gum line
  • Abscessed teeth

The Best Periodontists In Roanoke VA

Why Should You Choose Eschenbach Family Dentistry As Your Roanoke Periodontist?

Dr. Sean Eschenbach is a general dentist. He has dedicated himself to patients’ health and well-being. He serves the Roanoke, Salem, and Hollins, VA communities. He has training in most facets of dental care. This includes pediatric dentistry, periodontics, endodontics, and dental implants.

Dr. Eschenbach aims to improve the oral health of all patients in southwest Virginia. He serves people of all ages and medical disabilities. He plans to achieve this by using quality advanced general dentistry techniques. He also plans to use hygienists and area specialists. The term “periodontics” refers to a dental specialty. It pertains to the prevention, diagnosis, and treatment of periodontal disease. This disease affects the gums and jawbone.

Ready to finally get the care you need?

Book an appointment with us! We will listen to you and ask questions until we know we’ve gotten to the heart of your concerns. We’ll assess you and reach a detailed diagnosis. We also recommend our patients provide a patient experience survey. This helps us continue providing the kind of care that keeps our patients smiling.