or do the gums really need surgery?
Best Answer: Good oral would probably have prevented the periodontal disease so trying this alone to "cure" it now is too late.
Alternatives to sugery include scaling and root-planing. These are the components of periodontal debridement and when combined with very good oral hygiene can allow gum tissue to heal and reattach to the teeth. Debridement and oral hygiene are for the early stages of periodontal disease but even with advanced disease, debridement is often used before surgery and can limit the areas of gum tissue that ultimately require surgery.
The need for surgery depends on the stage the disease has reached and only your dentist can determine that. Another thing to keep in mind is that another condition can sometimes aggrevate and excelerate gum disease -- malocclusions (parafunction). So this is something that would need to be addressed.





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Good oral would probably have prevented the periodontal disease so trying this alone to “cure” it now is too late.
Alternatives to sugery include scaling and root-planing. These are the components of periodontal debridement and when combined with very good oral hygiene can allow gum tissue to heal and reattach to the teeth. Debridement and oral hygiene are for the early stages of periodontal disease but even with advanced disease, debridement is often used before surgery and can limit the areas of gum tissue that ultimately require surgery.
The need for surgery depends on the stage the disease has reached and only your dentist can determine that. Another thing to keep in mind is that another condition can sometimes aggrevate and excelerate gum disease — malocclusions (parafunction). So this is something that would need to be addressed.