Even in most severe cases of periodontal disease, non-surgical periodontal therapy most often precedes surgical therapy. This is done so that the overall tissue quality is improved prior to surgery and also limits the areas of required surgery.
When deep pockets between teeth and gums are present, it is difficult for you as a patient to thoroughly remove plaque and tarter. Patients can seldom, if ever, keep these pockets clean and free of plaque. Consequently, surgery may be needed to restore periodontal health.
Antibiotics may be recommended to help control the growth of bacteria that create toxins and cause periodontitis. In some cases, our doctors may place antibiotics locally in the periodontal pockets after scaling. This may be done to control infection and to encourage normal healing.