Gum Disease Therapy

Scaling and Root Planing (Deep Cleaning)

Gum Disease Therapy in Cape Coral, FL - Modern Dental Cape CoralScaling and root planing in Cape Coral, FL is a nonsurgical periodontal treatment that is typically recommended when periodontal disease is initially diagnosed. Gingivitis is the first stage of gum disease, affects only the gum tissues, and is completely reversible if detected and treated early. If left untreated, however, it can progress into the deeper tissues and potentially cause bone and tooth loss. Many patients who have gingivitis or more advanced stages of periodontal disease often experience bleeding and sore gums when brushing, flossing, and eating.

The general steps of scaling and root planing treatment may include a local anesthetic to numb the areas that will be treated. Dr. Pette may suggest a form of sedation, if necessary. The treatment often requires hand instruments and an ultrasonic water instrument to remove the plaque and tartar accumulation. The goal of this deep cleaning process is to clear away plaque and tartar as well as smooth the surfaces of the teeth to encourage the gum tissues to reattach to the teeth.  The major disadvantage of this procedure is that it is “blind” meaning we cannot see under the gum line to make 100% sure we have removed all plaque and tartar.

After the procedure it is imperative for patients to maintain their oral health and cleanliness after the procedure. Home maintenance is a major part of the healing process. The mouth needs to be free of food, debris, and plaque in order to keep the bacteria from causing further destruction. Thorough brushing and flossing will be required to ensure that the mouth is clean at all times. It is also important to discontinue the use of tobacco products. This will promote healing and reduce the risk of infection. Don’t worry, we will walk you through this process and make sure you have a customized plan to set you up for success.

Osseous Surgery

This is a more traditional form of gum disease therapy which is still used in our Cape Coral, FL office from time to time. Patients undergoing this treatment usually have deep pockets between the tooth and gum which are not cleanable or maintainable. The goal of this procedure is to access heavy tartar deposits that are deep below the gum line. The infected gum tissue is removed and uneven bone tissue is smoothed. The surgery usually requires sutures and two or three post-surgical visits. The major advantage of this procedure is access to visualize the tartar under the gum line. Although this is still an effective way of treating gum disease, Dr. Pette typically utilizes new and more sophisticated procedures such as Perioscopy and regenerative procedures (bone grafting).

Perioscopy (Endoscopically-Assisted Periodontal Therapy)

Perioscopy in Cape Coral, FL is a new and innovative method that has completely revolutionized the way we treat gum disease.  It has allowed us to combine two reliable and proven therapies into one.  We are essentially able to able to take the best from both traditional therapies and combine them into one procedure for under half the cost of traditional surgery.  Most of our patients are able to avoid traditional osseous surgery with this method.

The real genius is the use of a fiber optic endoscope which can increase magnification by 20-40x.  We are able to use the endoscope which is narrower than a human hair and slide it under the gumline.  By doing this we can now visualize the root surface under the gum, thereby eliminating the need to utilize surgery in order to get the same access. Now we have unlimited access to visualize the tartar and have the ability to remove the deposits.

By eliminating the need for surgery, we have been able to provide our patients with real results in a very comfortable environment with minimal post-op complications.  Most patients will continue on with their normal day routines and need minimal post-op medications.


All patients receiving gum disease therapy from Dr. Pette will receive a customized ongoing maintenance plan.  Maintenance is one of the most important and often overlooked aspect of a well-designed gum disease therapy.  We will work with you to make sure you are set up for success and able to maintain your results.

Schedule an Appointment with Dr. Pette today.  Call us at (239) 610-6200

Visiting a Dentist or Periodontist may not have been the first thing on your mind, but having a beautiful and healthy smile to match your other features is important. We are here to guide you in the process to have healthy teeth and gums for a lifetime.  Contact our doctors today at our Cape Coral, FL office to schedule a healthy smile consultation.

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