[{"@context":"https:\/\/schema.org\/","@type":"BlogPosting","@id":"https:\/\/nqsurgicaldentistry.com.au\/so-whats-next\/#BlogPosting","mainEntityOfPage":"https:\/\/nqsurgicaldentistry.com.au\/so-whats-next\/","headline":"So what&#8217;s next\u2026\u2026\u2026","name":"So what&#8217;s next\u2026\u2026\u2026","description":"[et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; custom_padding_last_edited=&#8221;on|desktop&#8221; admin_label=&#8221;HeaderSection&#8221; _builder_version=&#8221;3.22.3&#8243; background_color=&#8221;#ffffff&#8221; custom_padding_tablet=&#8221;0px|0|0px|0||&#8221; custom_padding_phone=&#8221;&#8221; padding_mobile=&#8221;off&#8221;][et_pb_fullwidth_header background_overlay_color=&#8221;rgba(255,255,255,0)&#8221; module_id=&#8221;top-header&#8221; _builder_version=&#8221;3.22.6&#8243; title_font_size=&#8221;25px&#8221; background_color=&#8221;rgba(255,255,255,0)&#8221; background_image=&#8221;https:\/\/nqsurgicaldentistry.com.au\/wp-content\/uploads\/2018\/09\/pre-prosthetic-surgery.jpg&#8221; 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_builder_version=&#8221;4.0.3&#8243; background_color=&#8221;#0aaaaf&#8221; custom_css_main_element=&#8221;height: 80px; padding: 1px;&#8221; button_one_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_one_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_one_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; [&hellip;]","datePublished":"2016-06-18","dateModified":"2021-04-19","author":{"@type":"Person","@id":"https:\/\/nqsurgicaldentistry.com.au\/author\/admin\/#Person","name":"admin","url":"https:\/\/nqsurgicaldentistry.com.au\/author\/admin\/","image":{"@type":"ImageObject","@id":"https:\/\/secure.gravatar.com\/avatar\/7e8332d597554647ad1a751e441d0749?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/7e8332d597554647ad1a751e441d0749?s=96&d=mm&r=g","height":96,"width":96}},"publisher":{"@type":"Organization","name":"Dr Colin Priestland","logo":{"@type":"ImageObject","@id":"https:\/\/nqsurgicaldentistry.com.au\/wp-content\/uploads\/2016\/06\/index.png","url":"https:\/\/nqsurgicaldentistry.com.au\/wp-content\/uploads\/2016\/06\/index.png","width":577,"height":143}},"image":{"@type":"ImageObject","@id":"https:\/\/nqsurgicaldentistry.com.au\/wp-content\/uploads\/2016\/06\/images1.jpg","url":"https:\/\/nqsurgicaldentistry.com.au\/wp-content\/uploads\/2016\/06\/images1.jpg","height":186,"width":270},"url":"https:\/\/nqsurgicaldentistry.com.au\/so-whats-next\/","about":["Dental Hygiene"],"wordCount":1694,"articleBody":"\t\t\t\t\t[et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; custom_padding_last_edited=&#8221;on|desktop&#8221; admin_label=&#8221;HeaderSection&#8221; _builder_version=&#8221;3.22.3&#8243; background_color=&#8221;#ffffff&#8221; custom_padding_tablet=&#8221;0px|0|0px|0||&#8221; custom_padding_phone=&#8221;&#8221; padding_mobile=&#8221;off&#8221;][et_pb_fullwidth_header background_overlay_color=&#8221;rgba(255,255,255,0)&#8221; module_id=&#8221;top-header&#8221; _builder_version=&#8221;3.22.6&#8243; title_font_size=&#8221;25px&#8221; background_color=&#8221;rgba(255,255,255,0)&#8221; background_image=&#8221;https:\/\/nqsurgicaldentistry.com.au\/wp-content\/uploads\/2018\/09\/pre-prosthetic-surgery.jpg&#8221; hover_enabled=&#8221;0&#8243; custom_css_main_element=&#8221;height: 350px; padding: 1px;&#8221; background_url=&#8221;https:\/\/nqsurgicaldentistry.com.au\/wp-content\/uploads\/2016\/06\/faqs.jpg&#8221; button_one_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_one_text_color__hover_enabled=&#8221;off&#8221; 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button_one_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_one_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_one_letter_spacing__hover_enabled=&#8221;off&#8221; button_two_letter_spacing__hover_enabled=&#8221;off&#8221; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221;][\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|desktop&#8221; _builder_version=&#8221;4.0.3&#8243; background_color=&#8221;#ffffff&#8221; custom_padding_tablet=&#8221;50px|0|50px|0&#8243; custom_padding_phone=&#8221;&#8221; top_divider_style=&#8221;wave2&#8243; top_divider_color=&#8221;#0aaaaf&#8221; top_divider_height=&#8221;32px&#8221; transparent_background=&#8221;off&#8221; padding_mobile=&#8221;off&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221;][et_pb_row _builder_version=&#8221;3.25&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.0.7&#8243;]So What&#8217;s Next&#8230;&#8230;We have looked at how we manage the Gum Disease patient with educational and mechanical treatment.\u00a0 We have seen that a period of 6-8 weeks of healing is needed to allow the gum inflammation to resolve.\u00a0 So what&#8217;s next and\u00a0what happens at those sites where the inflammation continues to actively attack the bone supporting the teeth.Inflammation happens for a reason.\u00a0 Simply put, inflammation is the body\u2019s first line of defence.\u00a0 It represents the immune system protecting us from damaging substances like the bacterial products of the dental plaque bacteria.\u00a0 So if there is inflammation then there is a cause.\u00a0 If we want to find the cause we have to look very carefully and 9 times out of 10 we can find the answer in the gum crevice around the tooth, sometimes called the pocket.\u00a0 It\u2019s called \u201csub-gingival biofilm\u201d.It is much easier to clean the tooth surface that you can see in the mouth, than it is to clean in the pocket beneath the gum margin.\u00a0 So here, attention to detail is fundamental to successful gum disease treatment.\u00a0 You cannot cut corners with cleaning.\u00a0 You have to do it right.So what about the sites that still bleed when they are examined in those very difficult sites where access is beyond the patient\u2019s ability to clean effectively.\u00a0 These sites need to be changed in shape and accessibility.\u00a0 This is where in very few patients and only in the odd isolated sites, we have to do a little re-shaping of the gum and the bone beneath.\u00a0 This is surgical gum treatment.Gum surgery is rarely required and is the last stage of treatment and definitely not the first approach.\u00a0 There is a huge body of dental research over the past 35 plus years that clearly shows non-surgical gum disease treatment is the first approach of choice.In very occasional sites, we are even able to re-grow some of the tissues lost due to gum disease.\u00a0 This is what we call regenerative surgery and it can be very successful but it depends very much on the choice of site where it is applied.Once the patient can get into all their pockets and they are carrying out the cleaning EXACTLY as they have been taught, we see the disease stop progressing.\u00a0 They are then considered stable.However, we are all human and we all cut corners if left to our own devices.\u00a0 It is for this reason that patients need regular re-motivation towards their cleaning and periodic professional cleaning of their root surfaces.\u00a0 This is what we call Maintenance Therapy.Remember in an earlier article I explained that there is a genetic susceptibility in Gum Disease and therefore if you are a sufferer, you will always be susceptible.\u00a0 It is therefore a life-long commitment to your ritual of cleaning that is going to help you keep your disease stable.\u00a0 Make your hygienist a regular friend and keep your Gum Disease under control.contact the friendly team at NQ Surgical Dentistry today on\u00a0(07) 4725 1656 or call in to see us at\u00a0183 Kings Rd, Pimlico QLD 4812For more information: Dental Hygiene Therapy\u00a0[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; 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