At this stage, the supporting bone and fibers that hold your teeth in place are irreversibly damaged. Your gums may begin to form a pocket below the gumline, which traps food and plaque. Proper dental treatment and improved home care can usually help prevent further damage.
In this final stage of gum
disease, the fibers and bone supporting your teeth are destroyed, which can cause your teeth to shift or loosen. This can affect your bite and, if aggressive treatment can't save them, teeth may need
to be removed.
The dental scaling consists on scraping the teeth's root surfaces. This aims to eliminate the tartar that accumulates under the gum. For this procedure local anesthesia is necessary.
If the periodontal pocket that has formed is inaccessible to the dentist or not cured after performing the scaling, a periodontal surgery under anesthesia may be needed to access and clean the area. Also, if you have lost a large amount of bone or gum, we can make a bone graft and restore gingival tissue to improve the aesthetics of the area.