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Undergo surgical treatment, if needed. Get gum grafts and bone transplants. Ask about laser treatment options. Look into dental implants.
In severe cases, periodontal disease must be addressed with surgery. The most basic surgical option is called flap surgery, in which your dentist or periodontist will make an incision in your gums, lifting them back to clean and remove the tartar, infected bone, and necrotic cementum underneath. The flap is then sutured back into place, up against your teeth. By creating a flap, oxygen can destroy a large number of aggressive anaerobic bacteria, which are almost impossible to eliminate even with deep scaling or cleaning. In severe cases, you may require gum transplants from palate, or synthetic membrane transplant called AlloDerm, to replace damaged gum tissue, and/or bone transplant or regeneration surgery to replace bone tissue that has been lost.  These treatments are aimed at preventing as much tooth loss as possible, and to stop the advancement of periodontitis, which can have mutilating results. Recent studies have shown that laser surgery may be as effective as surgery at resolving periodontal disease in certain cases.  Ask your dentist or periodontist if this might be an option for you, but be aware that this is a new field that is developing rapidly, and that many insurances may not yet cover this kind of treatment. In some cases, one or more of your teeth may be lost to periodontal disease.  In these cases, you can have the teeth replaced with high-quality dental implants.  Speak with your dentist or periodontist to determine if dental implants are right for you regarding your medical history or any other health issues.