The tooth surfaces are cleaned systematically and the patient may experience a boring an tedious treatment. If the cleaning does not lead to that that the symptoms of disease disappear it might be necessary to undertake a surgical intervention. In this procedure the soft tissue is raised from the bone to allow inspection and cleaning of the root surfaces below the gumline. This is the appearance of the region to the left around 6 months later. The division of the roots on the molar is exposed which create special problems for the patient when performing the daily oral hygien procedures Three years later the tissues at the molar has retracted further but the tissue is by and large healthy.
Root caries is a rather common complication following periodontal treatment.
The retraction of the gingival margin expose the less caries resistant root surface and unless the patient practice a meticolous tooth cleaning and exert diet control root caries may develop. The oral Hygiene Procedures in the treatment of Advanced Periodontal Disease Three years after treatment this patient demonstrate the cleaning procedures. The tooth brush is placed in an approximately 45 degrees angle towards the tooth surface and moved back and forth in a rubbing fashion. The bristles of the brush are pressed to enter the orifice of the gingival periodontal pockeet in order to remove bacteria which have accummulated at the sites. The tongue side of both the upper and the lower teeth are difficult to clean.