St. Louis Periodontal Therapy Veterinarians
Associated Veterinary Specialists Dentistry veterinarians provide the highest level of Periodontal Therapy veterinary services in the St. Louis area
Periodontal therapy focuses on the treatment of suprabony and infrabony pocket resulting in a diseased periodontium. The periodontium consists of the gingiva (free and attached), alveolar bone, periodontal ligament and cementum. The periodontal therapies provided are:
1.) Closed and open root planing: root planing or "deep cleaning" is the removal of calculus from the root surface. In conjunction with root planing is subgingival curettage; the removal of the diseased soft tissue from pocket. Closed root planing is performed on infrabony pockets less than 5 mm in depth. Closed root planing does not require a gingival flap to visualize the calculus on the root surface. Open root planing is performed on periodontal pockets 5mm and deeper. A gingival flap is raised to allow visualization of the root surface enabling complete removal of all calculus from the root surface.
2.) Bone augmentation: an osteoconductive material is placed in an infrabony pocket following open root planing.
3.) Multiple, complete or complicated extractions: multiple extraction and complete extractions may be required in cases of advanced periodontal disease in order to achieve oral health. Complicated extractions are those that require special care when extracting the tooth. For example with advanced alveolar bone loss in the region of the mandibular first molar in small breeds. Extraction may be challenging due to the potential for fracturing the jaw.
4.) Oronasal fistula repair: A mucoperiosteal flap is utilized to close the palatal defect.
5.) Gingivectomy: gingivectomy or removal of gingival tissue is typically performed when gingival hyperplasia is present creating a suprabony pocket.
Following the treatment of advanced periodontal disease close radiographic monitoring and professional cleaning will be required until it has been determined to be stable. Once the disease has been stabilized professional oral health is returned to the referring veterinarian.