What treatment is most effective for resolving periodontal disease?

The most effective treatment for resolving periodontal disease is plaque and calculus removal. This process is critical because periodontal disease primarily results from the accumulation of plaque, a sticky film of bacteria that forms on teeth. When plaque is not adequately removed, it hardens into calculus, which can lead to tissue inflammation, gum recession, and tooth mobility.

By thoroughly cleaning the teeth and gums during professional dental cleanings, dental hygienists can reduce the load of bacteria and harmful substances in the oral cavity, allowing the tissues to heal and regain health. This mechanical removal of biofilm and deposits is foundational in managing periodontal disease. While additional therapies may complement this treatment, such as antimicrobial agents or even surgical interventions in severe cases, the primary and most direct approach to address the problem is through comprehensive plaque and calculus removal.

Dietary advice, while beneficial for general oral health, does not directly treat the infection or inflammation present in periodontal disease. Extraction and implants may be necessary in cases of severe damage, but they do not resolve the underlying disease. Metronidazole may play a role in treating certain periodontal infections but is not a standalone solution. Therefore, the cornerstone of effective periodontal disease treatment is thorough plaque and calculus removal.