Information on Periodontal Disease:

 

GINGIVITIS:

 

Gingivitis is inflammation of the gums and this occurs when the bacterial plaque that forms on our teeth is not removed by proper tooth brushing. Gingivitis results in red, swollen, tender gums which bleed easily when brushed or flossed. Gingivitis is caused by the build-up of “Plaque” on the tooth and gum surface. Plaque is a colourless, sticky film containing millions of bacteria and their by-products which constantly grow on the teeth, and the by-products cause the inflammation. If gingivitis is not treated, it may lead to Periodontitis.

 

PERIODONTITIS:

 

Periodontitis is destructive inflammation of the gums in which the bone and supporting tissues of the tooth are lost. If the tissue destruction proceeds unchecked, then the teeth will become loose and eventually fall out. Within the infected crevice around the tooth the bacteria become calcified to form a material called “Calculus”. Treatment of periodontitis involves removing the disease-causing bacteria and their by-products.

 

RISKS:

 

There is now definite medical evidence that along with smoking, being overweight and high cholesterol, “advanced” periodontal disease is linked to heart disease. Studies have shown that bacteria within the gums are leaked into the bloodstream, and found in the heart tissue of patients who experienced heart attacks. It is important to understand, that although this is very rare, Periodontal Disease does however affect general health.

 

If Periodontal Disease is not treated, tissue bone destruction proceeds, and teeth will begin to feel loose as there is reduced attachment, to hold them firmly in place. Eventually there will be tooth loss.

 

Smoking creates less resistance towards Periodontal Disease, this is due to the immune suppression smoking causes, and it is the patient’s immune system that aids in fighting progressive Periodontal Disease. Our advice is stop smoking altogether if possible, or stop smoking for at least 1 month throughout treatment to allow the immune system to recover and enable your gums to heal properly.

 

Patient Initials: _______________

 

 

POST OPERATIVE COMPLICATIONS:

 

It is common for your teeth to be sensitive to hot and especially cold drinks and foods for the first few days or even weeks. This sensitivity may eventually subside given that the oral hygiene instructions and advice provided by the dentist are followed.

 

You will experience gum discomfort and tenderness, as the gums take time to heal after treatment.

 

There may be gum shrinkage in areas of deeper pocketing where bone had previously been lost due to Periodontal Disease, this may lead to gaps in between your teeth. Unfortunately, the bone shrinkage is inevitable and permanent as the bone lost through the disease will NOT return.

 

Patient Initials: _______________

 

 

Frequently Asked Questions:

 

What might happen if I decide to do nothing about the disease?

Periodontal Disease is a progressive disease in that you will continue to lose bone until the bacteria on the roots of your teeth are brought under control. In almost every case the disease will progress from ‘Early’ to ‘Moderate’ to ‘Advanced’ to ‘Very Advanced’ disease over the years. Usually the disease accelerates considerably when it reaches the ‘Advanced’ stage.

 

What improvements will I notice after the treatment?

Most commonly patients comment that their teeth feel smooth, the gums don’t bleed, the gums are not sore, that their partner says they don’t have bad breath anymore, their teeth are easier to clean and floss, less catching of food.

 

What negative aspects will I notice after the treatment?

Moat common negative aspect of Periodontal Treatment is the sensitivity to cold drinks and foods. The gums are also quite tender for the first few days. You will notice gaps appearing in between your teeth where the plaque and calculus used to sit, and deeper areas of the mouth will catch food due to the new space created after Periodontal cleaning.

 

Can’t I just take antibiotics to eliminate Periodontal Disease?

Unfortunately, all worldwide periodontal studies indicate that antibiotics taken alone, without treatment and maintenance of periodontitis; which means thoroughly cleaning calculus from the roots of your teeth, are ineffective at stopping the disease.

 

Will Periodontal Treatment save my teeth forever?

Treatment for Early to Moderate disease successfully retain teeth for patients, given that they follow the oral hygiene instructions of the dentist, as it is a dual effort to keep the gums clean.

Advanced disease is certainly less predictable and requires patients to be excellent with their cleaning at home. Average cleaning may not be good enough to stop the disease reoccurring in some areas.

Most teeth that have Very Advanced disease will be noticeably loose. The treatment outcomes of Very Advanced Periodontal Disease will entirely depend on the patient being able to clean. Whilst very badly affected teeth may be kept for many years, some of these teeth may be lost within 3-10 years. It is unlikely that these teeth will be kept for life, as there is simply not enough bone structure to firmly hold the root in place.

 

Can I have all my teeth extracted?

This will certainly eliminate any signs and symptoms of Periodontal Disease. However, this option also requires dentures for the patient, which can be uncomfortable and hard to adjust to.

 

Can I extract the teeth affected by Periodontal Disease and replace them with Dental Implants?

Certainly, Dental Implants are treated as a tooth replacement option. However, this process is substantially more expensive, and requires a specific amount of bone level for the implants to screw into. The bacteria that causes problems with natural teeth cause bone loss, therefore patients that are undergoing Advanced to Very Advanced Periodontal Disease, may have the increased chance of Dental Implants failing, as there is not bone structure to create a base for the Implant screw.

 

Will my Health Fund cover me for some of the costs of the treatment?

Health funds vary tremendously when rebating patients, as it depends on the company you are with and what level of cover you have signed up for. In order to ease finances on the day of the appointment, the dentists at Dental On Park, design and print a treatment plan for every patient which allocated the item codes and costs, which can then be further enquired about via your health fund.

 

Does the periodontal treatment have to be completed immediately?

Normally the disease progresses slowly, and although it is ideal to have it completed as soon as possible, we pride ourselves for working around the patients schedule and finances, to ensure they are comfortable undergoing treatment. If you have pain or an infection usually the sooner treatment is done the better.

In other cases, a delay of a few months may start to show the difference, this is relevant for patients who are seeking to give up smoking.

 

Why does the dentist take an extended amount of time to complete Periodontal Treatment?

For the treatment to be successful ALL tartar must be removed within the one sitting. This means 360 degrees around each and every tooth, front to back, above and below the gum line. Hence the appointment time is around 60-90mins each time.

 

 

An Overview of Your Appointment:

 

Aim of Periodontal Treatment:

To provide a result where all teeth are as smooth as possible by removing calculus from the roots of the teeth. Any old fillings with rough edges are smoothed off, areas where food is catching needs to be attended to immediately.

 

Once your teeth are as smooth and clean as possible, it is the responsibility of the patient to ensure they maintain the cleanliness with brushing, flossing and using interproximal brushes every day. The technique and use of these products will be thoroughly explained by the dentist at your appointment. All these products are sold at Dental On Park, for the patients convenience.

 

Completion of Periodontal Treatment:

Under Local Anaesthetic, the teeth are cleaned of calculus using ultrasonic instruments and hand scalers. Rough edges on previous fillings, will be smoothed of using polishing burs and hand pieces. Previous fillings that are catching food need to be attended to, and modified or replaced.

 

Antibiotics may be prescribed for patients with severe issues or who are at high risk. These antibiotics are taken after the treatment. Some of the prescribed medicine is not to be taken with alcohol, therefore please bear in mind that you may not be able to drink alcohol for a period of 5-7 days, whilst taking the antibiotic course.

 

Standard painkillers may also be taken before or after the treatment to help recovery an easier and more comfortable process.

 

During Treatment:

Depending on the comfortability and tolerance level of the patient, Local Anaesthetic may be administered, therefore no pain should be felt whilst treatment is ongoing. All measures will be taken to ensure your comfortability is the priority.

 

Immediately after Treatment:

The patient will be very numb if local anaesthetic is used. In such cases patients, should not attempt to eat until the anaesthetic wears off, in case you bite your lip, cheek or tongue.

 

Anaesthetic usually takes 1 hour and 30 mins to wear off. However, some patients may experience the anaesthetic lasting for several hours.

 

Rest of the Day:

Strenuous exercise should be avoided for the day as this will increase pain and may start bleeding. Soft but nutritious food is recommended. Hot, cold and acidic foods are to be avoided for the first few days due to the sensitivity of the gums and teeth, whilst healing at the same time.

 

Night of the Appointment:

Use recommended mouthwash and toothpaste provided by the dentist and take painkillers. However, do not clean that have been treatment as they will be sore and tender, due to treatment.

 

Next Day:

Use the recommended mouthwash rinses and toothpaste in the mornings and evenings, along with the antibiotics prescribed. Start gentle yet thorough cleaning especially with floss and interproximal brushes. It is very important to maintain the cleanliness initiated by the dentist, so the gums and roots of the teeth are not affected through development of Periodontal Disease again.

 

Often the use of an electric toothbrush may be too sore for the first day or two, so a soft bristled brush is recommended.

 

 

Deposit Policy:

 

A Deposit of $250.00 will required to confirm your appointment reservation, as the appointment length is more than 1 hour and ensures security of the appointment time. This is to be received at Dental On Park no later than 1 week before your appointment date and can be made by cash or credit card.

 

Please tick either option:

  • Cash
  • Credit Card

 

 

Name on Card: ______________________________________

 

Card Number: ___ ___ ___ ___   ___ ___ ___ ___   ___ ___ ___ ___   ___ ___ ___ ___

 

Expiry Date: _____ / ______                                                                CVV: ___ ___ ___

 

 

 

IF DEPOSIT IS NOT RECEIVED, THE APPOINTED TIME AND DATE WILL BE DELETED AND RE-ALLOCATED TO OTHER PATIENTS.

Cancellation Policy:

 

From time to time, we understand that some patients have inevitable circumstances, that will cause them to change their appointment time and date. We also understand that these times can be hard to predict.

 

  • If you cancel your appointment within 4 working days or more, your deposit will be fully refunded to you.

 

  • If you are to cancel within 3-2 working days’ notice and we are unable to reappoint the appointment time and date to other patients, a cancellation fee may apply of 250.00. If we can appoint that time to other patients the 250.00 will be refunded to you, and there will be no charges.

 

  • If you are to cancel within 24 hours or less the deposit of 250.00 will be then taken as a cancellation fee and will NOT be refunded, as that is too short of a notice, and as a surgery we will not be able to recover that time for the working dentist.

 

PLEASE ENSURE YOU TICK ALL BOXES TO CONFIRM YOU HAVE READ AND UNDERSTAND THE DEPOSIT AND CANCELLATION POLICIES.

Signing below indicates that you consent to the deposit policy and the importance of the cancellation policy.

 

Name of Patient: ________________________                               Date: ________________

 

Signature: _____________________________

 

Patient Consent:

Treatment done under:

 

  • Happy Gas
  • Local Anaesthetic
  • General Anaesthetic
  • None of the Above

 

I hereby acknowledge:

 

  • I was given the document “Periodontal Disease Information Booklet” and I have read and fully understand its contents.
  • I have been fully informed on the following:
  • The nature of Periodontal Treatment
  • The risks and benefits of Periodontal Treatment
  • IF ANY, the alternative treatment available other than Periodontal Treatment
  • The necessity of follow up appointments for Periodontal Maintenance
  • Success of Periodontal Treatment also requires my dedication to the oral hygiene advice provided, along with the treatment administered by the dentist
  • I consent that additional and alternative treatment may be deemed necessary in the best judgment of the dentist. I will be provided with sufficient proof for further treatment and cost will be explained if it varies from the original treatment plan.

 

 

                                   Please ensure you have ticked all relevant boxes above.

 

 

Date: ________________

 

_______________________                                                  _______________________

 

Signature of Patient                                                               Signature of Dentist

FRONT OFFICE USE ONLY:

 

□   Deposit of $_______ . _____ taken

□   Patient given a copy of the “Periodontal Disease Information Booklet”

 

Sign: ______________________________

 

 

  • Tina Tavakol

 

  • Jodie Elliott

 

 

 

 

 

 

 

 

 

Periodontal Disease Information Booklet

 

 

Dental On Park

 

Shop 3, 12 Park Road

Milton QLD 4064

 

Ph: (07) 3369 8300 | Fax : (07) 3369 8300

Email: info@dentalonpark.com.au

Web: www.dentalonpark.com.au

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Periodontal Disease Diagram and Comparison:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Information on Periodontal Disease:

 

GINGIVITIS:

 

Gingivitis is inflammation of the gums and this occurs when the bacterial plaque that forms on our teeth is not removed by proper tooth brushing. Gingivitis results in red, swollen, tender gums which bleed easily when brushed or flossed. Gingivitis is caused by the build-up of “Plaque” on the tooth and gum surface. Plaque is a colourless, sticky film containing millions of bacteria and their by-products which constantly grow on the teeth, and the by-products cause the inflammation. If gingivitis is not treated, it may lead to Periodontitis.

 

PERIODONTITIS:

 

Periodontitis is destructive inflammation of the gums in which the bone and supporting tissues of the tooth are lost. If the tissue destruction proceeds unchecked, then the teeth will become loose and eventually fall out. Within the infected crevice around the tooth the bacteria become calcified to form a material called “Calculus”. Treatment of periodontitis involves removing the disease-causing bacteria and their by-products.

 

RISKS:

 

There is now definite medical evidence that along with smoking, being overweight and high cholesterol, “advanced” periodontal disease is linked to heart disease. Studies have shown that bacteria within the gums are leaked into the bloodstream, and found in the heart tissue of patients who experienced heart attacks. It is important to understand, that although this is very rare, Periodontal Disease does however affect general health.

 

If Periodontal Disease is not treated, tissue bone destruction proceeds, and teeth will begin to feel loose as there is reduced attachment, to hold them firmly in place. Eventually there will be tooth loss.

 

Smoking creates less resistance towards Periodontal Disease, this is due to the immune suppression smoking causes, and it is the patient’s immune system that aids in fighting progressive Periodontal Disease. Our advice is stop smoking altogether if possible, or stop smoking for at least 1 month throughout treatment to allow the immune system to recover and enable your gums to heal properly.

 

Patient Initials: _______________

 

 

POST OPERATIVE COMPLICATIONS:

 

It is common for your teeth to be sensitive to hot and especially cold drinks and foods for the first few days or even weeks. This sensitivity may eventually subside given that the oral hygiene instructions and advice provided by the dentist are followed.

 

You will experience gum discomfort and tenderness, as the gums take time to heal after treatment.

 

There may be gum shrinkage in areas of deeper pocketing where bone had previously been lost due to Periodontal Disease, this may lead to gaps in between your teeth. Unfortunately, the bone shrinkage is inevitable and permanent as the bone lost through the disease will NOT return.

 

Patient Initials: _______________

 

 

Frequently Asked Questions:

 

What might happen if I decide to do nothing about the disease?

Periodontal Disease is a progressive disease in that you will continue to lose bone until the bacteria on the roots of your teeth are brought under control. In almost every case the disease will progress from ‘Early’ to ‘Moderate’ to ‘Advanced’ to ‘Very Advanced’ disease over the years. Usually the disease accelerates considerably when it reaches the ‘Advanced’ stage.

 

What improvements will I notice after the treatment?

Most commonly patients comment that their teeth feel smooth, the gums don’t bleed, the gums are not sore, that their partner says they don’t have bad breath anymore, their teeth are easier to clean and floss, less catching of food.

 

What negative aspects will I notice after the treatment?

Moat common negative aspect of Periodontal Treatment is the sensitivity to cold drinks and foods. The gums are also quite tender for the first few days. You will notice gaps appearing in between your teeth where the plaque and calculus used to sit, and deeper areas of the mouth will catch food due to the new space created after Periodontal cleaning.

 

Can’t I just take antibiotics to eliminate Periodontal Disease?

Unfortunately, all worldwide periodontal studies indicate that antibiotics taken alone, without treatment and maintenance of periodontitis; which means thoroughly cleaning calculus from the roots of your teeth, are ineffective at stopping the disease.

 

Will Periodontal Treatment save my teeth forever?

Treatment for Early to Moderate disease successfully retain teeth for patients, given that they follow the oral hygiene instructions of the dentist, as it is a dual effort to keep the gums clean.

Advanced disease is certainly less predictable and requires patients to be excellent with their cleaning at home. Average cleaning may not be good enough to stop the disease reoccurring in some areas.

Most teeth that have Very Advanced disease will be noticeably loose. The treatment outcomes of Very Advanced Periodontal Disease will entirely depend on the patient being able to clean. Whilst very badly affected teeth may be kept for many years, some of these teeth may be lost within 3-10 years. It is unlikely that these teeth will be kept for life, as there is simply not enough bone structure to firmly hold the root in place.

 

Can I have all my teeth extracted?

This will certainly eliminate any signs and symptoms of Periodontal Disease. However, this option also requires dentures for the patient, which can be uncomfortable and hard to adjust to.

 

Can I extract the teeth affected by Periodontal Disease and replace them with Dental Implants?

Certainly, Dental Implants are treated as a tooth replacement option. However, this process is substantially more expensive, and requires a specific amount of bone level for the implants to screw into. The bacteria that causes problems with natural teeth cause bone loss, therefore patients that are undergoing Advanced to Very Advanced Periodontal Disease, may have the increased chance of Dental Implants failing, as there is not bone structure to create a base for the Implant screw.

 

Will my Health Fund cover me for some of the costs of the treatment?

Health funds vary tremendously when rebating patients, as it depends on the company you are with and what level of cover you have signed up for. In order to ease finances on the day of the appointment, the dentists at Dental On Park, design and print a treatment plan for every patient which allocated the item codes and costs, which can then be further enquired about via your health fund.

 

Does the periodontal treatment have to be completed immediately?

Normally the disease progresses slowly, and although it is ideal to have it completed as soon as possible, we pride ourselves for working around the patients schedule and finances, to ensure they are comfortable undergoing treatment. If you have pain or an infection usually the sooner treatment is done the better.

In other cases, a delay of a few months may start to show the difference, this is relevant for patients who are seeking to give up smoking.

 

Why does the dentist take an extended amount of time to complete Periodontal Treatment?

For the treatment to be successful ALL tartar must be removed within the one sitting. This means 360 degrees around each and every tooth, front to back, above and below the gum line. Hence the appointment time is around 60-90mins each time.

 

 

An Overview of Your Appointment:

 

Aim of Periodontal Treatment:

To provide a result where all teeth are as smooth as possible by removing calculus from the roots of the teeth. Any old fillings with rough edges are smoothed off, areas where food is catching needs to be attended to immediately.

 

Once your teeth are as smooth and clean as possible, it is the responsibility of the patient to ensure they maintain the cleanliness with brushing, flossing and using interproximal brushes every day. The technique and use of these products will be thoroughly explained by the dentist at your appointment. All these products are sold at Dental On Park, for the patients convenience.

 

Completion of Periodontal Treatment:

Under Local Anaesthetic, the teeth are cleaned of calculus using ultrasonic instruments and hand scalers. Rough edges on previous fillings, will be smoothed of using polishing burs and hand pieces. Previous fillings that are catching food need to be attended to, and modified or replaced.

 

Antibiotics may be prescribed for patients with severe issues or who are at high risk. These antibiotics are taken after the treatment. Some of the prescribed medicine is not to be taken with alcohol, therefore please bear in mind that you may not be able to drink alcohol for a period of 5-7 days, whilst taking the antibiotic course.

 

Standard painkillers may also be taken before or after the treatment to help recovery an easier and more comfortable process.

 

During Treatment:

Depending on the comfortability and tolerance level of the patient, Local Anaesthetic may be administered, therefore no pain should be felt whilst treatment is ongoing. All measures will be taken to ensure your comfortability is the priority.

 

Immediately after Treatment:

The patient will be very numb if local anaesthetic is used. In such cases patients, should not attempt to eat until the anaesthetic wears off, in case you bite your lip, cheek or tongue.

 

Anaesthetic usually takes 1 hour and 30 mins to wear off. However, some patients may experience the anaesthetic lasting for several hours.

 

Rest of the Day:

Strenuous exercise should be avoided for the day as this will increase pain and may start bleeding. Soft but nutritious food is recommended. Hot, cold and acidic foods are to be avoided for the first few days due to the sensitivity of the gums and teeth, whilst healing at the same time.

 

Night of the Appointment:

Use recommended mouthwash and toothpaste provided by the dentist and take painkillers. However, do not clean that have been treatment as they will be sore and tender, due to treatment.

 

Next Day:

Use the recommended mouthwash rinses and toothpaste in the mornings and evenings, along with the antibiotics prescribed. Start gentle yet thorough cleaning especially with floss and interproximal brushes. It is very important to maintain the cleanliness initiated by the dentist, so the gums and roots of the teeth are not affected through development of Periodontal Disease again.

 

Often the use of an electric toothbrush may be too sore for the first day or two, so a soft bristled brush is recommended.

 

 

Deposit Policy:

 

A Deposit of $250.00 will required to confirm your appointment reservation, as the appointment length is more than 1 hour and ensures security of the appointment time. This is to be received at Dental On Park no later than 1 week before your appointment date and can be made by cash or credit card.

 

Please tick either option:

  • Cash
  • Credit Card

 

 

Name on Card: ______________________________________

 

Card Number: ___ ___ ___ ___   ___ ___ ___ ___   ___ ___ ___ ___   ___ ___ ___ ___

 

Expiry Date: _____ / ______                                                                CVV: ___ ___ ___

 

 

 

IF DEPOSIT IS NOT RECEIVED, THE APPOINTED TIME AND DATE WILL BE DELETED AND RE-ALLOCATED TO OTHER PATIENTS.

Cancellation Policy:

 

From time to time, we understand that some patients have inevitable circumstances, that will cause them to change their appointment time and date. We also understand that these times can be hard to predict.

 

  • If you cancel your appointment within 4 working days or more, your deposit will be fully refunded to you.

 

  • If you are to cancel within 3-2 working days’ notice and we are unable to reappoint the appointment time and date to other patients, a cancellation fee may apply of 250.00. If we can appoint that time to other patients the 250.00 will be refunded to you, and there will be no charges.

 

  • If you are to cancel within 24 hours or less the deposit of 250.00 will be then taken as a cancellation fee and will NOT be refunded, as that is too short of a notice, and as a surgery we will not be able to recover that time for the working dentist.

 

PLEASE ENSURE YOU TICK ALL BOXES TO CONFIRM YOU HAVE READ AND UNDERSTAND THE DEPOSIT AND CANCELLATION POLICIES.

Signing below indicates that you consent to the deposit policy and the importance of the cancellation policy.

 

Name of Patient: ________________________                               Date: ________________

 

Signature: _____________________________

 

Patient Consent:

Treatment done under:

 

  • Happy Gas
  • Local Anaesthetic
  • General Anaesthetic
  • None of the Above

 

I hereby acknowledge:

 

  • I was given the document “Periodontal Disease Information Booklet” and I have read and fully understand its contents.
  • I have been fully informed on the following:
  • The nature of Periodontal Treatment
  • The risks and benefits of Periodontal Treatment
  • IF ANY, the alternative treatment available other than Periodontal Treatment
  • The necessity of follow up appointments for Periodontal Maintenance
  • Success of Periodontal Treatment also requires my dedication to the oral hygiene advice provided, along with the treatment administered by the dentist
  • I consent that additional and alternative treatment may be deemed necessary in the best judgment of the dentist. I will be provided with sufficient proof for further treatment and cost will be explained if it varies from the original treatment plan.

 

 

                                   Please ensure you have ticked all relevant boxes above.

 

 

Date: ________________

 

_______________________                                                  _______________________

 

Signature of Patient                                                               Signature of Dentist

FRONT OFFICE USE ONLY:

 

□   Deposit of $_______ . _____ taken

□   Patient given a copy of the “Periodontal Disease Information Booklet”

 

Sign: ______________________________

 

 

  • Tina Tavakol

 

  • Jodie Elliott