Dental Curettage: Restoring Gum Health with Precision

Gum health is a critical part of oral wellness, yet it is often overlooked until symptoms of periodontal disease appear. One of the essential treatments used to combat gum disease and restore gum health is dental curettage. This minimally invasive procedure plays a key role in controlling infection, reducing inflammation, and preventing tooth loss.

At LHC Clinic, we prioritize the preservation of natural teeth and healthy gums through advanced periodontal therapies like dental curettage. In this article, we explain what dental curettage is, when it is needed, and how it helps patients regain their oral health.

What Is Dental Curettage?

Dental curettage is a periodontal treatment that involves the careful removal of diseased or inflamed soft tissue from the gum pocket (the area between the tooth and the surrounding gum). This procedure is designed to promote healing by eliminating harmful bacteria, infected tissue, and calculus that contribute to gum disease.

Types of Curettage :

• Gingival Curettage : Involves the removal of the inflamed soft tissue lining the gum pocket. Aims to reduce pocket depth and improve gum reattachment to the tooth.
• Subgingival Curettage : Performed deeper inside the gum pocket. Removes granulation tissue and bacteria from the base of the pocket, beneath the gum line.

When Is Dental Curettage Needed?

Dental curettage is typically recommended for patients with moderate to advanced periodontal disease, particularly when:

• Gum pockets exceed 4-5 mm in depth.
• Non-surgical scaling and root planing alone are insufficient.
• There is persistent gum inflammation and bleeding.
• Deep bacterial infections threaten the supporting bone and tissues.

The Curettage Procedure at LHC Clinic

1. Comprehensive Diagnosis : Clinical examination, probing, and digital X-rays to assess pocket depth and bone loss.
2. Anesthesia : Local anesthesia is used to ensure comfort during the procedure.
3. Curettage Procedure : Specialized instruments (curettes) are used to carefully remove diseased tissue and debris from the pocket. The area is cleaned thoroughly to remove plaque and tartar.
4. Disinfection and Healing Support : Antibacterial solutions may be applied. In some cases, laser therapy is used to enhance healing and sterilize the area.
5. Follow-Up Care : Patients receive detailed oral hygiene instructions. Follow-up appointments are scheduled to monitor healing and prevent recurrence.

Benefits of Dental Curettage

• Reduces pocket depth.
• Promotes gum reattachment and tighter support for teeth.
• Controls infection and inflammation.
• Prevents further bone loss.
• Helps avoid more invasive surgical interventions.

Aftercare and Recovery

Recovery Period:

• Mild discomfort and sensitivity may occur for a few days.
• Patients are advised to follow a soft diet and avoid spicy or acidic foods initially.

Oral Hygiene Tips :

• Use a soft toothbrush and antibacterial mouthwash.
• Avoid aggressive brushing or flossing near the treated area during initial healing.
• Regular dental check-ups and cleanings are essential to maintain results.

Who is the Candidate for Curettage?

• Patients diagnosed with chronic periodontitis.
• Individuals with gum pockets over 4mm.
• Those showing signs of gum infection, bleeding, and bad breath.
• Patients who want to prevent the need for surgical periodontal procedures.

Limitations and Alternatives

While curettage is highly effective in moderate cases, it may not be sufficient for patients with:

• Severe periodontitis with extensive bone loss.
• Deep pockets that require flap surgery.

In such cases, more advanced periodontal therapies or surgery may be necessary.

Dental curettage is a valuable non-surgical treatment that plays a critical role in controlling periodontal disease and preserving oral health. At LHC Clinic, our experienced periodontists use state-of-the-art techniques and a gentle approach to ensure patients receive effective, comfortable, and personalized gum treatments. Early intervention is key to saving your gums, your smile, and your natural teeth.