Does root planing reduce inflammation and excess gum growth?

Doctor's Answer

Excessive gum overgrowth (hyperplasia) MAY be due to medication such as anti-hypertensives (especially calcium channel blockers such as amilodipine), anti-depressants, anti-convulsants and immunosuppressants. However, there is usually a component of inflammation in the gums due to the presence of bacterial plaque and tartar deposits along the gumline.

I do not know if it is possible for overgrown gums to move teeth orthodontically. Certainly, the tooth position may appear different if there is a lot of excess gum tissue present.

Root planing refers to the non-surgical cleaning of the tooth and root surfaces underneath the gumline, usually done under local anaesthetic. Removing bacteria and tartar under the gums will definitely reduce inflammation. Some of the gum swelling may also reduce as the inflammation subsides. In some cases, the gum overgrowth may have a greater fibrous rather than inflammatory component and these cases will require surgical removal of the fibrous tissue (gingivectomy) after root planing is completed.

Root planing is NOT subsidised by Medisave, as it is a non-surgical procedure. If you require a gingivectomy, this is partially-subsidised by Medisave.

If you see a general dentist for root planing, expect to pay between $300-500 per quadrant of the mouth (the gums on the upper right only, for example). Your dentist may advise you to have only one quadrant treated at each visit if there are many sites affected. Each visit normally takes 45-60 minutes.

I am not sure how much a gum specialist charges for root planing. Gingivectomies may be performed by general dentists or gum specialists.

I would advise you start off with a proper dental assessment so that the underlying cause of your swollen and bleedin gums can be identified. You will also need to do your part in maintaining hygiene levels at home because all treatments work better in a clean mouth.

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