Periodontal Disease Treatment   Treatment of periodontal disease requires specific dental procedures combined with systemic therapy, depending on concomitant disorders and the severity of the condition. In all patients, the roots of the affected teeth must be scaled and planed to remove deposits of calculus. [1]  Patients generally return after 3 months.  If pockets are less than three to four millimeters, then no other treatment is initiated.  However, if the pockets exceed this level upon measurement, then the patient is prescribed antibiotic therapy.  Further dental procedures can be performed i.e. eliminate deep pockets and recontour the alveolar bone, splint the loose teeth, and extractions if necessary; mostly in severe cases.   Patients will be instructed to floss daily, get regular professional dental cleanings, brush with a diluted hydrogen peroxide solution, and use an antiseptic mouth rinse. Research has shown that smoking can also play a significant role in this disease.  A 10 year study revealed that smoking increases the frequency of diseased sites in the periodontium, and that subjects who quit smoking decreased the level of destruction of the alveolar bone. [7]  Therefore, patients should be instructed in smoking cessation, if indicated.     Supplements helpful for Periodontal Disease   Vitamin C The importance of vitamin C for periodontal health is documented by the effects in a nutritional deficiency syndrome of this vitamin, called scurvy.  As mentioned above, scurvy can cause swelling of the gingiva and subsequent infections.  If a patient has this condition, vitamin C therapy is indicated. Furthermore, vitamin C helps prevent and treat periodontitis by increasing gingival praline and hydroxyproline content, increases mucopolysaccharide synthesis, reduces subsequent bacterial invasion, and decreases gingival bleeding. [8]   Clinical research has shown that patients with low levels of vitamin C are predisposed to early stage gingivitis. [9]  Periodontal disease in patients with the genetic disorder, Chediak-Higashi syndrome, has been effectively treated with vitamin C therapy. [10]   Folic acid Folic acid is an important nutrient to consider for the treatment of periodontal disease.  Numerous studies have shown that using folic acid in the form of either mouth rinse or pill has been effective in periodontitis treatments. [11-13]  One study specifically showed that gingival inflammation was reduced when subjects used a folic acid mouth rinse.   Sanguinaria canadensis (Bloodroot) Sanguinaria canadensisis an herb found in the Appalachian Mountains in the eastern United States.  The root of this plant contains certain constituents that have medicinal activity. The primary active constituent in this herb is sanguinarine, and has shown effectiveness as a mouth rinse. [14]   In one study, adult patients with periodontal disease who received a toothpaste and mouth rinse containing Sangiunaria extract had significantly fewer bleeding sites at subsequent dental examinations. [15]  Another study showed that Sanguinaria can actually inhibit the ability of bacteria to adhere, thus preventing plaque formation. [16]   Flavonoids Flavonoids are compounds found in colored fruits and vegetables that assist with collagen stabilization.  Flavonoids also synergize the effects of vitamin C, and could be taken to augment the effect of vitamin C noted in the section above.  Specific effects of flavonoids in periodontal health include, decreasing membrane permeability, inhibition of mast cell degranulation, and the cross-linking of collagen fibers.  These processes ultimately inhibit the destruction of collagen, a common characteristic of periodontitis. [17, 18]  In addition, specific flavonoids have demonstrated in animal study to delay the growth of plaque and alveolar bone resorption. [19]   CoEnzyme Q10 This nutrient has demonstrated effectiveness for the treatment of periodontal disease in a placebo-controlled double blind study.  Patients took either Coenzyme Q10 or placebo over a 3 week duration. [20]  The patients taking CoQ10 showed improvements in pocket depth, purulent exudates, tooth mobility, gingival swelling, bleeding, redness, pain, and itching.     Learn More About Periodontal Disease Introduction to Periodontal Disease Periodontal Disease Treatment Products helpful for Periodontal Disease Go Back Learn More

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