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Endoscopic Periodontal Treatment


Perioscopy® – A new way to treat gum disease

Perioscopy® is a specialised endoscope adapted for the treatment of periodontal disease. Endoscopes are used in many medical treatments like gallbladder surgery and joint surgeries, which allow the surgeon to “see” the surgical site without the need to cut open the body. The use of endoscopes allow a minimally invasive approach to treatment which shortens healing time, minimises discomfort after the procedure and costs much less to perform. Perioscopy® also shares these benefits in the treatment of periodontal disease.

Before Perioscopy®, a specialist dentist known as a Periodontist, would perform gum surgery to expose the affected roots of teeth to clean off all deposits that cause periodontal disease. The surgical procedure involves cutting the gums and pulling them away from the roots of teeth to see and remove the deposits that could not be removed with normal scaling by the hygienist. The periodontal surgery, although effective, is invasive, which can be uncomfortable, expensive and takes a significant time to heal.  

The use of the Perioscopy® allows the dentist or hygienist to clean the roots of affected teeth without the need to pull the gums away from the teeth to visualise the area. Perioscopy® uses a tiny camera that is inserted between the gums and teeth to visualise bacterial deposits on the roots of teeth up to 48 times magnification. This new visualisation technique allows the dentist or hygienist to ensure all toxins are removed from the roots of teeth to treat gum disease without the need for surgery.

Periodontal treatment using the Perioscopy® machine is less expensive and less traumatic than periodontal surgery.  



How does the periscope work?

A specially designed miniature camera is inserted between the gum and tooth to illuminate and magnify the root surface. Bacterial deposits that cause periodontal disease are viewed on a monitor and cleaned away using scaling instruments and ultrasonic cleaning tips which vibrate the deposits away. The cleaned area can be viewed under magnification to ensure all deposits are moved.

Just like a splinter in your finger, healing will not begin until the splinter is removed. Periodontal disease is just like the splinter. Healing will not occur until the bacteria and their deposits are removed from the root surfaces.

If your gums are really infected, you may require a thorough cleaning before Perioscopy can be performed. Ask your hygienist if Perioscopy is right for you.

What are the benefits of Perioscopy?

The alternative to Perioscopy is periodontal surgery which requires the retraction of gums to expose the root surfaces for cleaning. The surgical retraction of the gums is rather invasive which requires significant healing time and can be uncomfortable.

Perioscopy allows visualisation of the root surfaces without the need for surgical retraction of the gums for access. This less invasive approach minimises any discomfort after the procedure and speeds healing of tissues affected by periodontal disease.

What are the advantages of Perioscopy?

Perioscopy allows the treatment of a specific site on a tooth with localised periodontal disease without the need for other teeth to be involved in a surgical approach. Perioscopy is the ideal treatment for periodontal disease.

The cost of Perioscopy treatment is about one third of the cost for periodontal surgery which makes advanced treatment of periodontal disease more affordable for those that need treatment.

Can surgery be avoided with Perioscopy?

In most cases, the need for periodontal surgery after Perioscopy is not required. The results after Perioscopy have proven to be as good or better than periodontal surgery for the treatment of periodontal disease thus eliminating the need for further, more invasive treatment. In some rare cases, the need for periodontal surgery may be required to reshape the gums to aid daily maintenance.

How long does the procedure take?

The meticulous nature of performing Perioscopy does take time. A typical Perioscopy treatment appointment takes about 2 hours to treat one side of the mouth, upper and lower. If there are isolated sites requiring treatment, the treatment time is much less.

Is Perioscopy expensive?

Perioscopy costs about on third of periodontal surgery. It is definitely a cost effective way of treating advanced periodontal disease affecting the whole mouth or just a few areas. Talk to your hygienist or dentist about the treatment process and the related fees.

Does Perioscopy hurt?

Perioscopy is performed under local anaesthetic so there is little, if any discomfort during the procedure. There is rarely any discomfort after the treatment due to the minimally invasive treatment technique. Our team will ensure you are completely comfortable during the procedure.

What additional care is needed after Perioscopy treatment?

There are not restrictions on eating after Perioscpy treatment. Your dentist or hygienist may prescribe a medicated mouthwash to be used for a week after treatment. Regular brushing and flossing is encouraged after treatment.