James S. Minutello, DDS &
Regina D. Minutello, DMD, MS, Inc.
And Associates
James S. Minutello, DDS &
Regina D. Minutello, DMD, MS, Inc.
Periodontics & Implant Dentistry

Tissue & Root Therapy

Tissue and Root Therapy (TRT) is a meticulous cleaning of the root surfaces below the gum line to remove plaque, toxins and tartar from the root surfaces of the teeth. This procedure is more intensive than a routine general dental prophylaxis, or cleaning, which traditionally occurs every six months.

For comfort, we may numb the area prior to treatment. Research has consistently demonstrated that TRT reduces gingival inflammation and probing depths, and shifts the bacterial composition living in these pockets from one that is associated with disease toward one associated with health. Therefore, TRT is usually the first mode of treatment recommended for most periodontal patients.

In some cases, systemic antibiotics (usually antibiotic pills) or locally-administered antibiotics (antibiotics placed into periodontal pockets) are prescribed at the time of TRT procedures. Antibiotics are drugs that fight infections caused by the bacteria. Each time you take an antibiotic you increase your chance of developing drug resistant bacteria, so it is important to take antibiotics only when necessary.

It is important to remember that some patients may not respond optimally to TRT, with or without antibiotics. These patients often will require more advanced periodontal procedures for more optimal results. This may pocket correction treatment and/or measures aimed at regenerating the natural anatomy that was lost to disease.



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