The teeth have a supporting structure comprised of bone and fibers that keep the teeth attached to the jaw. Bacteria can infect and cause the loss of this attachment.
Measuring the pocket depth between the teeth and gums when attachment loss is suspected. Bleeding while probing is a sign of inflammation and may be a sign of active disease.
Scaling and root planning:
This is initial therapy for attachment loss. If there is measurable attachment loss, especially if active disease is suspected, the roots of the teeth may harbor calculus and bacteria. Removing these deposits with special instruments can stop the disease process. This is usually done non-surgically but can be done surgically in severe cases.
Periodontal maintenance: Cleaning the roots associated with attachment loss on a regular basis, usually at 3 or 4 month intervals, has been shown in many studies to slow or stop the progression of attachment loss.