I have periodontal disease. Less than a week ago my dentist performed a rough removal of dental calculus. I now brush my teeth with a soft toothbrush three times a day and rinse my mouth with salt water twice a day and once with mouthwash. However, my gums hurt a lot during and after brushing. Since my next appointment with the dentist is not until mid-January, I would like to know whether this is normal and whether I simply need to put up with it for a while until the condition improves.

Dear Sir/Madam!

The prognosis and diagnosis of periodontal disease are established by examining a panoramic X-ray and performing a clinical examination that includes measuring the depth of periodontal pockets. These diagnostic procedures are essential for selecting the treatment method. We usually begin treatment with calculus removal and instruction in proper oral hygiene. This is followed by scaling and root planing and gingival curettage. If the pockets are deeper than six millimetres, flap surgery and GTR (guided tissue regeneration) are performed.

Have a nice day!