Many PM&R physicians choose to pursue additional advanced degrees (MS, PhD) or complete fellowship training in a specific area of the specialty. Fellowships are available for specialized study in such areas as musculoskeletal rehabilitation, pediatrics, traumatic brain injury, spinal cord injury, and sports medicine.
If you have advanced periodontitis, your gum tissue may not respond to nonsurgical treatments and good oral hygiene. In that case, periodontitis treatment may require dental surgery, such as: 1  Flap surgery (pocket reduction surgery).2  In this procedure, your periodontist makes tiny incisions in your gum so that a section of gum tissue can be lifted back, exposing the roots for more effective scaling and root planing. Because periodontitis often causes bone loss, the underlying bone may be recontoured before the gum tissue is sutured back in place. 2  After you heal, it's easier to clean these areas and maintain healthy gum tissue. 3  Soft tissue grafts.
Reversing Periodontitis. Once gingivitis has developed into the more advanced stages of Periodontitis, or advanced gum disease, this requires more complex treatments by a periodontal disease expert. Inflammation has already breached the gum line.Treatment at this stage will be a combination of regular treatment from your periodontist as well as doing your part at home. To help combat and reverse periodontal disease, the dentist will remove tartar and plaque from below the gum line.This is known as scaling and root planing. Local anaesthesia is used because it would be painful without it. In addition, your periodontist will prescribe an antibiotic to limit the infection.eversing Periodontitis. Once gingivitis has developed into the more advanced stages of Periodontitis, or advanced gum disease, this requires more complex treatments by a periodontal disease expert. Inflammation has already breached the gum line.