Medicated Tissue Conditioning

Gum disease can be tough to spot. If you have noticed your gums are sore, or bleed when you brush, you have likely already entered into the early stages of periodontal disease.

Come see how the Forman Dental team can help! We have been preserving smiles in Maple for over 20 years, and look forward to helping you overcome any symptoms you are experiencing with our effective and non-invasive treatment options.

Even ostensibly minor gum problems can turn into oral care catastrophies over time, so act fast to save yourself money, pain, and suffering!

Gum disease or periodontal disease is the inflammation and infection of tissues surrounding the teeth in response to bacterial biofilms, plaque and tartar on the tooth?s surface and around the roots.

The recommended treatment for progressive or persistent gum disease is Medicated Tissue Conditioning.


Medicated Tissue Conditioning (MTC) is designed to promote rapid healing of the gums and tooth-supporting tissue. By removing the built up plaque and tartar around the teeth and under the gums, your body is able to heal and stop the disease.


Our effective topical anesthetic is applied to the gums before-hand which allows comfort during treatment, and is usually performed over two appointments (half the mouth each visit). Conventional local anesthetic will be necssary in case where the gums are severely tender or inflamed. Minor soreness may occur for 2-3 days following treatment, but it is easily managed with Tylenol or Advil.

A follow-up appointment 3 months after Medicated Tissue Conditioning is the final step of the initial treatment. At that point your mouth will be reassessed and specific oral hygiene instructions will be given. Additional remaining build-up will be removed, usually without the need of either topical or local anesthetic, to ensure successful treatment.

Medicated Tissue Conditioning is not a one-step treatment but more a process. To obtain optimal success there are 3 crucial parts. 1) Initial Medicated Tissue Conditioning, 2) Effective and consistent home care 3) Routine professional maintenance appointments. Time will be taken to show you exactly home you can be effective at home. Your part is to ensure you follow through and spend the time necessary. Routine maintenance appointment will be arranged for you at a frequency that best suit you particular case.

What Symptoms Will I Have?

If your gums look red or swollen, are painful or bleed when brushing or flossing you have moderate to severe gingivitis. If your gums are receding (teeth look longer) you have early periodontal disease. If your gums are red, swollen or bleed easily during brushing/flossing, your teeth look longer and are possibly painful to eat or are loose, you have moderate to severe periodontal disease.

What If I Don?t Take Action?

Gingivitis or periodontal disease that is allowed to progress will cause the gums to become more tender and painful. Continual loss of the bone holding the teeth will result, and eventually the teeth will become loose and it will be painful to eat. As the process and disease continue the teeth will loosen to the point where they have to be removed. As the bone erodes and the disease becomes more severe, treatment will become less predictable or successful in stopping the disease.

In severe cases teeth may need to be removed, even after treatment if delayed too long. Efforts to replace missing teeth in the presence or following severe periodontal disease are often very difficult and carry more complexity.