Hi, as you mentioned that this problem is existing since 4yrs, it is recommended to take an OPG (a full mouth x ray) to evaluate if there is any bone loss under the gums. Based on clinical and radiographic interpretation either a basic scaling or a deep scaling or if there is a bone loss (can be noticed in xray) then a flap surgery might be needed.
Answered2015-08-28 09:17:59
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