Get one of those water flosser/irrigator dealios, preferrably with pulsating stream. You can fill the chamber with your own mixture of distilled or filtered water, dilute peroxide, chlorhexidine, some antibacterial essential oil or other additive and squirt it right along the gingival line, at angles that will get the stream into the periodontal pocket, flushing out the gunk. You should avoid being too aggressive about getting it deep into the pocket around the tooth, at least not too frequently.
I bought a Waterpik in May 2021, in part because I lost $150 at a shady dentist for an XRay charge. My prior dentist....well...I was done with her too. So I took matters into my own hands. Where my teeth are at, they've receded enough that even a Waterpik doesn't really get deep enough.
So far, I've managed to keep things under some control by adhering to dietary changes. When I was probed last year, it wasn't like every tooth had massive bleeding, but the pockets were seriously large still.
Key theoretical components for a healthy dental diet include:
1. Very frequent consumption of sardines in EVOO, red salmon, mackerel in water(The cans I get a 99 Ranch seem more full than the Pampas at a Walmart), or similar. I have a small appetite for such meats(I like mackerel the most) however, so one tin of 3.75 oz sardines is usually enough, and for a can of red salmon, I have to split the servings up. Unlike land muscle meat, these foods are comprehensive in their vitamin and mineral profile, and in particular, are a food source of vitamin D.
2. (Haven't complied with it very well because I'm not naturally inclined to like them, just like with fatty fishes) A cheese or greek yogurt for calcium.
3. (Hard to comply for me again). A near elimination of refined carbohydrates and not overconsuming even "natural sweets" like fruit. I've allowed myself to eat some apples, oranges, and grapes. I have eaten onions.
4. Some liver(Hardly eaten)
5. Theoretically, cruciferous vegetables and the likes of onions are also for teeth health.
6. Eggs(Again, haven't complied with eating them consistently)
Now, the fish eating wasn't because of the necessity of periodontal management, but by accident, in which I found it helped clear considerably, though not 100%, COVID brain fog.
The why is pretty simple. You need Vitamins A, D, and K2, along with calcium to deposit calcium into the bones and teeth. Weston Price used Cod Liver Oil and high quality butter to cease cavity formation(not that I've had cavity concerns, but eating to avoid plaque would stop both)
I'm also not sure if it is good or bad, but I've taken a liking to organic unsweetened peanut butter or almond butter, maybe overeating them at times because I am a sweet addict. I probably should be eating more avocados, but avocados are another "don't really like" food(seems to be a trend with me).
In the moments I can't resist a refined carb, I eat pizzas like a European(knife and fork) or I eat something like macaroni whole with barely any chewing.
I also like Bubbies Sauerkraut.
I can't experiment with super prolonged fasting while I have the remaining half untreated.