Periodontal surgery and a powerful antimicrobial treatment are required in order to treat gum disease once it spreads below the gum line. However, a ray of hope for some is the fact that treatment is determined by how far the disease has progressed. Simple gingivitis, a mild and relatively painless form of periodontal gum disease, may be relieved with: saltwater rinses, ice, using a baking soda tooth paste, or an over-the-counter topical anesthetic ointment. You don't have choice but be prepared for pain and expense when you have gum disease. Although many periodontal gum disease treatment procedures allow for a local anesthetic, some options require multiple visits and weeks or perhaps even months of pain. A few of the surgical procedures used to treat gum disease are: pocket Reduction procedures, regenerative procedures, crown lengthen, or soft tissue grafts.