Periodontics

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Periodontics specialize in dealing with prevention, diagnosis and treatment of diseases affecting the gums and supporting structures of the teeth to prevent tooth loss. The accumulation of plaque and tartar (calculus) on your teeth are often signify the beginning stage of periodontal disease. Depending on the condition, treatments can range from nonsurgical treatments of removing plaque to control bacteria growth to surgical treatments that restore supportive tissues.

Crown Lengthening

Crown lengthening is a procedure done to improve the health of the gum tissue, or to prepare the mouth for further restoration to correct the damaged teeth that are broken beneath the gum line. Also as cosmetic uses in order to correcting a “gummy” smile. Excess gum tissue can make teeth look unnaturally short, and might as well increase sensitivity to periodontal infections. Removing excess gum tissue and reshaping the bone tissue help restoring a balanced, healthy look and thus improve the aesthetically pleasing smile.

Depending on the individual patient’s needs, the procedure can be performed on one or several teeth or your entire gum line, depending on your specific needs. Considered a fairly minor surgery, dental crown lengthening is usually done using local anesthesia and is relatively painless. Crown lengthening is also performed to achieve better crown stabilization.

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Curettage

A dental curettage is a procedure to clean the dental pockets by removing chronically inflamed granulation tissue, dislodged calculus and tartar deposits from the root surfaces, under the gum. It is performed under local anesthetic to make the patient more comfortable and painless. Although this treatment can help one to keep his/her mouth clean and healthy, one should not solely rely on this treatment alone. Maintaining a healthy mouth should be a daily chore at home.

Scaling and Root Planing

Scaling and root planing is an initial stage of treatment and the most effective ways to treat periodontal disease before it becomes severe. Scaling is the process of removing calculus and plaque from the surface of the crown and root surfaces while root planning is the process of
removing cementum and surface dentin that is embedded with unwanted microorganisms, toxins and tartar.

These procedures do not usually cause much discomfort, but you may experience some soreness afterwards and your teeth may feel a bit more sensitive to temperature. Brushing and flossing will have to be done more gently to avoid aggravating any bruised or tender gum areas. Our Periodontist will guide you on the best methods for keeping your teeth clean during your recovery period. If you maintain good dental care after the procedure, the progression of your gum disease should stop and your gums will heal and become firm and pink again in no time.

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Gingivectomy

A gingivectomy is a Pocket reduction surgery that reshapes your the pocket wall to provide visibility and accessibility to remove and reforms diseased gum tissue and to completely remove calculus and thorough smoothing of the roots, creating a favorable environment for gingival healing and restoration of a physiologic gingival contour.

Even though the treatment is relatively painless and does not cause any lingering pain, the procedure will utilize local anesthesia for your comfort. A medication may be provided to alleviate any discomfort which might occur after surgery. If you maintain good dental care after surgery, a gingivectomy is likely to help stop gum disease. Your gums should become pink and healthy again. Routine checkups with a dentist or periodontist will ensure proper healing.

Flap Debridement

A flap debridement procedure is necessary when severe gum disease has damaged the bones that support your teeth. Prior to the treatment, the patient will be given a local anesthetic and the procedure involves lifting and folding the gum tissue away from the tooth and surrounding bone and the diseased root surfaces are removed using the scaling and root planing procedure. The periodontist may also contour the remaining bone (osseous surgery) and attempt to regenerate lost bone and gingival attachment through bone grafts and guided tissue regeneration.

Following the procedure the tissues are secured using few stitches and usually the area is covered with a putty-like packing material to protect the site for a week. Although the pocket has been cleaned thoroughly, the gum may still be re-infected by the bacteria. Frequent cleanings by the dentist are necessary to remove the plaque in the residual pocket that cannot be reached with flossing and brushing alone.

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