Plastic Surgery

Gum disease surgery

What is the Gum disease?

Periodontal disease, also known as Periodontitis, Gingivitis or Gum disease is a periodontal disease, which may affect the teeth, the gums or other tissues and parts of the mouth. It beginns with bacterial growth in persons mouth and may end with tooth loss due to destruction of the tissue that surrounds your teeth.

It can cause much more serious problems than a toothache; gum disease can affect persons ability to chew, smile, or speak properly.

The symptoms of Gum disease include:
-  Gums bleeding during and after tooth brushing;
-  Red, swollen, or tender gums;
-  Persistent bad breath or bad taste in the mouth;
-  Receding gums;
-  Formation of deep pockets between teeth and gums;
-  Loose or shifting teeth;
-  Changes in the way teeth fit together upon biting down, or in the fit of partial dentures.

What are common used surgical treatments of Gum disease?

Treatments for gum disease vary from medication (non-surgical Gum disease treatment) to surgery. In severe cases of gum diseases a surgical treatment might be necessary. Flap surgery, Bone grafts, Soft tissue grafts, Guided tissue regeneration and Bone surgery are most common surgical treatments of Gum disease.

Flap Surgery. Surgery might be necessary if inflammation and deep pockets remain following treatment with deep cleaning and medications.

A dentist / periodontist may perform flap surgery to remove tartar deposits in deep pockets or to reduce the periodontal pocket and make it easier for the patient to keep the area clean. This common surgery involves lifting back the gums and removing the tartar. The gums are then sutured back in place so that the tissue fits snugly around the tooth again.

After surgery the gums will heal and fit more tightly around the tooth. This sometimes results in the teeth appearing longer.

Bone and Soft tissue Grafts. In addition to flap surgery, a dentist / periodontist may suggest procedures to help regenerate any bone or gum tissues lost to periodontitis. Bone grafting, in which natural or synthetic bone is placed in the area of bone loss, can help promote bone growth.

A technique that can be used with bone grafting is called guided tissue regeneration. In this procedure, a small piece of mesh-like material is inserted between the bone and gum tissue. This keeps the gum tissue from growing into the area where the bone should be, allowing the bone and connective tissue to regrow.

Growth factors, such as proteins (can help naturally regrow bone), may also be used. In cases where gum tissue has been lost, dentist / periodontist may suggest a soft tissue graft, in which synthetic material or tissue taken from another area of your mouth is used to cover exposed tooth roots.

Since each case is different, it is not possible to predict with certainty which grafts will be successful over the long-term. Treatment results depend on many things, including how far the disease has progressed, how well the patient keeps up with oral care at home, and certain risk factors, such as smoking, which may lower the chances of success.

Guided tissue regeneration. Performed when the bone supporting patients teeth has been destroyed, this procedure stimulates bone and gum tissue growth.

Procedure is done in combination with flap surgery. A small piece of mesh-like fabric is inserted between the bone and gum tissue. This keeps the gum tissue from growing into the area where the bone should be, allowing the bone and connective tissue to regrow to better support the teeth.

Bone surgery. Smoothes shallow craters are forming in the bone due to moderate and advanced bone loss. Following flap surgery, the bone around the tooth is reshaped to decrease the craters. This makes it harder for bacteria to collect and grow.

What kind of result can you expect?

Recovery period and recommendations

Possible side effects and complications






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