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Periodontics Surgery (Gum Treatment)

Periodontics is the study of clinical aspects of the supporting structures of the teeth (i.e the periodontium), which includes the gingiva (gums), alveolar bone (jaw), root cementum, and the periodonal ligament. The word comes from the Greek words peri meaning around and odons meaning tooth. Literally taken, it means study of that which is "around the tooth". A periodontist is a dentist that specialises in treating diseases of the periodontium. Periodontal diseases take on many different forms, but is usually a result of bacterialinfection of the gums. Untreated, it often leads to tooth loss and alveolar bone loss Periodontal treatment starts with the most basic tooth scaling/cleaning procedure which is done for removal of deposits(plaque and tartar) from the tooth surface.

Treatment

  • Non-surgical treatment involves scaling and polishing of teeth. The procedure aims to remove food particles, plaque and calculus accumulating around the tooth. The effectiveness of the procedure depends largely on the stage of the disease, the efficiency of instrumentation and the maintenance on the part of the patient. No matter how good we are at brushing, we cannot achieve 100% efficiency in cleaning. So, small depositions continue to occur on a daily basis. For long term maintenance of teeth, it is therefore advisable to go in for a professional cleaning once in six months even if you do not have an evident gum problem.
  • The Surgical approach to treatment is usually recommended for resistant cases where complete removal of the irritants from root surface of the tooth is not possible by scaling alone due to the deep penetration of the deposits. The procedure also called as flap surgery or flap operation involves reflection of the gums by 1-1 1/2 mm and debriding the area under local anesthesia with direct visualization of the deposits. The procedure is completely painless and involves minimum post-operative pain or discomfort. In certain cases however it is possible to regrow the lost bone by use of certain bone substitutes called Bone grafts. Such cases provide the ideal outcome of therapy by regenerating the lost tissues.

Can gum disease lead to teeth problem?

Sometimes prolonged infection of the gums spreads to the tooth through the root apex into the pulp tissue of the tooth leading to death of the tooth itself. Such tooth requires both root canal and periodontal treatment. Why does the tooth look longer after surgical gum treatment? Gum disease left untreated for a long time leads to loss of supporting bone around the roots of the teeth. The lost bone is replaced by unhealthy soft granulation tissue, which although it does not reduce the mobility of the teeth keeps the gum margin at almost the normal level. During surgical gum treatment the unhealthy granulation tissue is removed that results in the collapse of the gum tissues into the spaces left behind by the granulation tissues. As a result the gums recede and make the teeth appear longer

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