Periodontics - Gum Disease Treatments

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Gum Disease Treatments

Periodontal therapy begins with a consultation and exam, so we can determine the stage of the disease and develop a treatment plan. Treatments may include:

  • Professional dental cleaning: Drs. Bunch and Kleist will remove the plaque and tartar from above and below the gum line. If you have gingivitis or signs of periodontitis, you will be required to have this level of cleaning twice a year or more.
  • Scaling and root planing: Plaque and tartar are scraped away from both above and below the gum line while under local anesthetic (scaling). Rough spots on the tooth root are then smoothed out (planing). Locally applied medications, such as antimicrobials and antibiotics, may be used.
  • Extraction and replacement of teeth

After you receive your treatment, you will be given instructions on specific oral hygiene techniques to use regularly at home. In severe cases of periodontal disease, surgery may be required to remove deep pockets of harmful bacteria.

What Is Periodontal / Gum Disease?

Periodontal disease is characterized by red, swollen, bleeding, or receding gums, as well as bad breath, painful chewing, and loose teeth. It starts when plaque is found in the mouth and hardens into a substance called tartar, which can only be removed with a professional cleaning.

If plaque and tartar are not removed, the bacteria eventually cause a mild form of periodontal disease called Gingivitis, in which the gums bleed and become red and swollen. Gingivitis is still reversible, and it can be treated with a professional dental cleaning and regular brushing and flossing. However, when left untreated, the gum disease worsens, leading to an advanced form called Periodontitis that can cause severe damage to the soft tissue that supports the teeth, resulting in infection and eventual tooth loss.

Periodontics Treatments

First steps

It is the first phase of periodontal treatment. It focuses on eradicating the main cause of gum problems: BACTERIA. It is necessary a mechanical treatment (scaling and smoothing of the root), and in some cases also chemical (antibiotics).

Periodontal disease is caused by an imbalance between the bacteria that coexist in our mouth and our defenses. Either increase the bacteria or lower the defenses. This imbalance favors the growth of pathogenic species that are more aggressive to our gums, and that do not disappear only by scraping. Therefore, to make sure that the treatment is effective, we make a sample with paper tips that are inserted into the gum (it is not a painful procedure). This is sent to the laboratory to determine the presence and proportion of periodontal pathogens. Depending on the result we will see if you have to take an antibiotic and how specific.

Gum Graft

The grafts can be made in the teeth, in the implants or in the areas where pieces are missing to recover the lost volume after an extraction. They can be done for different purposes: Covering of exposed dental roots (can occur by aggressive brushing, bad position of teeth, perforations …) Enlarged gum inserted (in areas with traction of “frenillos” or short vestibule bottom). Higher thickness in areas where a tooth is missing to improve hygiene and aesthetics. Increase of volume of the gums in dental implants. It is a microsurgical technique, very meticulous, but with spectacular results in many cases. For the success of the treatment it is imperative that the patient does not smoke, since the tobacco compromises the vascularization of the graft.

Periodontal regeneration

In some cases we can regenerate the lost bone, where there are vertical defects. Depending on the morphology of the defect we can use proteins derived from the enamel matrix, or regeneration with collagen membranes.

To regenerate it is essential that the patient does not smoke, and if the teeth have mobility, they must be fertilized beforehand.
It is a microsurgical technique, very meticulous, but with spectacular results in many cases. For the success of the treatment it is imperative that the patient does not smoke, since the tobacco compromises the vascularization of the graft.

The surgery is to take some tissue from your palate and insert it in the necessary place. You will have small stitches on both sides.

Important. You must perform periodontal maintenance (professional cleaning at least a week before surgery) and after surgery we need a control to eliminate the points of the palate in a week, and a week later we do the final control to eliminate the points of the surgery. tissue graft


When is gum surgery necessary?

Gum surgery becomes necessary when the gum tissue around the teeth is too unhealthy to be repaired with nonsurgical treatments.

How can you prevent gum disease?

Routine professional dental cleanings and regular at-home oral hygiene practices that include brushing and rinsing at least twice a day and flossing regularly will help prevent both gingivitis and periodontal disease.

What is a gum graft?

During a gum graft, tissue is taken from the roof of the mouth and attached to the affected gum line, allowing more tissue to grow and cover the exposed root surface.

What is a gum or periodontal abscess?

A gum or periodontal abscess occurs when a pocket of pus collects within the gum. It happens when tissue disintegrates as a result of a bacterial infection in the gums or tooth roots and supporting bone.

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