Periodontal Surgery

Periodontal surgery, also known as gum surgery or periodontal therapy, encompasses a range of surgical procedures aimed at treating advanced gum disease (periodontitis) and addressing structural issues affecting the gums and supporting tissues of the teeth. Periodontal surgery may be recommended when non-surgical treatments, such as scaling and root planing (deep cleaning), are not sufficient to control gum disease or restore periodontal health. Here's an overview of periodontal surgery and its various treatment options:

1. Gingival Flap Surgery:

• Gingival flap surgery is a common type of periodontal surgery used to access and clean deep pockets of infection and inflammation that have formed between the gums and teeth. During the procedure, the gums are gently lifted (flapped) back to expose the underlying tooth roots and surrounding bone. The dentist or periodontist then removes tartar deposits, eliminates diseased tissue, and smooths irregular surfaces on the tooth roots to promote gum reattachment and reduce pocket depth. Once the cleaning is complete, the gums are repositioned and sutured back into place.

1. Gingivectomy:

• Gingivectomy is a surgical procedure used to remove and reshape excess gum tissue (gingiva) that has overgrown and encroached upon the tooth surfaces, creating a "gummy" smile or making it difficult to keep the teeth clean. During the procedure, the dentist or periodontist carefully trims away the excess gum tissue using specialized surgical instruments, creating a more proportionate and aesthetically pleasing gum line.

1. Osseous Surgery (Bone Surgery):

• Osseous surgery is performed to address bone loss and irregularities in the alveolar bone (the bone that supports the teeth) caused by advanced periodontal disease. During the procedure, the dentist or periodontist accesses the diseased bone and removes or reshapes it to eliminate bacteria and create a smoother, more stable bone surface. Bone grafting or guided tissue regeneration techniques may also be used to regenerate lost bone tissue and promote bone growth in areas of significant bone loss.

1. Soft Tissue Grafting:

• Soft tissue grafting, also known as gum grafting, is a surgical procedure used to augment or replace lost or damaged gum tissue caused by gum recession or periodontal disease. During the procedure, tissue grafts sourced from the patient's own palate (autografts), donor tissue (allografts), or synthetic materials are placed over exposed tooth roots or areas of deficient gum tissue to improve gum health, reduce tooth sensitivity, and enhance the appearance of the smile.

1. Periodontal Plastic Surgery:

• Periodontal plastic surgery encompasses a variety of surgical techniques aimed at improving the aesthetics and function of the gums. This may include procedures such as crown lengthening to expose more of the tooth structure, ridge augmentation to correct deformities in the jawbone, and frenectomy to remove abnormal frenulum attachments that restrict movement of the lips or tongue.

1. Guided Tissue Regeneration (GTR):

• Guided tissue regeneration is a regenerative periodontal therapy used to promote the regeneration of lost periodontal tissues, including bone, cementum, and periodontal ligaments, in areas affected by advanced gum disease. During the procedure, barrier membranes are placed over the exposed root surfaces to prevent soft tissue ingrowth and facilitate the growth of new bone and periodontal ligament attachment.

Periodontal surgery is typically performed under local anesthesia to ensure patient comfort during the procedure. Depending on the complexity of the case and the specific treatment goals, multiple surgical appointments may be required to achieve optimal results. Following periodontal surgery, patients are usually advised to follow a post-operative care regimen, including maintaining good oral hygiene, taking prescribed medications, and attending follow-up appointments to monitor healing and ensure the success of the treatment. By addressing underlying periodontal issues and restoring gum health, periodontal surgery can help prevent tooth loss, improve oral function, and enhance the overall health and appearance of the smile.

Dental Cleanings

Dental cleanings, also known as prophylaxis or teeth cleaning, are essential preventive dental procedures performed by dental hygienists or dentists to maintain optimal oral health. These cleanings remove plaque, tartar, and stains from the teeth, preventing the development of dental problems such as cavities, gum disease, and bad breath.

Here's an overview of dental cleanings and their key aspects:

1. Purpose of Dental Cleanings:

• Plaque Removal: Plaque is a sticky film of bacteria that forms on the teeth and along the gumline. Regular cleanings help remove plaque, preventing it from hardening into tartar.
• Tartar Removal: Tartar, also known as calculus, is hardened plaque that cannot be removed by brushing or flossing alone. Dental instruments are used during cleanings to remove tartar buildup, reducing the risk of gum disease.
• Stain Removal: Dental cleanings can remove surface stains caused by factors such as smoking, coffee, tea, or certain foods, resulting in a brighter and more attractive smile.
• Prevention of Dental Problems: By removing plaque and tartar, dental cleanings help prevent the development of cavities, gingivitis (gum inflammation), periodontitis (gum disease), and other oral health issues.

1. Procedure:

• Evaluation: Before the cleaning, the dental hygienist or dentist will perform a thorough examination of the teeth and gums to assess the overall oral health and identify any areas of concern.
• Scaling: Using specialized dental instruments, the hygienist will carefully remove plaque and tartar deposits from the tooth surfaces, including below the gumline.
• Polishing: After scaling, the teeth are polished using a rotating brush or rubber cup attachment and a mildly abrasive toothpaste. This helps remove surface stains and smooths the tooth surfaces, making it more difficult for plaque to adhere.
• Fluoride Treatment: Some dental cleanings may include the application of fluoride gel or varnish to strengthen tooth enamel and provide additional protection against cavities.
• Education: Throughout the cleaning appointment, the dental hygienist or dentist may provide oral hygiene instructions and tips for maintaining good oral health at home, including proper brushing and flossing techniques.

1. Frequency of Dental Cleanings:

• The American Dental Association (ADA) recommends regular dental cleanings every six months for most individuals. However, some people may require more frequent cleanings based on their oral health needs, such as those with a history of gum disease or high risk of cavities.
• Patients should follow their dentist's or hygienist's recommendations regarding the frequency of dental cleanings to ensure optimal oral health.

1. Benefits of Dental Cleanings:

• Prevention of Dental Problems: Regular cleanings help prevent the development of cavities, gum disease, and other oral health issues, saving time and money on more extensive dental treatments in the future.
• Improved Oral Hygiene: Dental cleanings complement daily brushing and flossing efforts by removing plaque and tartar buildup that cannot be eliminated with regular home care alone.
• Fresh Breath: Removing plaque and tartar buildup helps eliminate bacteria that can cause bad breath, resulting in a fresher and more pleasant breath.

In summary, dental cleanings play a crucial role in maintaining optimal oral health by removing plaque, tartar, and stains from the teeth, preventing the development of dental problems, and promoting a healthy smile. Regular cleanings, combined with good oral hygiene practices at home, are essential for achieving and maintaining a healthy mouth for life.