Even when we brush/ floss regularly, plaque buildup occurs in a few nooks and corners that are not reachable to the cleaning aids. This plaque collection hoards bacteria that is the very cause of decay and gum disease. Studies show that this bacteria also spreads to the heart, reproductive organs etc. In diabetics, it may even cause tooth loss. It is advisable to go for an ultrasonic tooth-cleaning once in six months
When plaque build-up has affected the gum health, causing pockets, then the cleaning has to be deep, often done in multiple settings
Cleaning and smoothening the root surface of the tooth to prevent further accumulation of plaque on the root surface – that can cause more bone support loss for the tooth
Cleaning and sterilizing the infected gums that may be bleeding or causing bad breath using special instruments
Using LASERS to sterilize the pockets to rid them of the recalcitrant infections that repeatedly infect the gums
Reaching within the gums to remove the disease-causing germs and infection. This can be performed with and without lasers
Gum infection almost always progresses to the bones, which being delicate, almost always dissolves resulting in a loss of tooth support – this is the reason for shaky tooth and migration of the teeth causing spaces in between the teeth. When the gum disease has progressed to this level, it may also have pus build up in the gums and pockets causing bad breath. In such a situation, it may be necessary to augment the bone support that is lost by adding calcium particles to the tooth surroundings. This will strengthen the tooth further. and prolong the life of the natural tooth
When bone loss cannot be just compensated with calcium particles, we use special bone growth inducing growth factors to enhance and ensure healing. These special proteins are sometimes derived from the individual’s own body (platelets).
Removal of the black pigmentation of the gums to make the gums pink is called gingival depigmentation
When the bone around the tooth is lost, the gum sags and gradually recedes exposing the roots of the teeth. This causes sensitivity. This cannot be cured by desensitizing toothpaste, it has to be “covered” by stretching the gums and placing them back in their original position.
Periodontal plastic surgery is designed to restore form and function to the gum tissue, periodontal ligament, and the bone that supports your teeth or an individual tooth. The real long-term goal of any periodontal surgery is to increase the life expectancy of the teeth and their usefulness. Basically, periodontal surgery removes UNHEALTHY tissue that has been transformed by the disease and then reconstructs the gums and surrounding tissues to better support the teeth and to recreate a normal appearance.
Periodontal disease is diagnosed when gingival or gum tissue attachment to the teeth is abnormal and bone changes may be evident through x-rays. A PERIODONTIST will determine the degree of periodontal disease by examining “pockets” between the gum and tooth to see how much ATTACHMENT LOSS exists and then will thoroughly examine the x-rays.
When periodontal disease is detected, the first recommendation is a few behavioral changes including an enhanced oral hygiene program, quitting smoking, and possibly some additional lifestyle changes.
A regular and thorough professional tartar or calcified plaque removal program will become an essential part of your oral hygiene routine. Typically this is a painless procedure but, in some extreme cases, pain medication may be required for a few days.
In cases of the severe periodontal disease, surgery will be necessary to repair and regenerate the soft and hard tissues and replace any missing teeth. The goal of surgery is to eliminate pockets between the gum and tooth and attempt to encourage reattachment and normal function and esthetics to the patient.
Procedures that regenerate lost bone and tissue supporting your teeth can reverse some of the damage caused by periodontal disease.
While steps can be taken to alleviate the ravages of periodontal disease, the best step is prevention. Remove plaque and bacteria through daily brushing, flossing, and regular oral hygiene. Routine visits to a dental professional for cleanings are also essential. Quitting smoking has proven to be very helpful in preventing the onset of periodontal disease.
Periodontists are often considered the plastic surgeons of dentistry. If you are looking to improve your smile, a periodontist may be able to help.
Do you feel your teeth look too short and your smile is too gummy or your gums cover too much of some teeth while leaving the others the right length? If so, dental crown lengthening might be the solution for you. During this procedure, the excess gum tissue is removed to expose more of the crown of the tooth. Then your gumline is sculpted to give your new smile just the right look.
Sometimes gum recession causes the tooth root to become exposed, which makes your teeth look long and can make you look older than you are. This recession can happen as a result of a variety of causes, including periodontal diseases.
Gum graft surgery and other root coverage procedures are designed to cover exposed roots, to reduce further gum recession and to protect vulnerable roots from decay
Ridge augmentation can fill in this defect recapturing the natural contour of the gums and jaw. A new tooth can then be created that is natural looking, easy to clean and beautiful.
The treatment of gingival recession involves coverage of the exposed root surface. This is achieved either by
Pulling the gum margin coronally
By covering the recessed area by a transplanted tissue. The tissue may be derived either from one's own body (palate) or some commercially available substitutes (alloderm) may be used. In the past this procedure required that a piece of tissue be harvested from the roof of your mouth to serve as the graft material. Unfortunately, not everyone has enough tissue available or wants to have tissue taken from this sensitive area. Now, however, you have a choice: AlloDerm. Every patient is different and patient results may vary. Only a trained clinician can determine the best treatment plan for you.