As the name suggests, in the procedure the periodontist will gain access to the deeper pockets through a surgical opening in the gums. This allows for thorough debridement and cleaning of bacterial accumulation, that are silently (painlessly) causing inflammation and tissue destruction.
Osseous Resective Surgery
Periodontal disease causes destruction of teeth-supporting bone. In some instances, this destruction results in bone defects with bacterial-conducive morphology. In these cases, through debridement is not enough to control the inflammatory condition. Depending on the angle and size of bone defect as well as other factors, the periodontist will either reshape this defect to be non-bacterial conducive or will attempt to regenerate the lost bone through Guided Tissue Regeneration.
Guided Tissue Regeneration
For defects that are amenable to regeneration, the periodontist will use different biologic materials (e.g: bone graft) and membranes to create the optimum circumstances to stimulate the body cells to rebuild the defect.
Soft Tissue Graft
Periodontal disease as well as other acquired and developmental factors can lead to gum recession and exposure of root surfaces. In addition to being an esthetic concern, it might result in sensitivity and root caries. Depending on the type of recession and the individual’s concern, using a soft-tissue graft the periodontist will increase the thickness of the gums to stop further recession and possibly cover the exposed roots. The soft tissue graft is commonly harvested from the roof of the mouth (which grows back). Synthetic/biologic grafts can also be used.
As the name suggests, in the procedure the periodontist will work to increase the length of the tooth crown, or to be accurate, increase the length of the tooth-structure showing in the mouth. This is done through cutting off a couple of millimetres of the gum and underlying bone. This procedure is indicated when your dentist is planning to crown a tooth that is too short, or to treat gummy smiles.
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