Periodontal Disease And Surgeries



The dentist will determine the severity of periodontal disease and the appropriate treatment will be recommended.
In Periodontal Disease, the gums and the bone that supports the teeth are affected as there is an accumulation of plaque–bacteria and tartar fill the sulcus.
Early detection of the disease or damage and immediate initiation of treatment is recommended. Scaling and root planning (deep cleaning) is a special periodontal cleaning method for a dental disease in its advanced stage. The procedure is usually done while the area is numb. After this procedure, the gum tissues will heal, and the pockets will shrink as the plaque, tartar, and toxins have been removed. The dentist may recommend some medications to control infections.

Pocket Reduction

A pocket reduction is a term of collective surgeries that are aimed at removing tartar (calculus) and bacteria by gaining access to the roots of the teeth.
The mouth has bacteria that cause periodontal disease. The inflammatory response caused by periodontal infections may result in the destruction of the gum and bone tissues immediately there is an invasion of the subgingival area.
If you leave periodontal disease untreated, there may be massive colonization of bacteria in the gum pockets and teeth may begin to fall out.
Pocket reduction surgery is done to cover the pockets harboured by bacteria.

Reasons for the Pocket Reduction Surgery

The following are the goal achieved by pocket reduction surgery

  • Reducing bacteria spread: Stroke, diabetes, and heart disease has been attributed to oral bacteria. Since the oral bacteria can travel and colonise causing other disease conditions, decreasing the bacteria load in the mouth is important.
  • Preventing bone loss: Periodontal disease leads to bone loss. The teeth may begin to fall out as a result. Pocket reduction surgery helps to alleviate this condition.
  • Facilitate home care: A very deep pocket is difficult to clean by the patient. Pocket reduction surgery can achieve this.
  • Enhancing the smile: Everyone wants his/her teeth to look attractive to the eyes. Covering the pocket and preventing infection make the teeth look attractive. The surgery improves the aesthetics of the smile.

What does Pocket Reduction surgery involve?

The first thing the dentist does is perform Visual and X-Ray examinations. He or she may use general or local anesthetics depending on what the patient prefers. The dentist then pulls the gum back from the teeth in order to begin the process of eliminating bacteria. He or she also uses scaling and root planning to remove tartar. At the end of the procedure, an antimicrobial liquid is applied to eliminate bacteria and enhance healing.

Crown Lengthening

Crown Lengthening is a dental procedure usually performed when preparing the mouth for any cosmetic or restorative procedure. Crown lengthening also lead to improved health of the gum tissue. It is used to separate the excess gum from the teeth for patients whose gum completely or partially cover the crown may benefit from crown lengthening. The aim of this treatment is to expose the teeth and separate it from the gum.

Reasons for Crown Lengthening

Crown lengthening is a standard procedure with so many benefits. In fact, patients who have undergone this procedure have been very satisfied with their results.
Some reasons for crown lengthening include:

  • It enhances the provision of more space between the supporting jaw bone and the dental crown. This is to prevent the damage of the gum tissues by the new crown.
  • When the excess gum is removed through crown lengthening, it leaves the patient with a healthy look and an improved aesthetic appearance.
  • It is used to correct the damaged teeth. Damaged teeth beyond the level of the gum can be restored by the use of crown lengthening.

What is involved in crown lengthening?

This procedure is usually performed under a local anaesthesia and the length of the procedure depends on the number of teeth involved. If there is any crown, it is removed and replaced after the procedure.
The process involves the dentist making small incisions to separate the teeth from the gum. Other teeth may also be treated to provide an even appearance. The dentist gains access to the root of the teeth by separating the gums from the crown. The dentist may choose to remove a small amount of tissue or bone depending on the condition. Unique dental instruments are used during this procedure.
After the surgery, the teeth will be noticeably longer due to the repositioning of the gums. The dentist may also prescribe a pain killer as well as an antimicrobial mouth rinse to prevent bacteria from infecting the surgical site. It usually takes 2-3 months for the surgical site to be fully healed.

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