PERIODONTICS

Gum Surgery in jaipur

For Advanced Gum Diseases

Flap Surgery or Pocket Reduction Surgery

  • An incision is made in the gums under local anesthesia
  • The gums are folded away exposing the roots of the affected teeth
  • Residual tartar and infected tissue are removed and the root surfaces cleaned.
  • Affected bone is re-contoured
  • The flap is then sewn back around the tooth

Replace or regenerate tissue lost through gum disease

Guided tissue regeneration or bone graft surgery.

Some surgical procedures may be recommended to regenerate part of the bone and supporting tissues previously lost to the disease. Membranes and bone grafts are used to partially restore and strengthen the support of the teeth. This type of surgery is known as guided tissue regeneration/bone graft surgery. Your graft may compose small fragments of your own bone or it may be synthetic.

To improve appearance / aesthetics of your gum line

Muco-Gingival Surgery

Exposed root surfaces of teeth due to gum recession result in a longer looking tooth which may contribute to a “toothy” smile. A soft tissue graft taken from your palate or other areas in your mouth is used to cover the exposed root to give your tooth a more cosmetically pleasing appearance.

To expose more of the Tooth Structure

Crown Lengthening Surgery

If your tooth has a decay below the gum line or has insufficient tooth structure, a restoration surgery may be advised to adjust the gum and bone level to increase exposure of the tooth. During this procedure, gum and bone tissue are reshaped to expose the extent of the decay or fracture. This will provide both sufficient tooth structure and accessibility for subsequent placement of a restoration.

Depigmentation of Gums

Many patients have cultural factors and imbalances of pigmentation components which form the basis for unusual colorations of ginigival tissues. The range of darkening effects can be spotted or splotchy (light and dark brown) all the way to nearly 100% of the gum tissues.
Black gums usually refers to the condition where all or most gum tissue is affected, with a complete brown appearance. Dark pigmentation of gums can be permanently removed using a surgical procedure. The dark pigmented areas are removed to expose the naturally pink tissue underneath.
Thus the result is a healthy smile that looks natural and radiates confidence. It can be performed on individuals of all ages. Healing of the treated tissues is fairly rapid. Discomfort for the patient, both during and after treatments is minimal. Patients commonly report having itchy gums for a short time during the post operative period.
Gum Contouring “Gummy Smile” is visibly big gum line in which teeth appears too short. Gum Contouring is done to expose more tooth structure. It can be done for single multiple or entire set of teeth.

Depigmentation of Gums in jaipur
teeth cleaning in bapu nagar

Oral Prophylaxis

A dental prophylaxis is a cleaning procedure performed to thoroughly clean the teeth. Prophylaxis is an important dental treatment for halting the progression of periodontal disease and gingivitis.
Periodontal disease and gingivitis occur when bacteria from plaque colonize on the gingival (gum) tissue, either above or below the gum line. These bacteria colonies cause serious inflammation and irritation which in turn produce a chronic inflammatory response in the body. As a result, the body begins to systematically destroy gum and bone tissue, making the teeth shift, become unstable, or completely fall out. The pockets between the gums and teeth become deeper and house more bacteria which may travel via the bloodstream and infect other parts of the body.

What are the reasons for prophylaxis / teeth cleaning

Prophylaxis is an excellent procedure to help keep the oral cavity in good health and also halt the progression of gum disease.

What are some of the benefits of prophylaxis?

  • Tartar removal – Tartar (calculus) and plaque buildup, both above and below the gum line, can cause serious periodontal problems if left untreated. Even using the best brushing and flossing homecare techniques, it can be impossible to remove debris, bacteria, and deposits from gum pockets. The experienced eye of a dentist using specialized dental equipment is needed in order to spot and treat problems such as tartar and plaque buildup.
  • Aesthetics – It’s hard to feel confident about a smile marred by yellowing, stained teeth. Prophylaxis can rid the teeth of unsightly stains and return the smile to its former glory.
  • Fresher breath – Periodontal disease is often signified by persistent bad breath (halitosis). Bad breath is generally caused by a combination of rotting food particles below the gum line, possible gangrene stemming from gum infection, and periodontal problems. The removal of plaque, calculus, and bacteria noticeably improves breath and alleviates irritation.
  • Identification of health issues – Many health problems first present themselves to the dentist. Since prophylaxis involves a thorough examination of the entire oral cavity, the dentist is able to screen for oral cancer, evaluate the risk of periodontitis and often spot signs of medical problems like diabetes and kidney problems. Recommendations can also be provided for altering the home care regimen.

What does prophylaxis treatment involve?

Prophylaxis can either be performed in the course of a regular dental visit. Prophylaxis is generally performed in several stages:

  • Supragingival cleaning – The dentist will thoroughly clean the area above the gum line with scaling tools to rid them of plaque and calculus.
  • Subgingival cleaning – This is the most important step for patients with the periodontal disease because the dentist is able to remove calculus from the gum pockets and beneath the gum line.
  • Root planing – This is the smoothing of the tooth root by the dentist to eliminate any remaining bacteria. These bacteria are extremely dangerous to your periodontal health, so eliminating them is one of the top priorities of the dentist.
  • Medication – Following scaling and root planning, an antibiotic or antimicrobial cream is often placed in the gum pockets. These creams promote fast and healthy healing in the pockets and help ease discomfort.
  • X-ray and examination – Routine X-rays can be extremely revealing when it comes to periodontal disease. X-rays show the extent of bone and gum recession and also aid the dentist in identifying areas which may need future attention.

Prophylaxis is recommended twice annually as a preventative measure, but should be performed every 3-4 months on periodontitis sufferers. Though gum disease cannot be completely reversed, prophylaxis is one of the tools the dentist can use to effectively halt its destructive progress.

Flap Surgery

Gingival flap surgery is a procedure in which the gums are separated from the teeth and folded back temporarily to allow a dentist to reach the root of the tooth and the bone.

Gingival flap surgery is used to treat gum disease (periodontitis). It may be recommended for people with moderate or advanced periodontitis, especially if the initial, non-surgical treatment (scaling and root planning) has not eliminated the gum infection. It may also be done in conjunction with another procedure known as osseous (bone) surgery.

After numbing the area with a local anesthetic, we will use a scalpel to separate the gums from the teeth and then lift or fold them back in the form of a flap. This gives us direct access to the roots and bone supporting the teeth. Inflamed tissue is removed from between the teeth and from any holes (defects) in the bone. We will then do a procedure called scaling and root planning to clean plaque and tartar. If you have bone defects, we may eliminate them with a procedure called osseous recontouring, which smoothes the edges of the bone using files or rotating burs.

After these procedures are completed, the gums will be placed back against the teeth and anchored in place using stitches. We sometimes use stitches that dissolve on their own, and sometimes stitches that have to be removed a week to 10 days after the surgery. We may also cover the surgical site with an intraoral bandage known as a periodontal pack or dressing.

flap surgery in bapu nagar jaipur
Dental splint in jaipur
dental splint in bapu nagar

Splinting

If the teeth are very loose, they can be splinted or joined together like pickets in a fence so that any biting force is distributed among groups of teeth rather than individual loosened teeth.

Temporary Splinting

Temporary Splinting can be achieved by joining the teeth together with:

  • Extra-coronal Splints: With this approach, splinting materials are attached to a group of teeth generally by bonding to the enamel, thus making them more rigid.
  • Intra-coronal Splints: These splints involve cutting a small channel into the teeth, inserting a rigid custom formed metal splint and bonding or cementing it in place to stabilize the teeth.

Permanent Or Fixed Splinting

This method literally (and permanently) “fixes” loose teeth together by crowning the affected teeth and fabricating a splint in which the crowns are joined or fused together.

Occlusal Splints Or Guards

If parafunctional clenching or grinding habits are evident, then a removable occlusal splint or bite guard may further protect the teeth from the consequences of too much biting force. Since parafunctional forces and habits tend to be stress related, these removable guards can be used during times of tension, stress or when these bad habits are evident.

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