Surgical Gum and Bone Treatments

Periodontal Disease and Surgical Periodontal Therapy

Periodontium is the most important and easily overlooked part of the oral cavity. Just like the foundation of a house, only healthy periodontium (including alveolar bone, cementum, periodontal ligament and connective tissue, etc.) can support healthy nice-looking teeth. If teeth cannot be cleaned well after meals or before going to bed, food residues will remain in the mouth and combine with saliva to form dental plaque, which will become dental calculus after a long time. Bleeding after brushing, swollen and painful gums or even shrinkage are all signs of periodontal disease. Periodontal disease will cause loose teeth and eventually lose the chewing function.

Researches show that periodontal disease is highly related to general health. Periodontal disease can make blood sugar control difficult, and diabetes will increase the risk of periodontal disease. Periodontal disease increases the retention of original bacteria in the respiratory tract, which can increase the chance of getting lung infection. Bacteria from periodontal disease can follow with the blood throughout the body. Therefore, it may cause bacterial endocarditis or other cardiovascular diseases such as vascular blockage and sclerosis. For pregnant women, periodontal disease can also cause premature delivery of babies with underweight at birth. In sum, periodontal disease can be an invisible killer of health.

The best way to treat periodontal disease is to learn how to clean teeth in a right way and maintaining oral hygiene. Since plaque is most likely to accumulate in the gingival sulcus at the edge of the gum, we should also pay attention to cleaning the junction between the teeth and the gums when brushing teeth. However, brushing can only clean up the plaque on the sides of the teeth. To completely remove the plaque and residue between the teeth that are difficult to brush off, dental flossing is very important. 

Mild periodontal disease can be treated by scaling and root planing to remove deep calculus. For moderate to severe periodontal disease, surgical periodontal therapy then would be recommended.


Root Coverage / Soft Tissue Grafting

Healthy periodontium can support teeth, dental restorations and protheses to achieve ideal results. On the contrary, when the periodontium is unhealthy or severely damaged, periodontal surgery can help to improve the damaged periodontal condition. 

The gum can be shrunk due to aggressive brushing or clenching/grinding that cause root exposure. At certain condition, gum grafting can be performed to re-cover the receding gums on the exposed roots to achieve beauty and health.


 


In this case, stronger and thicker gum was achieved. For the advacned recession of the middle tooth, it still has a great amount of coverage. 

For teeth and implants without sufficient attached keratinized gun, gum grafting is also recommended to increase the volume and strength of gum that can prevent from potential periodontal inflammatory disease or infection. 

There are also different kinds of graft materials and periodontal surgical approaches and methods. Contact us for more details.


Esthetic and Traditional Clinical Crown Lengthening

Esthetic clinical crown lengthening is a periodontal plastic surgery. It can change the proportion of teeth and gum margin in the aesthetic area to make smile more natural and beautiful. The traditional clinical crown lengthening is used to expose more tooth structure to support a dental crown and avoid violation of the biological width of the periodontium.

 

 

  

 


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