When is Periodontal Surgery Necessary?
Gum disease is manifested in two forms:
- Gingivitis: The earliest stage of gum disease, causing an inflammation and some bleeding of the gums caused by plaque buildup at the gumline. Gingivitis causes gum inflammation but no bone loss.
- Periodontitis: The second stage where the supporting bone and fibers that hold your teeth in place are damaged causing bone damage and loss.
The early stages of periodontal disease can usually be treated by scaling and root planing also known as "deep cleaning". However, with more advanced cases periodontal surgery is often indicated. It is important to note that we take into consideration your general health, past history of treatment and your treatment goals before proceeding with a surgical treatment plan.
Types of Periodontal Surgery
- Flap Surgery: The most common form of periodontal surgery helps to clean out the infected deep pockets and repair some of the damage that was done due to the periodontal disease. This is known as a flap procedure which allows access to the bottom of the deep pockets and the defects in the bone. Often bone grafting is performed as part of a flap procedure to restore some of the lost bone.
- Tissue or Gum Graft: Another type of periodontal surgery is known as a soft tissue graft. This is done to enhance the amount of healthy tissue around the tooth roots or in certain cases cover the exposed root surfaces caused by recession.
- Crown Lengthening: Periodontal surgery can also be used to enhance the esthetic outcome with veneers and is often referred to as cosmetic crown lengthening. Crown lengthening surgery is also used to obtain access to deep cavities allowing the restorative dentist to remove the decay and place a crown to enhance the prognosis of the tooth.
- Laser Surgery- LANAP: stands for Laser-Aassisted New Attachment Procedure. It is a new method of treating moderate to advanced periodontal disease. The laser is used to remove diseased tissue and allow access to better remove the plaque, bacteria and tartar from the root surface. A second pass with the laser stimulates repair and seals off the pocket to allow for healing. Click for More Info
- Post Surgical Care: Following periodontal surgery most patients are placed on a cleaning and recall schedule which allows us to monitor your periodontal health and help prevent a recurrence of the problem. Often these recall visits alternate between us and your general dentist.
Contact us today to schedule an appointment with our office to examine the health of your mouth.