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Periodontics/Treatment Of Gums


Periodontology, or Periodontics, is the branch of dentistry which studies supporting structures of teeth, known as the periodontium, which includes the gingiva (gums), alveolar bone, cementum, and the periodontal ligament, and diseases and conditions that affect them.

Gum disease is a problem where many people are simply not aware that it is present. It is a silent sneaky disease.

The Signs of Gum Disease are :

  • Gum Recession
  • Spaces Between the Teeth that Weren't there Before
  • Bleeding Gums
  • Bad Breath
  • Reddened Gums
  • Loose Teeth

Treatment of the infection in the gums and the bones by specialized corrective procedures like curettage, flap surgery, bone and soft tissue grafting, flap surgery  etc is carried out with utmost precision and expertise at our clinic.  

Gum Grafting

Various forms of Therapies available for treatment of unhealthy gums and bone at Dr Swarup's include:

  • Scaling Curettage and Root Planing Procedure

  • Flap Surgery and Bone Grafting

  • Root Coverage Procedures

  • Cosmetic Depigmentation of Gums

  • Treatment of Halitosis- Offensive mouth odor

  • Gum contouring

  • Splinting of Loose Teeth

Cosmetic depigmentation of gums help the patients achieve pretty "pink gums" 

Therapy to decrease offensive mouth odor is also available. Halitosis, or Bad Breath, is caused by several dozen types of anaerobic bacteria living in the mouth and tongue. These bacteria can produce high levels of foul odors. The odors are produced mainly due to the anaerobic breakdown of protein. Halitosis can also be caused by reasons other than the oral cavity and can be effectively treated when diagnosed for the proper cause.

A multitude of systemic diseases like cardiovascular disease, diabetes, osteoposrosis etc have been found to be associated with increasing severity of periodontal disease and these patients are placed in the greater risk category and provided supplementary recall appointments to help them heal holistically.

Bone Grafts (Periodontal Regenerative Surgery)

Bone grafting is a surgical procedure that replaces missing bone with material from the patient's own body, an artificial, synthetic, or natural substitute.

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space placeholder.What Is It?
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A bone graft is used to recreate bone and soft supporting tissues lost due to gum disease. It's also called regenerative surgery.

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space placeholder.What It's Used For
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Regenerative surgery is a treatment for the gum disease called periodontitis. People with periodontitis loose gum coverage and bone support around their teeth. Regenerative surgery regrows these lost tissues.

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space placeholder.Preparation
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Before your surgery, you need to have basic periodontal treatment called scaling and root planing. You also must be taking good care of your teeth. You should brush twice a day and floss daily.

A local anesthetic is used to numb the area for surgery.

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space placeholder.How It's Done
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The goal of regenerative surgery is to coax the body into rebuilding the bone and other structures that attach a tooth to the jaw. It is done by a periodontist, a dentist who specializes in diagnosing and treating gum disease.

First, the periodontist will separate the gums from your teeth to gain access to the roots and bone. The roots will be thoroughly cleaned. The holes (defects) in the bone will be filled in with a graft material. Then they will be covered with a physical barrier.

Bone grafting materials commonly used include bits of a patient's own bone, cadaver bone, cow bone and synthetic glasses. The patient's own bone is best. Barriers are used to prevent the gums from growing into the bony defect. Barriers are made from human skin, cow skin or synthetic materials. 

After the graft is in place, the gums will be put back over the treated site and stitched into place. The site also may be covered with a bandage known as a periodontal pack or dressing.

During the next six to nine months, your body fills in the area with new bone and soft tissue. In effect, this reattaches the tooth to your jaw.

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space placeholder.Follow-Up
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You most likely will get a prescription for pain medicine to be used after surgery. Be sure to follow your doctor's instructions on when and how often to take all medicines that are prescribed for you.

It is very important for you to keep your mouth as clean as possible while you heal. This means you should brush and floss the rest of your mouth normally. If you don't have a periodontal pack over the surgical site, you can use a toothbrush to gently remove plaque from the teeth.

Mouth rinses containing chlorhexidine are commonly prescribed after periodontal surgery. These rinses do not remove plaque from the teeth. However, they kill bacteria and help your mouth heal.

You may also have some swelling after surgery. You can reduce swelling by applying an ice pack to the outside of your face in the treated area. Antibiotics usually are prescribed to prevent an infection. Be sure to take them as instructed. Your periodontist will want to examine you in 7 to 10 days.

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space placeholder.Risks
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After your surgery, you may have some bleeding and swelling. There is a risk that you could develop an infection.

Your gums in the area that was treated are more likely to recede over time. The teeth that were treated may become more sensitive to hot and cold. They may develop cavities in the roots.