Deccan
whatsapp +91 9765407659

What we do

GUM SURGERY AND BONE GRAFTING

GUM SURGERY AND BONE GRAFTING

If you have been told you have periodontal (gum) disease, you’re not alone. Many adults in India currently have some form of the disease. Periodontal diseases range from simple gum inflammation to serious disease that results in major damage to the soft tissue and bone that support the teeth. In the worst cases, teeth are lost.
Whether your gum disease is stopped, slowed, or gets worse depends a great deal on how well you care for your teeth and gums every day, from this point forward.

CASE

PERIODONTAL CASE - I

(Case done by Dr.Kaustubh Patil M.D.S. / Periodontist)

A middle aged female had complaint of bleeding gums and bad breathe. On clinical examination and periodontal evaluation ,non surgical treatment was planned.

After deep scaling and curettage procedure, patient got relief from bleeding gums and bad breathe.

PERIODONTAL CASE - II

(Case done by Dr.Kaustubh Patil M.D.S. / Periodontist)

A young boy came to me with complaint of mobility (loosening ) of teeth in lower front teeth region. After periodontal evaluation and radiographic examination, I advised him scaling and splinting treatment.

Splinting was done followed by scaling. After periodontal treatment mobility (loosening) of teeth reduced.

PERIODONTAL CASE - III

(Case done by Dr.Kaustubh Patil M.D.S. / Periodontist)

A young female with swelling of gums came to me. After periodontal evaluation, deep pockets were seen. I recommended her Flap surgery treatment.

Flap surgery was done followed by Scaling.

After periodontal treatment, patient got relief from all the camplaints and now she is happy with results.

FAQ

What causes gum disease?

Our mouths are full of bacteria. These bacteria, along with mucus and other particles, constantly form a sticky, colorless “plaque” on teeth. Brushing and flossing help get rid of plaque. Plaque that is not removed can harden and form “tartar” that brushing doesn’t clean. Only a professional cleaning by a dentist or dental hygienist can remove tartar.

Gingivitis

The longer plaque and tartar are on teeth, the more harmful they become. The bacteria cause inflammation of the gums that is called “gingivitis.” In gingivitis, the gums become red, swollen and can bleed easily. Gingivitis is a mild form of gum disease that can usually be reversed with daily brushing and flossing, and regular cleaning by a dentist or dental hygienist. This form of gum disease does not include any loss of bone and tissue that hold teeth in place.

Periodontitis

When gingivitis is not treated, it can advance to “periodontitis” (which means “inflammation around the tooth”). In periodontitis, gums pull away from the teeth and form spaces (called “pockets”) that become infected. The body’s immune system fights the bacteria as the plaque spreads and grows below the gum line. Bacterial toxins and the body’s natural response to infection start to break down the bone and connective tissue that hold teeth in place. If not treated, the bones, gums, and tissue that support the teeth are destroyed. The teeth may eventually become loose and have to be removed.

Risk Factors 

  • Smoking:  Need another reason to quit smoking? Smoking is one of the most significant risk factors associated with the development of gum disease. Additionally, smoking can lower the chances for successful treatment.
  •  Hormonal changes in girls/women:  These changes can make gums more sensitive and make it easier for gingivitis to develop.
  • Diabetes:  People with diabetes are at higher risk for developing infections, including gum disease.
  • Other illnesses and their treatments:  Diseases such as AIDS and its treatments can also negatively affect the health of gums, as can treatments for cancer.
  • Medications:  There are hundreds of prescription and over the counter medications that can reduce the flow of saliva, which has a protective effect on the mouth. Without enough saliva, the mouth is vulnerable to infections such as gum disease. And some medicines can cause abnormal overgrowth of the gum tissue; this can make it difficult to keep teeth and gums clean.
  • Genetic susceptibility:  Some people are more prone to severe gum disease than others.

Who gets gum disease?

People usually don’t show signs of gum disease until they are in their 30s or 40s. Men are more likely to have gum disease than women. Although teenagers rarely develop periodontitis, they can develop gingivitis, the milder form of gum disease. Most commonly, gum disease develops when plaque is allowed to build up along and under the gum line.

How do I know if I have gum disease?

  • Bad breath that won’t go away
  • Red or swollen gums
  • Tender or bleeding gums
  • Painful chewing
  • Loose teeth
  • Sensitive teeth
  • Receding gums or longer appearing teeth

Any of these symptoms may be a sign of a serious problem, which should be checked by a dentist.

How is gum disease treated?

The main goal of treatment is to control the infection. The number and types of treatment will vary, depending on the extent of the gum disease. Any type of treatment requires that the patient keep up good daily care at home. The doctor may also suggest changing certain behaviors, such as quitting smoking, as a way to improve treatment outcome.

Deep Cleaning (Scaling and Root Planing)

The plaque is removed through a deep-cleaning method called scaling and root planing. Scaling means scraping off the tartar from above and below the gum line. Root planing gets rid of rough spots on the tooth root where the germs gather, and helps remove bacteria that contribute to the disease. In some cases a laser may be used to remove plaque and tartar. This procedure can result in less bleeding, swelling, and discomfort compared to traditional deep cleaning methods.

Surgical Treatments

Flap Surgery

Surgery might be necessary if inflammation and deep pockets remain following treatment with deep cleaning and medications.Flap surgery is performed to remove tartar deposits in deep pockets or to reduce the periodontal pocket and make it easier for the patient to keep the area clean. This common surgery involves lifting back the gums and removing the tartar. The gums are then sutured back in place so that the tissue fits snugly around the tooth again. After surgery the gums will heal and fit more tightly around the tooth. This sometimes results in the teeth appearing longer.

Bone and Tissue Grafts.

In addition to flap surgery, procedures might be requied to help regenerate any bone or gum tissue lost to periodontitis. Bone grafting, in which natural or synthetic bone is placed in the area of bone loss, can help to promote bone growth. A technique that can be used with bone grafting is called guided tissue regeneration. In this procedure, a small piece of mesh-like material is inserted between the bone and gum tissue. This keeps the gum tissue from growing into the area where the bone should be, allowing the bone and connective tissue to regrow. Growth factors – proteins that can help your body naturally regrow bone – may also be used. In cases where gum tissue has been lost, a soft tissue graft is required, in which synthetic material or tissue taken from another area of your mouth is used to cover exposed tooth roots.

Guided bone regeneration or GBR, and guided tissue regeneration or GTR

These are dental surgical procedures that utilize barrier membranes to direct the growth of new bone and gingival tissue at sites having insufficient volumes or dimensions of bone or gingiva for proper function, esthetics or prosthetic restoration.
GBR is focused on development of hard tissues in addition to the soft tissues of the periodontal attachment. At present, guided bone regeneration is predominantly applied in the oral cavity to support new hard tissue growth on an alveolar ridge to allow stable placement of dental implants. Bone grafting used in conjunction with sound surgical technique, GBR is a reliable and validated procedure.

How can I keep my teeth and gums healthy?

  • Brush your teeth twice a day (with a fluoride toothpaste).
  • Floss regularly to remove plaque from between teeth. Or use a device such as a special brush or wooden or plastic pick recommended by a dental professional.
  • Routine check-up and professional cleaning.
  • Don’t smoke.