One or more of the following exists in Periodontitis:
‣ Deep pockets around teeth
‣ Swollen and puffy gums
‣ Bleeding gums
‣ Loss of bone around teeth resulting in loose teeth
‣ Spaces between teeth
‣ Teeth migrating
Deep pockets around teeth result from bone loss due to bacterial infection. As pockets deepen, they become less accessible to cleaning by normal brushing and homecare measure. As a result, bacteria begin to grow in the pockets, resulting in further bone loss. Your dentist or hygienist will try to manage the pockets by scaling and debridement of the teeth involved. However, as the pockets deepen, surgical intervention may be necessary.
Pocket elimination surgery refers to surgical procedures aimed at eliminating pockets by raising a flap, scaling the root of the teeth involved and reshaping the bone. These procedures usually result in complete or partial elimination of the pockets and thereby allowing patients to maintain good homecare.
An undesirable condition, gum recession results in the exposure of roots of teeth, tooth sensitivity, root decay and un-aesthetic appearance of teeth. Common causes of gum recession are:
‣ Trauma from improper tooth brushing and flossing
‣ Tooth malposition
‣ Oral jewellery
‣ Muscle pull
Treatment is possible by a gum graft procedure known as the connective tissue graft. The graft procedure will add more gum to the site of the recession and will cover the exposed root surface.
This condition occurs when teeth show too much gum when one smiles.
Treatment involves a surgical procedure to restore the normal shape and contour of the gums.
Teeth can be lost due to fracture, extensive tooth decay or infection in the gum surrounding teeth.
Dental Implants are titanium screws placed in the jawbone to replace missing teeth. If placed in a timely fashion, dental implants can prevent bone loss that normally occurs following tooth loss. Unlike a dental bridge that utilizes adjacent teeth for support, dental implants are placed independently of adjacent teeth. Therefore, they prevent the involvement of neighboring teeth. When used to support a removable denture, dental implants can improve the stability of dentures. Dental implants are the most natural replacement for patient’s missing teeth.
After teeth are lost, the bone surrounding teeth is gradually lost. The loss of maxillary molars usually results in the expansion of the maxillary sinus. This in turn results in insufficient amount of bone for placing a dental implant.
Maxillary Sinus Augmentation, aka sinus lift, refers to a surgical procedure to lift the floor of the sinus in order to increase the amount of bone for a dental implant. This procedure is usually done at the same time as implant placement. In the case of advanced bone insufficiency, sinus augmentation is performed first, and implants are placed 6-9 months later.
Bone loss is an undesirable sequel of tooth loss. It can preclude replacing the missing tooth with a dental implant.
We utilize a surgical procedure known as the socket preservation technique to prevent loss of bone immediately following the extraction of the tooth.
The jawbone may lose its form and height as a result of bacterial infection caused by periodontal diseases or long-standing missing teeth.
Alveolar ridge augmentation procedures refer to surgical techniques aimed at restoring the jawbone to normal shape in preparation for dental implant placement. We generally use a combination of patient’s own bone harvested from another site in the mouth and bone materials purchased for this purpose.