Periodontal surgery is a process aimed at treating some gum diseases and conditions such as Inflammation and receding gumsIn this article, we will learn about the types of gum surgeries in Turkey and the stages of their work.
When you skip dentist office visits for too long, untreated gum disease can cause you to develop advanced gum disease that requires surgery. This type of surgery is known as periodontal surgery. It aims to beautify the gums and treat gum disease and any damage done by:
- Re-growth of damaged bone and tissue
- Preventing tooth loss
- Reducing gum gaps between teeth, known as black triangles
- Reshaping the jawbone to reduce the risk of bacterial growth in the bone crevices
- Eliminate bacteria and infection
What conditions can gum surgery treat?
Some periodontal diseases such as gingivitis Periodontitis can be treated surgically in one of its stages, and some cases require gingival plastic surgery to correct its position.
Periodontitis is a mild form of gum disease in which the gums are red, swollen and bleeding. Gingivitis is most often caused by poor oral hygiene and the buildup of plaque and tartar.
Effective treatment Under the supervision of a doctor, the condition can be reversed and we get healthy gums.
Periodontitis is a more serious form of periodontal disease in which gingivitis worsens and progresses, triggering an inflammatory response that destroys bone and tissue.
During this inflammatory process, the inflamed gums begin to separate from the teeth, creating spaces called pockets that trap bacteria and lead to infection. As a result, tooth loss and bone damage can occur.
Some types of gum surgeries performed in Turkey
The type of oral and gum surgery that a dental surgeon performs depends on the type and severity of gum disease.
Before surgery, the dental surgeon maygum cleaning Deep This procedure is known as deep scaling which aims to remove tartar and bacteria from the teeth and gums.
In addition to another procedure that removes any calculus from the roots known as root debridement in order to smooth the surfaces of the roots of the teeth and reduce the accumulation of tartar and bacteria, scaling and root debridement are done at the same time.
Slide Lift Surgery
Inflamed gum surgery in which a circumstantial flap is opened, which is especially useful for people who have tartar deposits in deep pockets. The procedure involves cutting the gums and lifting the gingival mucosa from the teeth to remove tartar buildup.
After the periodontist cleans the area and removes the tartar, he sews the gums in place to match the teeth. Sometimes the bone may be reshaped during this procedure.
When the bone surrounding the root of the tooth is damaged or destroyed, a person may need to have a placement bone taste This procedure involves replacing the damaged bone with new bone, either from the person's own bone, artificial bone, or bone from a donor.
The goal of placing bone grafts is to hold the tooth in place and to help the tissues grow again.
GTR directed tissue regeneration
In this procedure, a dental surgeon places a small piece of mesh-like membrane between a person's bone and gum tissue. This material prevents gums from growing into the space where it must be filled by bone, allowing bone and connective tissue to regrow.
Soft tissue grafts
In some cases of gum recession resulting from the loss of gum tissue, we may need to use a gum grafting process, or as the gum implant process is called soft tissue grafts to reduce the risk of further damage.
During this procedure, a periodontist and periodontist usually removes tissue from a specific part of the body, usually the roof of the mouth, and is placed back as a tissue graft in the area where the gums have receded. The tissue graft covers any exposed roots and reduces the risk of further damage.
I showed studies There is little difference from an aesthetic point of view between this technique and the technique of directed tissue regeneration in the case of treatment of receding gums.
hole surgery technique
Pinhole surgical technique (PST) is a relatively new treatment Proved Its effectiveness in treating mild to moderate gingival recession, a minimally invasive procedure that involves making a small hole in the gum tissue over the exposed tooth root and then inserting a special tool into the hole to separate the gum from the tooth, after which the doctor stretches the gums and repositions it over the exposed tooth root and covers it completely.
Other treatment options include:
Laser and periodontal surgery
Although there is no current evidence to support Laser gum treatment However, some dentists use it to reduce the size of pockets and restore damaged connective tissue.
tissue stimulating proteins
This procedure involves using a gel containing protein to stimulate bone and tissue growth.
Preparing for gum surgery
Before a person undergoes periodontal surgery, a dental professional performs a pre-operative examination to ensure that the surgery is safe.
During this test, your dentist will likely:
- A review of your medical history and blood tests
- Examination of the teeth, mouth and jaw to ensure their stability and health
- Check for any infection or abscesses or other lesions that can make recovery from surgery more complex
- Discuss the risks and benefits of the operation and obtain permission and consent to proceed with the surgery
What happens during gum surgery
This varies depending on the type of surgical procedure but in general most periodontal surgery procedures take about two hours to complete.
In some cases, the surgery requires that the person be completely under general anesthesia during the operation. In other cases, when a local anesthetic is used to numb the gums, the injection of the anesthetic medication can be somewhat uncomfortable.
During surgery, the dental surgeon uses sterile equipment, including instruments and slings, to reduce the risk of infection.
The gums are cut by making small surgical incisions along the gum line and then lifting the gums away from the teeth allowing the dentist to better see the roots so they can remove and clean any tartar, plaque or infection.
After this deep cleaning, the dental surgeon can perform other procedures such as gum reshaping, bone regeneration procedures, or other planned procedures.
Once the planned dental surgery is complete, the surgeon will sew the gums back into place using fine sutures that are removed 7 to 10 days after surgery.
Recovering from gum surgery
After any dental procedure the dentist will provide detailed instructions on how to achieve the best possible recovery, the length of the recovery period depends on the type of surgical procedure performed.
Usually, people will need pain medication in the days after gum surgery. The dentist will talk to the patient about any recommended medications before they leave the clinic or surgical center.
Dentists may also recommend the following:
- Use an antiseptic mouthwash to keep the area clean and avoid infection
- Avoid strenuous exercise
- Eat soft foods in the days following surgery
- Avoid smoking
The dentist will schedule an appointment for a clinic visit within one to two weeks, during which time the surgeon will check if the gums are healing and remove any stitches.
The person will see and feel their gums differently after the surgery. The gums will heal and the teeth will become firmer and stronger. Some people may experience tooth sensitivity to hot or cold temperatures and may find relief when using desensitizing toothpaste.
Complications of periodontal surgery
Complications of gum surgery are few and uncommon. However, some people may experience the following:
- bleeding gums
- swollen gums
- The feeling of loosening of the teeth (it should only be temporary)
- Tooth sensitivity
- The appearance of spaces between the teeth
In graft surgeries, the graft tissue may not be attached to its location correctly. This is very rare, but if this happens, the person may need to repeat the surgery.
Some people do not like the shape of the gums after a gum graft or implant surgery. In these cases, a periodontist may be able to reshape the gums to help change their appearance.
Remember, you have to be careful!
If left untreated, gum disease can lead to the development of a variety of health problems such as Heart disease Angiography, diabetes, and premature birth of low birth weight babies.
Gum disease can also become a serious health condition affecting the teeth, gums and bones, leading to infection and death of bone and tissue that may require extensive surgery to repair and treat the condition.
Reducing risk factors, maintaining good oral hygiene, and keeping routine dental appointments can reduce the risk and severity of gum disease.