Gum Surgery
Gum disease destroys bone and gum tissue around the tooth. The primary goal of periodontal surgery is to keep the patient from losing a tooth. This goal is achieved in one of two ways: by either replacing some of the lost gum and/or bone, or by making it easier for the patient to clean their teeth. The majority of the time, our dentists at Delmarva Dental Services recommend nonsurgical gum treatment and medications as the primary treatment for periodontal disease. The deeper the pockets and the more bony craters present, the more likely periodontal surgery will be needed as well. Our patients will receive a thorough examination and treatment plan as well as alternatives prior to initiating any treatment. Delmarva Dental Services also reevaluates results and modifies treatment as situations change.
Resective Surgery
This is one of the oldest forms of gum surgery. “Resect” means to cut away. Resective surgeries primary goal like all gum surgery is to retain the tooth. Periodontal disease deepens pockets and creates bony craters in the jaw bone that supports the teeth. After nonsurgical gum treatment, pockets and bony craters may remain and it is not possible for patients to reach these areas to remove the bacterial biofilm with brushing and flossing. Therefore, the pockets continue to deepen and bone loss continues. At this point, removing some of the gum and recontouring the bone creates better access. Delmarva Dental Services believes regenerative surgery (bone and gum grafts) to be the surgical treatment of choice; however, sometimes resective surgery is indicated. With all our patients we will customize a treatment plan that fits their specific situation and discuss all of their options.
Regenerative Surgery
Replacing missing gum tissue is called gum grafting. Replacing lost bone is called bone grafting. Many times grafts will make it easier for the patient to clean their teeth as well.
Gum Grafting
Gum (gingival and connective tissue) grafts are designed to replace missing tissue in the mouth due to gum disease, gum recession, or tooth loss. The donor tissue is obtained from another area adjacent to the defect, the roof of the mouth, or cadaver tissue. Today, there are also synthetic graft materials available. The several goals of gum grafts are to preserve tooth support, reduce cold sensitivity, or improve cosmetics.
Bone Grafting
Bone grafting is one type of periodontal surgery. It is also used for extractions and dental implants as well. Thirty years ago there was very little bone grafting done around teeth in dentistry. Most treatment for gum disease was resective in nature. The goal of bone grafting is to place a substance in an area that has insufficient bone and stimulate the body to make bone. Insufficient bone can occur from periodontal disease and after tooth extraction. Various materials can be used in bone grafting. Some are used separately and others can be combined. Most materials are similar in nature, allowing them to dissolve gradually by your body. They differ in their ability to stimulate the body to make bone. Some of the substances used today are: bone taken from another part of your body like the jaw, cadaver bone, cow bone, fetal pig embryonic cells, calcium compounds, glass, and acrylic. Your dentist at Delmarva Dental Services will discuss your options with you and determine the best method for your situation.