If plaque and tartar is left on the teeth, it provides the right conditions for bacteria to thrive. The bacteria cause gum inflammation irritate the gums, which tend to bleed easily. You may notice this if you are brushing your teeth, or eating, and sometimes your gums may bleed a bit. This is the early stage of gum disease called Gingivitis. This will be treated by scaling and polishing and precise home care instructions at Arora’s Dental Clinic .
If gingivitis is not treated and nothing is done about it, the inflammation will affect the fibres with which the tooth is attached to the bone causing a “periodontal pocket” leading to Periodontitis. This will be treated by deep scaling and polishing and precise home care instructions at Arora’s Dental Clinic
At these stages Non-Surgical Therapy is recommended. . This gets rid of the bacteria in the pocket and provides the necessary conditions for healing to occur.
If periodontitis is not treated ,Gum disease can break down the bone support of the teeth, and eventually the teeth will become loose which is called Advanced Periodontitis. At this stage, the damage to the support structures of the teeth is irreversible. If gum disease is caught in time, its progression can be controlled. At this stage Surgical Therapy is recommended.
Non Surgical Therapy :
Scaling and Root Planing : Manually removing the plaque and tarter from the root surfaces of your teeth below the gum line. There is some confusion about the difference between scaling and root planing. Scaling is basically the process of removing dental tartar from the surfaces of the teeth .Root planing is the process of smoothening the root surfaces and removing any infected tooth structure. If you have gum disease or gum pocketing, the gum pockets around the teeth will have deepened, thereby allowing tartar deposits to form under the gumline. The two processes tend to blur together since during the cleaning process, the dental worker scales away tartar and performs any necessary root planing at the same time. Any roughness can be planed away to result in a silky smooth surface.
Antibiotics : Because bacteria cause periodontitis antibiotics may be prescribed as pills or as an Antibiotic fiber. The fibers are used in conjunction with scaling and root planing. They are placed directly into the pockets and are removed within 7-10 days later. Antibacterial mouth rinses may also be recommended to help plaque control.
Bite correction : An imbalanced bite may accelerate bone destruction. Your teeth may be adjusted for proper and better function. A Bite-guard (removable retainer fitting over teeth) may be required to protect teeth surfaces and relax tense muscles.
Splinting : This technique attaches weak teeth together, combining them into a stronger single unit, making them more stable and offering more comfortable chewing.
Surgical Therapy :
Flap surgery/pocket reduction surgery : During this procedure under local anaesthesia ,the gums are lifted and the tarter beneath the gums is removed. In some cases, irregular surfaces of the damaged bone are smoothed so that bacteria don’t hide. The gums are then returned to place so that it fits firmly around the tooth. This method reduces the size of the space between the gum and tooth, where harmful bacteria can grow .
Bone grafts : In cases of Advanced Periodontitis,where bone loss is extensive, bone graft procedure is recommended at Arora’s Dental Clinic.This procedure involves using fragments of your own bone, synthetic bone, or donated bone to replace bone destroyed by gum disease. The grafts serve as a platform for the regrowth of bone, which restores stability to teeth. New technology, called tissue engineering, encourages your own body to regenerate bone and tissue at an accelerated rate.
Soft tissue grafts : This procedure reinforces thin gums or fills in places where gums have receded. Grafted tissue, most often taken from the roof of the mouth, is stitched in place, adding tissue to the affected area.
Guided tissue regeneration : Performed when the bone supporting your teeth has been destroyed, this procedure stimulates bone and gum tissue growth. Done in combination with flap surgery, a small piece of mesh-like fabric 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 to better support the teeth.
Socket Preservation Therapy : It is a procedure in which graft material is placed in the socket of an extracted tooth at the time of extraction to preserve the alveolar ridge. After extraction, jaw bones have to be preserved to keep sockets in its original shape. Without socket preservation, the bone quickly shrinks. The jaw bone will never revert to its original shape once bone is lost and tissue contour has changed. All teeth replacement procedures may be Dental Implants or Bridges or Dentures requires good jaw bone support for it to be successful in the long run. Without socket preservation, residual bones could lose volume resulting in loss of facial vertical and horizontal dimension and changes in facial soft tissues aesthetics.