Saving Teeth with Regenerative / Resective Periodontal Surgery
Regenerative / Resective procedures are what Dr. Kazemi would use to stop the progression of gum disease and regrow gum tissue and bone. These procedures reduce pocket depth and allow the tissues to repair themselves by eliminating the existing periodontal disease-causing bacteria.
Periodontal pockets are spaces or openings surrounding the teeth under the gum line. These pockets can become filled with infection-causing bacteria and when left untreated, can cause damage to the tooth-supporting structure. Regenerative / Resective periodontal surgery will minimize the growth of this bacteria, and reverse the damage caused by periodontal disease.
Osseous surgery (flap debridement)
Advanced gum disease (periodontitis) damages the ligaments and bone tissue surrounding your teeth and if left unattended, you can be at risk of extreme tooth damage or tooth loss. If the disease can’t be controlled by non-surgical treatments such as deep cleaning and scaling, then periodontal flap debridement surgery would be the procedure that Dr. Kazemi would recommend to remedy the problem.
The process involves a small incision being made to separate the gums from the teeth. The outer gum tissue is gently folded back to allow access to the tooth roots, supporting ligament, and bone tissue. The inflamed gum tissue is then removed and the roots, ligament, and bone tissue can be treated, then the incision is closed and the procedure is complete.
Guided Tissue Regeneration (regenerative surgery)
Guided Tissue Regeneration (GTR) is used to repair periodontal defects so that your teeth have more support and stability. In the areas where there are bacterial infections causing hard and soft tissue destruction, this can lead to gaps between the teeth and bone which may require a bone graft.
Guided Tissue Regeneration uses a barrier membrane to direct the growth of new bone in the bony defect and prevents gingival tissue from growing into these defective areas. This membrane bocks the faster migrating soft tissue cells from growing into the treated area, while allowing the slower migrating bone-producing cells to grow there instead.
The process begins with a minimally invasive approach that Dr. Kazemi uses to open the gum via a flap. Bacteria is removed and the tooth is decontaminated, bone graft particles are placed inside and membrane is placed over it. Once in place, this membrane provides the environment for the bone to heal and regenerate and therefore save the tooth long term.
For more information about Regenerative / Resective Periodontal surgery or if you would like to schedule an appointment, call us today at (650) 321-3220 or send an email to DrHakim@ExtraordinarySmile.com and let’s discuss your options.
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