Gum Surgeries

Gum is gingival fibers (soft tissue) surrounding neck of the teeth. Inflammation of gums (red and spongy, pain on pressing) / gum disease may lead to loss of bone surrounding the teeth and hence cause tooth-ache.

Causes of Gum Inflammation / Disease
(A) Mainly caused by plaque (bacterial film over soft deposits lodged mostly on inter-dental surfaces). Plaque with course of time gets calcified (tartar) and lacerates gum tissues.
(B) The other causes are-tobacco use, diabetes, certain medications, mal-aligned teeth, pregnancy, defective fillings and poor oral hygiene.

Symptoms of Gum Disease
Early symptoms include bleeding gums while brushing. It maybe without pain. Pain is there in advanced stage when there is bone-loss around the teeth leading to gum (periodontal) pockets. These gum pockets provide room for food lodgment over which the bacteria acts, causing gum inflammation, pain and further loss of supporting bone. With the result, teeth sometimes become shaky (mobile) and can shed-off leading to loss of otherwise healthy teeth.

Treatment
If early symptoms are ignored or left untreated the condition may further deteriorate leading to destruction of tooth supporting tissues, e.g., periodontal ligament. It reaches a condition known as periodontitis. At this stage teeth are unable to take food (masticatory) pressure. Gums start bleeding with sometimes pus formation (pyorrhoea), resulting in bad breath (foul smell) from the mouth.

1. Non-Surgical Treatment This involves:

(A) Scaling and Polishing of teeth: With this procedure, supra-gingival (above gum margin) plaque / tartar accumulated around the teeth are removed.

(B) Root planning (sub-gingival scaling or deep scaling): After supra-gingival scaling the rough surfaces of the roots are smoothened, allowing gum healing and reattachment to the teeth.

(C) Curettage: Removal of plaque and infected tissue from gum pocket walls.

Surgical Treatment
Flap Surgery
In severe gum inflammation, there will be alveolar bone-loss (on which teeth rests). In Flap surgery, gum is retracted from the teeth to remove the diseased tissue. Bone is contoured, reshaped and allows re-generation of healthy bone and gums.

Latest surgical techniques for the treatment of periodontal pockets and subsequent bone-loss are:
(A) GTR (Guided Tissue Regeneration)
(B) GBR (Guided Bone Regeneration) Grafts

Prevention
- Proper brushing and flossing.
- Incorrect brushing will miss some spots in mouth leading to bacterial accumulation of high levels which will cause gum inflammation or gum disease.
- One must make a conscious effort to brush every single tooth.

Flossing
It is usually advised to people prone to food lodgment in inter-dental spaces due to crowding of teeth or irregular (mal-aligned) teeth. Brush cannot reach these surfaces, thus these areas are deprived of good cleaning. Inter-dental flossing is recommended to remove soft deposits from such surfaces, thus stopping bacterial accumulation and preventing gum disease.

CLINIC TOUR

OUREXPERTISE

COSMETIC DENTISTRY

Cosmetic Dentistry is a branch of dental science which deals with complete smile makeover giving a beautiful smile so that we can smile with confidence. There are techniques in cosmetic dentistry which deal with discoloured, chipped, spaced, crooked and missing teeth.

DENTAL IMPLANTS

A Dental Implant is an artificial tooth root placed into the jaw to hold an artificial tooth (replacing missing tooth). Dental implants are an excellent option for people who, otherwise in good oral health have lost a tooth due to periodontal disease (gum disease),

ROOT CANAL TREATMENT

Time to be Alert Your tooth may be damaged enough such that simple restoration (filling) treatment alone may not suffice. To get immediate relief, you need to meet a dentist. Your teeth maybe cracked, have loose restoration (filling) or simple cavity which can lead

BAD BREATH

Bad breath or halitosis may be due to many causes and is an extremely embarassing problem for some people. Halitosis is usually caused by poor oral hygiene or the presence of food that gets stuck in the teeth.

CROWN/FIXED TEETH LAMINATES

Crown is an artificial covering of a tooth-like structure called porcelain, which restores damaged tooth, replaces the missing tooth wall, thereby protecting and strengthening the tooth and preventing further deterioration.

PEDIATRIC DENTISTRY

Pediatric Dentistry deals specifically with the oral care of children. It is very important for a dental surgeon to have training in child psychology, growth and development before treating any child.

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