Treatment Of Periodontal Disease
In some cases, periodontal disease can be treated using only non-surgical treatment. This may include oral hygiene instruction, scaling (removal at and just below the gumline of any tartar deposits), root planing (removal below the gumline of any tartar deposits and diseased tissues), bite correction, fabrication of a splint (Night Guard) and possible extraction of any 'hopeless' teeth that cannot be maintained without further complications (perhaps to adjacent teeth).
Different types of periodontal conditions may require different types of surgical treatment. Surgery is completed in our office using local anesthesia ("freezing"). General sedation is available off-site for extremely apprehensive patients.
Pocket Reduction Surgery
Pocket Reduction Surgery is performed to decrease or reduce the depths of the pockets around your teeth. The gum is lifted and rolled back creating a "gum flap". This provides direct access to the roots for a careful inspection and smoothing/debridement (removal of any debris attached to the root surfaces of the tooth) and removal of any diseased gum tissue; sometimes irregular surfaces of bone that have been damaged by gum disease are gently reshaped to allow a better "fit" of the gum tissue to the bone around the roots.
Similar to Pocket Reduction Surgery, the gum is lifted and rolled back creating a "gum flap", providing direct access to the roots for a careful inspection and smoothing/debridement (removal of any debris attached to the root surfaces of the tooth) and removal of any diseased gum tissue. At that time, Dr. Georgas will carefully evaluate the pattern of bone loss around the roots to determine if regeneration materials (bone graft and/or membrane) may be placed to help your body replace lost bone. This is not always an option. Dr. Georgas will advise you if this procedure may help contribute to a favorable outcome.