Gum Surgery

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Gum Surgery

Periodontal or gum disease is an infection that affects the gums and jaw bone, which can lead to a loss of gum and teeth. There are two major stages — gingivitis and periodontitis. Gingivitis is the milder and reversible form; periodontal disease is often more severe. In some cases, gum surgery will be required to reverse the effect of the disease.

There are several types of gum surgeries that your dentist might recommend if you’ve developed gum disease. The most common cause of gum disease is when excessive bacteria builds up in your mouth and creates excess plaque and your body is unable to fight the infection. Certain factors, however, including medications and chronic illnesses, can make someone more susceptible to gum disease even if he or she follows a thorough oral care routine.

Different Types of Gum Surgery

If you’ve developed gum disease severe enough to require surgery, your dentist may discuss some of these types of gum surgery as ways to treat the problem:

  • Pocket reduction (also known as gingival flap surgery)In this procedure, your surgeon folds back the gums and removes bacteria. The periodontist (gum specialist) secures the gum tissue against your teeth, rather than allowing it to grow back on its own.
  • RegenerationIn this procedure, your periodontist folds back the gums and removes disease-causing bacteria, then inserts bone grafts, membranes, or tissue-stimulating proteins (or any combination of the three) to encourage your gum tissues to regenerate and fit snugly around the teeth again.
  • Crown lengtheningIn this procedure, your periodontist removes an overgrowth of gum tissue from your teeth, making your teeth appear longer. This procedure is used for cosmetic effects as well as to treat gum disease.
  • Soft tissue graftIn this procedure, your periodontist takes sample tissue from elsewhere in your mouth and attaches it to your gums to replace gum tissue that has receded or has been removed due to gum disease. This procedure is often used for cosmetic purposes as well as to treat gum disease because it covers areas where the root is becoming exposed and improves the appearance of the teeth.

If a thorough examination by your dental professional determines that you need gum surgery, you will probably be referred to a periodontist, a doctor who specializes in the treatment of gum disease.

What to Expect with Gingival Flap Surgery

Gingival flap surgery is the type often used to treat gum disease. If you’re scheduled to undergo gingival flap surgery, here’s what to expect:

  • Before the surgeryBefore any gum surgery, you will receive a local anesthetic to numb the area. Also, your periodontist (or dental hygienist) will clean your teeth. You should expect your periodontist to ask about any medications and chronic health conditions that may impact the surgery.
  • During the surgeryThe surgeon folds the gums back to form a flap in order to access the tissue below the gums. The infected tissue below and between the teeth is removed, and the surgeon then follows with tooth scaling and root planing to remove plaque and bacteria below the gum line. The scaling and planing will also smooth rough spots on the tooth roots that could promote recurrence of the gum disease.
  • After the surgeryThe surgeon will put the gums back in place using stitches. The stitches may be dissolvable, or you may have to have them removed when you return for a surgery follow-up visit in seven to 10 days. The surgeon may also place a special surgical dressing called a periodontal pack, over the affected area.

Frequently Asked Questions

When I had my wisdom teeth taken out, I was told not to eat anything before the appointment. What about for this procedure?
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When do I start using the prescription mouthwash?
Can I use the mouthwash more than twice a day?
I don’t like taking pills, so can I stop taking the antibiotic if I feel OK?
Why can’t I just take my sedative pills and then quickly drive to my appointment?
Can’t I just take the bus or call a cab for the ride home?
What do I do when the numbness wears off?!!
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