When gum recession occurs, gum reconstruction using soft tissue grafting techniques is an option.
Gum recession often results in root sensitivity to hot and cold foods as well as an unsightly appearance to the gum and tooth. Gum recession, when significant, can predispose to worsening recession and expose the root surface, which is softer than enamel, leading to root caries.
A soft tissue (gum) graft is designed to solve these problems. A thin piece of gum tissue is taken from the roof of the mouth, or gently moved over from adjacent areas, to provide a stable band of attached gum around the tooth. The gum graft may be placed in such a way as to cover the exposed portion of the root.
The gum grafting procedure is highly predictable and results in a stable healthy band of attached gum tissue around the tooth.
Crown lengthening is done when a tooth needs to be restored, but there is not enough tooth structure to support a filling or a crown. Sometimes the root decay or the margins of the existent restoration may be too close to the bone and there may not be sufficient access to clean the decay and to place a restoration. If there is not enough space between the margines of the new restoration and the bone, this will cause infection of the gum and the bone tissue.
This procedure is done under local anesthesia and takes approximately one hour. In some cases, by simply removing a little gum tissue when the incisions are made, enough tooth structure will be exposed for your dentist to place a restoration. However, in most situations it will also be necessary to remove some bone from around the roots of the teeth. This allows you to clean the edge of the new restoration when you brush and floss to prevent decay and gum disease.
Osseous surgery is a type of operation performed on the bone and overlying tissues of the teeth to purposely correct the teeth or gums in the mouth to enable the teeth lie in good shape by holding them together.
The surgery is done to eliminate the infection around the teeth. It helps in reconstructing the bones and the gums in to a perfect shape. One of the main objectives of the osseous surgery is to make the teeth surfaces accessible for patient to clean by eliminating the deep pockets between the teeth and the gums. The surgery also also give a new attachment apparatus by reconstructing the periodontal unit with bone grafting and guided tissue regeneration procedures.
Guided bone regeneration or GBR, and guided tissue regeneration or GTR are surgical procedures that utilize barrier membranes to direct the growth of new bone and soft tissue at sites having insufficient volumes or dimensions for proper function, esthetics or prosthetic restoration.
GBR is similar to guided tissue regeneration (GTR) but is focused on regeneration of hard tissues instead of soft tissues of periodontal attachment. Guided bone regeneration is predominantly applied in the oral cavity to support new hard tissue growth on an alveolar ridge to allow stable placement of dental implants. Used in conjunction with sound surgical techniques, GBR and GTR are reliable procedures.
When you have periodontal (gum) disease, the supporting tissues including bone is destroyed and pockets develop.Eventually, if too much bone loss occurs, the teeth will need to be extracted. Bone grafting is commonly used procedure in the treatment of bony defects in periodontal disease. Today, we have the ability to grow bone where needed. The bony defects are generally repaired using the patient’s own bone or the bone graft material from a tissue bank.
Bone grafting is possible because bone tissue has the ability to regenerate completely if provided the space into which to grow. As native bone grows, it will generally replace the graft material completely, resulting in a fully integrated region of new bone.
Careful management of extraction sockets following tooth extraction prevents bone loss and provides a better cosmetic outcome for tooth replacement. To increase the prognosis of future dental implant placement, a ridge preservation procedure is recommended. Recent studies show that 30-40% of the jaw bone is immediately lost from disuse atrophy. Application of bone graft and collagen barrier placement into the extraction socket preserves the bone and makes it possible for future implant placement..