Mild to moderate periodontal diseases does not require surgeries. It can be treated with non-surgical methods. Two simple methods of non-surgical treatments are scaling and root planing. Professional Dental cleaning is very common and is suggested for everyone. It should be done at least once or twice in a year. The dentist will remove the plaque and tartar during the check-up. The dentist will suggest you professional cleaning more than twice a year, if you have signs of gum diseases. The bacteria accumulate above and below the gum line of teeth and it cannot be completely removed with daily home care.

Sometimes, a simple cleaning may not be sufficient to remove the bacteria/plaque. Such cases require deep cleaning, called scaling and root planing. This is a non-surgical procedure, but done under local anesthesia. Scaling will help to scrape away the plaque and tartar from above and below the gum line. Planing is done to smooth the rough spots on the tooth root. It helps to remove the bacteria and cleanses the teeth surface.

Some may use drugs to treat periodontal diseases. It may be used along with surgeries or alone in order to eliminate the bacteria or to prevent the destruction of tooth attachment. Antibiotics are used to treat periodontal diseases. The doctor will prescribe you the right choice for you. Some of these are available in the form of mouth rinses or as a gelatin-filled chip. They can fight against the plaque and bacterial infection and protect the teeth from diseases.

Fluoride treatments are another option for non-surgical treatments. Chewing tablets, toothpastes and rinses are available in the market. Fluoride can protect the teeth and helps to make it stronger. The doctor may prescribe a short course of systemic antibiotics in a low dose of doxycycline in the form of tablets only in some cases.

Proper oral hygiene can also be considered as a non-surgical treatment option for periodontal disease. It may include-brushing the teeth twice a day, flossing and regular dental check-ups.

Wisdom teeth are usually situated at the back side of the gum. There will be four wisdom teeth in each corner of the gum. They are also known as third molars. They may take time to develop and may come up during late teenage or early twenties. They may get stuck or emerge partially due to lack of space. They are called impacted teeth. Such teeth can cause many dental issues like infection, gum diseases and tooth decay. If you are facing such issues because of the impacted wisdom teeth, it should be removed.

You should consult a dentist if you are experiencing discomfort and pain due to the impacted wisdom teeth. After thorough examination, the doctor will suggest you whether you require teeth removal or not. Teeth removal surgery will be conducted only after clearing up infections, if your teeth are infected. Tooth removal surgery is not a simple one. You should be prepared well before the surgery.

 

The first step for the surgery is giving anesthesia. You will be anesthetized before starting the surgery. Then, the gum tissue over tooth will be opened up and bone is taken out. The tissue that connects the tooth and bone will be separated and the teeth will be removed. The surgery site will be stitched after the teeth are removed. The stitch may dissolve over time or may be removed by the doctor.

Recovery may take only few days. Dentist may suggest you to take pain killers for a few days after the surgery. Even though the procedure is simple, it may have certain complications and risks like:

  • Swelling and pain in the tooth socket and gums
  • Bleeding
  • Pain
  • Damage to the dental bridges or crowns (if you are using it)
  • Dry socket (a painful inflammation)
  • Other rare side effects.

The procedure may take a few minutes. You may take good care after the surgery to prevent it from other complications and risks. Simple methods can help you from many issues. You can use ice packs to decrease the pain and swelling. You can rinse your mouth with salt water to speed up healing and prevent irritations. Tea bag is a good choice for those who suffer from bleeding after the teeth removal surgery.

Try to avoid:

  • Too hot or cool drinks
  • Smoking
  • Driving
  • Using straws
  • Use of alcohol and tobacco etc

Do not use pain relievers and such tablets without the prescription of the doctor. Talk to the doctor if you experience vomiting and nausea. Keep your mouth clean before and after surgery. It will help you to prevent infections.

There are non-surgical and surgical treatments for periodontal diseases. Severe conditions of periodontal diseases cannot be cured with non-surgical treatments and it requires surgeries. The main aim of the surgery is to remove the plaque/tartar from the gums and to strengthen the affected bone and gums.

Periodontal disease has became one of the common diseases. The infection that affects the periodontal tissues (alveolar bone, gingiva, periodontal ligament and cementum) teeth is basically known as periodontal disease. Simply saying, it can be called as a serious infection that affects the bone and supporting soft tissues of the teeth. It may even cause tooth decay and other severe issues. Usually, poor oral hygiene causes periodontal infections. Lack of proper cleaning leads to the growth of plaque and tartar. Mass of plaque and tartar cause damages to the periodontal tissues and finally reaches in periodontal diseases.

Let us go deep about periodontal diseases and it is prognosis. Plaque (biofilm) is made up of millions of bacteria. Growth of plaque should be prevented from the early stage. When the plaque is not removed properly, it causes infection. Over time, the infection spreads and becomes severe dental issues like periodontal diseases. Periodontal diseases are classified into different types according to it is severity:

  • Gingivitis: The mildest form of periodontal diseases is called gingivitis. As a result of the infection, gums will become swollen, red and easily bleed. In adequate oral hygiene is the main cause of gingivitis. It can be cured with good oral care and professional treatment. Other factors that can cause gingivitis are-smoking, diabetes, inadequate nutrition, puberty, HIV infection, certain medication, substance abuse, puberty, stress, and other systemic diseases and conditions.
  • Periodontitis: Gingivitis, when untreated will develop further and become periodontitis. Over time, the plaque spreads and develops below the gum line. As a result, the symptoms get worse. Without proper treatment, teeth can be lost or should have to be removed eventually. There are different forms of periodontitis such as:
    • Aggressive periodontitis: Patients with aggressive periodontitis will be healthy otherwise. The most common features of aggressive periodontitis include bone destruction and rapid attachment loss.
    • Chronic periodontitis: As a result, the supporting tissues of the teeth will inflame and cause bone loss. It is the most common form of periodontitis. The main characteristic of this type of periodontitis are pocket formation and gingival recession. It can occur at any stage and most prevalent among adults.

Periodontitis can also occur as a manifestation of systemic diseases. Diseases associated with this form of periodontitis are-diabetes, respiratory diseases and heart diseases.

Necrotizing periodontal disease: It is a kind of infection with the characteristic of gingival tissue necrosis. Necrosis may also affect the periodontal ligament and alveolar bone. These abrasions are visible among individuals with systemic conditions such as malnutrition, immunosuppression and malnutrition.

Gum depigmentation is a cosmetic procedure done for aesthetic reasons. Normally, the color of the gum tissue (gingiva) is pink. But, in many people it may not be so. Some of them will have certain black spots or patches and makes their smile awkward. It can be caused due to different reasons. Excess deposits of melanin or long term use of certain medication can be the reasons. Some may have small spots or blotches on the gums whereas some may a complete black gums. Black gums indicate that, all or most of the gums are affected. People with gummy smile have more problems with this. But, it can be removed completely with simple surgical procedures. During the surgery, the surgeon will remove the pigmented areas and get you the natural pink color back.

The technology has improved and use of laser in treatments has become very common. Depigmentation can be done using laser. Laser can wear away the melanocytes which produce melanin. Reducing the production of melanin can also reduce the discoloration or dark spots on the gums. Laser gum depigmentation can make the gums lighter and make the gum color more uniform. Laser treatment will not have the complications of bleeding, pain and other post operative discomforts. The wounds will take almost four days to heal completely. Depigmentation will not occur again during the follow up treatments after the laser treatment. Laser is considered to be a most reliable and satisfactory procedure.

As a result of the treatment, your smile will look more beautiful and healthy. It can accelerate the rate of confidence in an individual. In rare cases, people may have itchy gums for a short period after the surgery. The treatment may require only one visit. Apart from surgery, some doctors may use bleaching solutions or chemical agents. But, it may not give a long lasting and satisfactory result. Gum depigmentation is not medically dangerous. People fear of depigmentation due to cosmetic reasons.

Gum re-contouring is a kind of gum surgery mostly chosen for cosmetic reasons. It is also known as gum reshaping, used to enhance the smile of an individual. When a person's front teeth are covered with gum at a high percentage, it is considered to be a gummy smile. It affects the self-confidence of an individual. Main reasons for gummy smile can be genetic factors or as a side effect of some medication. Gum re-contouring is a painless method to treat gummy smile.

Usually, the procedure is done using a scalpel. Nowadays, lasers have also become common. Using lasers or scalpel, the excessive gum will trim away. The procedure is fast and painless. Laser is much faster than scalpel. The procedure starts with a local anesthetic. Then, the surgeon will cut away the access gum with laser or scalpel device. After the cutting procedure, the surgeon will also shape the gum in order to give it the exact shape.

It may take time to heal if scalpel device is used for the procedure. Laser makes it easy and quick to heal. In some cases, removing the gums only may not be enough. The surgeon may also remove some of the bone. Healing will be quick and faster with the use of laser. After completing the procedure of gum contouring, the doctor may prescribe crowns or veneers to enhance the smile.

Gum re-contouring is a simple procedure to enhance one's smile and self-confidence. As all the other surgeries, it does has certain risks and complications. Quickness, simplicity of the procedure and relatively painless are the main advantages of the procedure. As it is a surgery, which involves cutting tissue and bone, there will be risks and complications. It may include-bleeding, swelling and infections.

In short, gum contouring (also known as gum reshaping) is a kind of cosmetic dental treatment used to enhance the general look of one's teeth. People who have a gummy smile are mostly the candidate for gum contouring procedure.

  • Bone graft surgery: During this procedure, the affected bone will be replaced using fragments of bone, synthetic bone or donated bone. Grafts has the power to restore the teeth stability and it act as the platform for bone re-growth.
  • Bone surgery: It is done in order to prevent bone loss. During the procedure, the surgeon smoothen the shallow craters in the bone. This procedure makes the bone stronger and makes it difficult for bacteria to amass and grow.
  • Soft tissue grafts: This procedure is done in order to boost the receded gums or fills. Tissues will be taken from the roof of the mouth will be stitched to the affected area.
  • Flap surgery/pocket reduction surgery: During this procedure, the tartar will be removed by lifting the gums back. Pocket reduction surgery is done to reduce the pockets below the gum line to prevent the growth of bacteria over there.
  • Guided tissue regeneration: This procedure is done when the bone that supports the teeth is destroyed. The bone and gum tissue will be stimulated with this procedure. This procedure is usually done along with flap surgery.

Most of the periodontal surgeries are minor and can be done in the clinic with local anesthetic. They are not meant to cure the disease completely. These surgeries may not hurt much. The patient may face very little discomfort. One of the negative aspect of the surgery is that, the patient may have teeth sensitivity.

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