Periodontics

  • periodontics

We provide a wide range of treatment options for patients with gum disease.

Our periodontal services include:

  • Scaling and Root Planing
  • Crown lengthening
  • Open flab debridement
  • Osseous surgery
  • Periodontal maintenance
  • Arestin® injection

Scaling and Root Planing

Scaling and root planing are types of non-surgical procedures implemented in order to treat gum disease before it can progress and cause further oral damage. The procedures involve removing all of the plaque and tartar accumulation that are found in between teeth, on the gums and on the roots. It may involve just a few teeth or may need to be implemented on all of the teeth.

Crown lengthening

Your teeth may actually be the proper lengths, but they are covered with too much gum tissue. Crown lengthening is a procedure to correct this condition. During this procedure, excess gum and bone tissue is re-shaped to expose more of the natural tooth. This can be done to one tooth, to even your gum line, or to several teeth to expose a natural, broad smile. Crown lengthening can make a restorative or cosmetic dental procedure possible. Perhaps your tooth is decayed, broken below the gum line, or has insufficient tooth structure for a restoration, such as a crown or bridge. Crown lengthening adjusts the gum and bone level to expose more of the tooth so it can be restored.

The open flap debridement

The open flap debridement (also referred to as pocket reduction surgery) procedure is a surgical periodontal treatment where the gums are cut to increase accessibility to the teeth. When pockets begin to develop between the teeth and the gums they become difficult to clean and inhibit your dentist’s ability to treat your periodontal disorder. These gum pockets are susceptible to plaque and tartar accumulation and surgery is required to remove these hazardous materials before they cause further damage. Certain periodontal treatments can only be implemented with complete access to the gums. For example, before a scaling and root planing procedure, an open flap debridement is needed to increase access. During the procedure the developed pockets in the gums are reduced, this isolates where the plaque and bacteria can move to. The gum tissue is then lifted or folded away from the tooth and surrounding bone and the diseased root surfaces are removed using the scaling and root planing procedure. Following the procedure the tissues are secured using stitches.

Osseous surgery

One of the most common surgical procedures, incisions are made around the tooth, and the gum tissue is pulled back slightly. This provides access to thoroughly remove all plaque and calculus. Irregularities of the bone caused by the disease are smoothed over and the tissue placed at a higher level around the tooth, closer to the bone. When the procedure is completed, sutures are used. A protective dressing often is placed around the necks of the teeth to cover the surgical area and to help secure the new gum-to-tooth relationship. You will need to be seen in 7-10 days to remove any remaining sutures and evaluate your healing. By moving the gum closer to the bone, the pockets will be reduced or eliminated. However, the tooth will appear longer and the spaces between the teeth will be larger. In cosmetic areas, other treatment options may be considered depending on how much gum tissue is exposed.

Periodontal maintenance

Periodontal maintenance is a cleaning procedure performed to thoroughly clean the teeth.  Maintenance is an important dental treatment for halting the progression of periodontal disease. Periodontal disease and gingivitis occur when bacteria from plaque colonize on the gingival (gum) tissue, either above or below the gum line.  These bacterial colonies cause serious inflammation and irritation which in turn produce a chronic inflammatory response in the body.  As a result, the body begins to systematically destroy gum and bone tissue, making the teeth shift, become unstable, or completely fall out.  The pockets between the gums and teeth become deeper and house more bacteria which may travel via the bloodstream and infect other parts of the body.

Arestin® injection

Arestin® is an effective antibiotic treatment that comes in powder form. This powder is placed inside infected periodontal pockets just after the dental professional finishes the scaling and root planing (SRP) procedure. Arestin ® powder contains “Microspheres” which are tiny, bead-like particles that are smaller than grains of sand and are not visible to the eye. The Microspheres are filled with the antibiotic minocycline, and they release the drug over time into the infected periodontal pocket, killing bacteria that live there. Arestin ® Microspheres continue to fight the infection for up to 21 days after SRP. In clinical studies, Arestin ® has been proven to be more effective than using SRP alone. Arestin ® also significantly reduced the size of periodontal pockets compared to SRP alone.