In the treatment of periodontal disease, the depth of the pockets between the teeth and the gingiva must be measured by a special tool. Diagnosis is made according to the amount and depth of these pockets and treatment is planned.The goal of treatment is to shallow them as possible, since the deep pockets will create a suitable environment for rapid progression for periodontal disease . Because it is impossible for you to completely clean microorganisms in deep pockets by brushing and using dental floss.
The treatment to be applied according to the level of your periodontal disease is as follows:
MORE FREQUENT TARTAR SCALING Routine cleaning and checking is done every 6 months, and people with periodontal disease or those who are inclined to it is cleaned at shorter intervals that the doctor will determine.The microorganisms in the plaque that settles to the pockets multiply enough to cause damage to the bone within 3 months.Frequent tartar scaling prevents this accumulation and prevents damage to the bone.
In this respect it is very important to apply hygiene education , to be provided by your physician or hygienist , correctly and completely.
ROOT SURFACE REDUCTION (PERIODONTAL CURETTE - CURETTAGE ) Root surface reduction , commonly known as curettage, is the process of excavation of attachments that are attached to the root surface with the help of special curette, removal from the surface and ensuring that the gum is attached again to the root surface by releasing the healthy root surface .
GINGIVECTOMY AND GINGIVOPLASTY In some cases, gingival enlargements are observed as inflammatory, drug-induced or hereditary . If this gingival growth is not accompanied by bone formation or if there are no defects at the depth required to form the bone , we can remove the gingival enlargements by cutting the soft tissue wall of the pocket between the teeth and gums. This process is called Gingivectomy . After this procedure, gingivoplasty is usually performed to restore normal physionomy of gingiva with surgical methods.
GINGIVAL FLAP SURGERY If periodontal pockets cannot be curetted by curettage and cannot shallow by root surface reduction , the gingiva forming the pocket is surgically removed. In very deep pockets, the gums are lifted as a whole and the required root surface reduction is performed, closed and secured in place with stitches . If it is necessary to support the molten at this stage or if it is thought to be able to create bone in that area , it is tried to recover the lost tissue by placing hard tissue grafts or bone particles obtained from the patient's own tissue in the defect area.
It is a simple operation to extend the remaining portions above the gum line of teeth ( visible parts in the mouth ) . In some cases, caries or broken gingival reaches below the level or length of the tooth is too short .In similar cases , retention of prosthetic (crown, bridge, etc.) treatments to be performed and for gingival health it is necessary to extend the level of the gingival to the root part .
Soft tissue graft: It is the process to cover the significantly gingival recessions , occurred one or several teeth due to anatomical errors or gingival diseases , misuse of toothbrush , with soft tissue fragments taken from a different area of the mouth ( usually the palate ) . Made generally for aesthetic purposes or in some cases , the progression of gum disease for protective purposes .
Hard tissue graft : In areas where bone loss is at an advanced dimension during flap operations, bone formation is induced by artificial or natural bone dust applications.