Please take as directed along with the NSAID. That's why excellent home care and several post-operative visits are required. Dr. Britten has trained in the latest minimally invasive techniques of gum grafting and can often perform the entire procedure through a pinhole incision. A standard cleaning becomes necessary when plaque hardened into tartar on the teeth. Cutting out the infected tissue keeps the rest of your mouth and body healthy. Our doctors will discuss the various options with you during a consultation so that you can proceed as a fully informed partner in your own treatment. This increases the bone support and helps keep the teeth in place. If you have any questions or concerns, please call our office at 847-658-3355. Learn about our Medical Expert Board Print Table of Contents View All Table of Contents What Is Osseous Surgery? We strongly request that you continue your regular oral hygiene habits on all other areas of your mouth. Because the surgery involves trimming and reshaping your gum tissue, this may create the illusion that your tooth is longer than before. To stop the bleeding, apply pressure on the surgical site with a moistened piece of gauze or a tea bag for 20 minutes. Because your mouth will be sensitive, the food that you eat during the first week should be soft.
The tooth is then stabilized and rendered fully functional with a crown or filling. This is a conscious sedation where you are breathing all on your own and you can respond to any commands we ask (open/close your mouth, bite down, etc. Avoid spicy, salty, acidic, very hot or very cold foods or liquids. Related: What is Tissue Grafting? This will also allow your gum tissue to reattach to healthy bone more effectively. Dental professionals estimate that as many as 90 percent of people worldwide have gingivitis. And, if you are anxious about the procedure, the best approach is to modify your oral health habits so that your gum disease doesn't recur or progress. When the bacteria from gum disease starts to infect areas of the bone, the infected area must be removed before it continues to spread. Other Helpful Report an Error Submit. The gums are released to access the bone and tooth roots underneath. Osseous surgery, also known as pocket reduction surgery, removes bacteria and deformities in the bone that surrounds the affected teeth, effectively treating periodontal disease. The defects may have been caused by trauma, developmental defects, periodontal disease, the wearing of dentures, or through previous tooth loss. This should be left on your face for about 20 minutes, then removed for 20 minutes, or alternated from side-to-side, between operated areas, for 2-3 hours after surgery.
Once the teeth and roots are clean, the gum tissues will be secured back into place. Preserve your youthful appearance. During the osseous surgery procedure, you will receive an injection of local anesthetic, to numb your gums. The grafting material needed can come from a variety of sources.
After a careful examination, Dr. Even-Hen will determine which type of bone graft and membrane to use to provide the best outcome for the lost bone tissue due to periodontal disease. Bring any necessary paperwork, dental insurance information, and personal identification. If your gum disease has been treated with antibiotics or root planing and is still progressing or has not reversed, your dentist may recommend osseous surgery. Osseous surgery is needed only when non-surgical treatment is not an option.
I would highly recommend you trying them out, you will come away from your visit with a feeling of having found the "Right Team"! The ideal candidate for implants is a non-smoker who has good oral health, including a sufficient amount of bone in the jaw and healthy gums with no sign of gum disease. Osseous surgery involves the gum tissue and is focused on reducing the depth of pockets (where bacteria collect) and for controlling infection. For the next 4-5 days, we suggest taking 400mg-800mg of Ibuprofen every six hours to reduce swelling and pain and quicken healing.
Sometimes you may need only minor bone grafting which can be done at the same time as the implant placement surgery. The surgery is performed here in our practice with the only laser specifically designed for the LANAP protocol the PerioLase MVP7. Once the bone and roots are accessible, the area will be cleaned through scaling. Osseous surgery, like dental scaling and root planing, is an extremely effective treatment for gum disease, but without adequate after-care, you may find that your gum disease returns or worsens. If you notice that your pain or swelling are only increasing, or that you have a fever, please call our office immediately. It is done to help regrow the bone damaged by the gum disease. The bone graft is then covered by special membrane and the gums are then sutured back into place. Professional dental cleanings are also advisable in order to remove bacterial deposits below the gum line. The grafting material will eventually be absorbed by your body and replaced by your own new bone. This drug will greatly decrease the possibility of post-surgical swelling and pain and has been shown to accelerate healing. BLEEDING: It is common to have slight bleeding for a few hours following periodontal surgery. Bone loss in the jaw bone is common when one or more teeth have been lost due to injury, decay, or trauma. Leukocyte –Platelet Rich Fibrin (L-PRF) changes all the rules as it promotes healing and bone growth from within your own body. Stop your teeth from shifting.
The gums may feel tender for the first week after the osseous surgery. Blood is a very strong "dye" and a little bit of blood will color your saliva dramatically. Gum disease is a chronic inflammatory disease that destroys the tissue and bone around the teeth. Uses for Bone Grafts. During the osseous/flap surgery procedure, the periodontist rolls the gum tissue back to better see the presence of calculus and tartar on hard to reach surfaces of the teeth. Eventually, the tooth root can loosen, potentially resulting in tooth loss, requiring an extraction to remove the affected tooth root. If the gum disease has spread further and may have reached your roots, some additional dental procedures may be done, including; Scaling and root planing.
If a patient is pregnant or has allergies to certain medications, additional precautions will need to be taken during oral surgery. Osseous surgery can stop the spread of infection, make it easier to maintain oral care at home and prevent further bone loss due to gum disease. Your practitioner will bandage the area to keep it covered as it begins to heal. Xenografts are often preferred when extra bone is needed to proceed with a dental implant procedure. Improving the health and strength of bone and gum tissue. Accessed July 2018"Regenerative Procedures. Bleeding is minimized, which goes a long way in your overall recovery and healing. The solution to these and other difficult situations is a new Platelet Therapy created from your own blood.
Your periodontist will want you to follow up in about a week to check the surgical area and ensure your mouth is healing properly. That will help remove any food particles, tartar, and plaque buildup before they spread and cause severe gum disease. We want your treatment to provide as positive a healing experience as possible. In order to ensure proper healing, smoothing the bone of these rough surfaces is necessary. Rather, they are gently pushed back to expose the root and bone underneath. If you lose teeth to decay, gum disease, or as the result of trauma, the underlying jawbone can also suffer negative effects. Over time, as the bacteria spreads, these pockets will deepen, causing further bone loss and tissue damage to occur. Without the use of a bone graft and collagen barrier at the time of extraction, studies show that 30-40% of the jaw bone is immediately lost. Their analgesic effect will be synergistic. For example, the jawbone's adaptability allows an orthodontist to move teeth into a better position with braces. The office will give you home care instructions to follow at home.
American Dental Association Mouth Healthy. Therefore, that could lead to not only tartar and plaque buildup but could also cause there to be bacteria in your mouth, which could lead to other dental diseases. In such circumstances, a crown lengthening procedure will correct this by exposing the shape of your natural teeth. Sometimes, gum disease causes gum recession. If the underlying bone has been damaged, the irregular surface will be smoothed out to limit areas where disease-causing bacteria can hide. Deeper pockets are more difficult for you and your dental care professional to clean, so it's important to keep them as small as possible. High protein foods and liquids are desirable for 3-5 days following surgery. Bone morphogenetic protein (BMP) treatment stimulates your body to regrow bone. Dental anxiety affects many patients and can hinder them from taking the next step to achieve their oral health care goals. Most commonly, when we have lost bone we can perform a procedure called ridge augmentation, which involves using bone grafts to rebuild the natural contours of your jaw. Permanent teeth are more stable and feel more like natural teeth. For more informative dental blogs, check out our Blog page.