| Leading Dental Tourism in India with Quality, Technology & Care - Dental Implants, Smile Design and Cosmetic Dentistry |
|||
|
|||
Periodontics |
|||
Gum Disease
(Periodontitis)
|
|||
| Laser
Dentistry The latest technology to treating gum disease.
Laser Periodontal Therapy takes less time and requires fewer follow up visits than traditional surgery. |
These procedures are a predictable way to cover unsightly, sensitive or exposed root surfaces and to prevent future gum recession. If you are unhappy with the appearance of short unsightly teeth this can be greatly improved by a combination of periodontal procedures by Dr. Anshu and cosmetic dentistry by your dentist.
Although your teeth appear short, they may actually be the proper length. The teeth may be covered with too much gum tissue. We can correct this by performing the periodontal plastic surgery procedure, crown lengthening.
During this procedure, excess gum and bone tissue is reshaped to expose more of the natural tooth. This can be done to more than one tooth, to even your gum line, and to create a beautiful smile.
Another cosmetic procedure is the soft tissue graft. It is used to cover unattractive tooth roots, reduce gum recession and protect the roots from decay and eventual loss.
Tooth loss causes the jawbone to recede and can lead to an unnatural looking indentation in your gums and jaw, an appearance of a general aging. The original look of your mouth may not be recaptured because of spaces remaining under and between replacement teeth. They may appear too long compared to nearby teeth.
Bone grafting following tooth
loss can preserve the socket/ridge and minimize gum and bone collapse.
There is less shrinkage and a more esthetic tooth replacement for either
an implant crown or fixed
bridge around the replacement teeth.
Flap Surgery: Periodontal Flap Surgery, which is also called pocket depth reduction, your periodontist folds the gum back away from the tooth. Periodontal Flap surgery is recommended in many cases where pocketing depths have reached a level that makes maintenance or cleansing difficult. It is often associated with areas of bone loss and inflammation of the gum tissue around the teeth when scaling and root planing have been unsuccessful in eliminating the entire pocket of decay, or when there has been bone loss that needs to be surgically corrected, then a dentist may perform periodontal flap surgery.
In flap surgery, under local anesthesia, small incisions are made in the gum, so that it can be lifted back to expose the tooth and bone. The entire area is carefully cleaned and all tarter and infected granulation tissue are removed and the bone is examined. Because periodontal disease causes bone loss, often the bone will need to be re-contoured in order for the gum to heal properly.
After scraping away the bacteria-laden plaque and tartar, the dentist removes diseased tissue and smoothes the surface of damaged bones. Then the dentist sews the tissue back into place. Removing or smoothing damaged tissue allows the gum tissue to better reattach to healthy bone.
Click here for Post Op (Self-Care) instructions following Periodontal Flap Surgery
Gingivectomy: This procedure is performed when excess amounts of gum growth around the teeth have occurred. This results in false pocket formation and the inability to keep them clean.
Guided Tissue Regeneration: This procedure is done in combination with a surgical flap operation where gum growth into a defect is barriered off to allow slower growing bone, cementum and ligament cells to populate a bony defect.
Gingivoplasty: Gingivoplasty is a procedure in which we surgically reshape and re-contour the gum tissue for cosmetic, physiological, or functional purposes.
Gingivoplasty is the surgical reshaping of the outer surface of the gums and it's usually done in combination with gingivectomy. The term comes from gingiva meaning gums and the word ending -plasty meaning to reshape. Many patients have a gummy smile which is caused by excessive and overgrown gum tissue. Excess gum tissue can usually be removed to reveal a beautiful smile underneath.
After a gingivectomy procedure, the gingivoplasty procedure thins the remaining gums tissue so the tissue looks natural and pleasing. It's done this using an electrosurgery unit and a specially designed electrical cutting tip. The electrosurgery unit uses electricity to cut the gum tissues and at the same time, causes the gum tissues to clot and stop bleeding.
Gingivoplasty corrects the remaining thick and unnaturally shaped gum tissue left after the gingivectomy procedure exposes the hidden teeth. Natural gum tissue thins as it approaches and surrounds teeth. It can get confusing because the two procedures are almost always used at the same time. These procedures can also be used to reshape irregularly shaped and unattractive gums.
Gingivoplasty procedures are usually done with local anaesthetics. The electrosurgery equipment minimizes bleeding and most patients experience very little post operative pain after the procedure
Scaling
: Scaling is procedure that meticulously
removes contamination toxins, micro-organisms, plaque, tartar, cementum,
dentin that is rough and/or permeated by calculus from around, below and
under the gum line down to the bottom of the pocket. This is done to remove
biofilm, calculus, and toxin down to the bottom of each periodontal pocket
in order to obtain a healing response.
Root
Planing: Root planing involves smoothing the root surfaces of
your teeth with thin curettes so gum tissue can more firmly reattach to
roots that are clean and smooth to prevent tooth loss and sensitivity
problems. The procedure makes it more difficult for plaque to accumulate
along the root surfaces. Because this procedure goes deeper than a regular
cleaning, your mouth may be numbed. The cleaning may take two visits to
complete. Depending on the extent of the disease you may need one or more
sections (quadrants) of the mouth to be treated with scaling and root
planing. Treatment may require one or more visits.
Periodontal
scaling is a treatment procedure which involves the instrumentation
of the crown and root surfaces of the teeth. Plaque, calculus, and stains
will be removed from these surfaces. It is performed on patients with
periodontal disease and is therapeutic, as apposed to prophylactic and
may precede root planning. It is a definitive, meticulous treatment procedure
aimed at the removal of cementum and/or dentin that is rough and is possibly
permeated by calculus, or even contaminated with toxins or microorganisms.
When carried out thoroughly, some unavoidable soft tissue removal occurs.
This procedure can be used as a definitive treatment or as part of pre-surgical
therapy ("tissue preparation") depending on how far the periodontal
disease has advanced. Debriding the root surface is a critical element
in establishing periodontal health.
Antibiotics: Because bacteria cause periodontitis antibiotics may be prescribed as pills or as an Antibiotic fiber. The fibers are used in conjunction with scaling and root planing. They are placed directly into the pockets and are removed within 7-10 days later. Antibacterial mouth rinses may also be recommended to help plaque control.
Bite correction: An imbalanced bite may accelerate bone destruction. Your teeth may be adjusted for proper and better function. A Bite-guard (removable retainer fitting over teeth) may be required to protect teeth surfaces and relax tense muscles. Splinting:
This technique attaches weak teeth together, combining them into a stronger
single unit, making them more sable and offering more comfortable chewing.
Please contact us to setup a consulation.
Our oral surgeons will take care of your gum problems in minutes!!
_________________________________________________________________________________
(FAQ )Frequently Asked Questions about Preiodontal Disease
Who is a periodontist?
A periodontist is a dentist who specializes in the prevention, diagnosis and treatment of periodontal disease and in the placement of dental implants. Periodontists receive extensive training in these areas, including three additional years of education beyond dental school. Periodontists are familiar with the latest techniques for diagnosing and treating periodontal disease. In addition, they can perform cosmetic periodontal procedures to help you achieve the smile you desire. Often, dentists refer their patients to a periodontist when their periodontal disease is advanced. However, you don't need a referral to see a periodontist. In fact, there are occasions when you may choose to go directly to a periodontist or to refer a family member or friend to your own periodontist.Is there a relationship between tobacco use and periodontal disease?
Studies have shown that tobacco use may be one of the most significant risk factors in the development and progression of periodontaldisease. Smokers are much more likely than non-smokers to have calculus form on their teeth, have deeper pockets between the teeth and gums and lose more of the bone and tissue that support the teeth.What are Causes of Periodontal Disease
The main cause of periodontal disease is bacterial plaque, a sticky, colorless film that constantly forms on your teeth. However, factors like the following also affect the health of your gums.
Smoking/Tobacco Use
As you probably already know, tobacco use is linked with many serious illnesses such as cancer, lung disease and heart disease, as well as numerous other health problems. What you may not know is that tobacco users also are at increased risk for periodontal disease. In fact, recent studies have shown that tobacco use may be one of the most significant risk factors in the development and progression of periodontal disease.
Genetics
Research proves that up to 30% of the population may be genetically susceptible to gum disease. Despite aggressive oral care habits, these people may be six times more likely to develop periodontal disease. Identifying these people with a genetic test before they even show signs of the disease and getting them into early interceptive treatment may help them keep their teeth for a lifetime.
Pregnancy and Puberty
As a woman, you know that your health needs are unique. You know that brushing and flossing daily, a healthy diet, and regular exercise are all important to help you stay in shape. You also know that at specific times in your life, you need to take extra care of yourself. Times when you mature and change, for example, puberty or menopause, and times when you have special health needs, such as menstruation or pregnancy. During these particular times, your body experiences hormonal changes. These changes can affect many of the tissues in your body, including your gums. Your gums can become sensitive, and at times react strongly to the hormonal fluctuations. This may make you more susceptible to gum disease. Additionally, recent studies suggest that pregnant women with gum disease are seven times more likely to deliver preterm, low birth weight babies.
Stress
As you probably already know, stress is linked to many serious conditions such as hypertension, cancer, and numerous other health problems. What you may not know is that stress also is a risk factor for periodontal disease. Research demonstrates that stress can make it more difficult for the body to fight off infection, including periodontal diseases.
Medications
Some drugs, such as oral contraceptives, anti-depressants, and certain heart medicines, can affect your oral health. Just as you otify your pharmacist and other health care providers of all medicines you are taking and any changes in your overall health, you should also inform your dental care provider.
Clenching or Grinding Your Teeth
Has anyone ever told you that you grind your teeth at night? Is your jaw sore from clenching your teeth when you're taking a test or solving a problem at work? Clenching or grinding your teeth can put excess force on the supporting tissues of the teeth and could speed up the rate at which these periodontal tissues are destroyed.Diabetes
Diabetes is a disease that causes altered levels of sugar in the blood. Diabetes develops from either a deficiency in insulin production (a hormone that is the key component in the body's ability to use blood sugars) or the body's inability to use insulin correctly. According to the American Diabetes Association, approximately 16 million Americans have diabetes; however, more than alf have not been diagnosed with this disease. If you are diabetic, you are at higher risk for developing infections, including periodontal diseases. These infections can impair the ability to process and/or utilize insulin, which may cause your diabetes to be more difficult to control and your infection to be more severe than a non-diabetic.
Poor Nutrition
As you may already know, a diet low in important nutrients can compromise the body's immune system and make it harder for the body to fight off infection. Because periodontal disease is a serious infection, poor nutrition can worsen the condition of your gums.
Other Systemic Diseases
Diseases that interfere with the body's immune system may worsen the condition of the gums.Is it normal for my gums to bleed when I brush my teeth?
Bleeding gums are one of the signs of gum disease. Think of gum tissue as the skin on your hand. If your hands bled every time you washed them, you would know something was wrong. There are a number of other warning signs of gum disease.
What are pockets?
Your bone and gum tissue should fit snugly around your teeth like a turtleneck around your neck. When you have periodontal disease, this supporting tissue and bone is destroyed, forming "pockets" around the teeth. Over time, these pockets become deeper, providing a larger space in which bacteria can live. As bacteria develop around the teeth, they can accumulate and advance under the gum tissue. These deep pockets collect even more bacteria, resulting in further bone and tissue loss. Eventually, if too much bone is lost, the teeth will need to be extracted.Could my periodontal disease be genetic?
Research proves that up to 30% of the population may be genetically susceptible to gum disease. Despite aggressive oral care habits, thesepeople may be six times more likely to develop periodontal disease. Identifying these people with a genetic test before they even show signs of the disease and getting them into early interventive treatment may help them keep their teeth for a lifetime.Can I pass my periodontal disease to others?
Periodontal disease may be passed from parents to children and between couples, according to an article in the September 1997 issue of the Journal of the American Dental Association. Researchers suggest that bacteria causing periodontal disease are passed though saliva. This means that when a family or couple come into contact with each other's saliva, they're at risk for contracting the periodontal disease of another family member. Based on this research, the American Academy of Periodontology recognizes that treatment of gum disease may involve entire families. If one family member has periodontal disease, the AAP recommends that all family members see a dental professional for a periodontal disease screening.Prevention
What can I do to avoid periodontal disease?
To keep your teeth for a lifetime, you must remove the plaque from your teeth and gums every day with proper brushing and flossing. Regular dental visits are also important. Daily cleaning will help keep calculus formation to a minimum, but it won't completely prevent it. A professional cleaning at least twice a year is necessary to remove calculus from places your toothbrush and floss may have missed.
Other factors can affect the health of your gums.
I'm over 55. Does this mean I'm more likely to get periodontal disease?
Your chances of developing periodontal disease increase considerably as you get older. More than half of people aged 55 and older have periodontitis. The good news is that research suggests that these higher rates may be related to risk factors other than age. So, periodontal disease is not an inevitable part of aging. Risk factors that may make older people more susceptible include general health status, diminished immune status, medications, depression, worsening memory, diminished salivary flow, functional impairments and change in financial status.
When should I see a periodontist?
If you value your oral as well as overall health, anytime is a good time to see a periodontist for a periodontal evaluation.Sometimes the only way to detect periodontal disease is through a periodontal evaluation. A periodontal evaluation may be especially important in the following situations:
What can I expect the first time I visit a periodontist?
During your first visit, your periodontist will review your complete medical and dental history with you. It's extremely important for your periodontist to know if you are taking any medications or being treated for any condition that can affect your periodontal care. You will be given a complete oral and periodontal exam. Your periodontist will examine your gums, check to see if there is any gum line recession, assess how your teeth fit together when you bite and check your teeth to see if any are loose. Your periodontist will also take a small measuring instrument and place it between your teeth and gums to determine the depth of those spaces, known as periodontal pockets. This helps your periodontist assess the health of your gums. Radiographs (x-rays) may be used to show the bone levels between your teeth to check for possible bone loss.What is Flap and Bone Surgery
When gum is inflamed severely (periodontitis), alveolar bone will be absorbed, and defected. Periodontal ligaments which connect between the alveolar bone and the teeth will disappear. Sever bone lose will cause tooth moving and missing. Flap and bone surgery is order to contour the bone, deeply clean the tooth to reduce the inflammation, and promote bone re-growing and connections firm.
Gingivectomy and Gingivoplasty (Gum Removal) FAQ
My gums have become loose and larger than normal. What's wrong?
Healthy gums, tight against the necks of the teeth, are an important part of a beautiful smile. But sometimes, a problem like this can develop. As the gums extend onto the front surface of the teeth, the natural balance between the length of the teeth and the height of the gums was lost. Your dentist will probably recommend a gingivectomy procedure to reduce your gums.
What is a gingivectomy and what does it entail?
The first step in a gingivectomy, or gum-removal procedure, is making sure that all of the involved areas are completely numb with a local anesthetic. Your dentist then carefully makes a small incision and removes the excess gum tissue. After removing the gum tissue, the doctor will put a temporary putty-like substance over your gum line. This will protect your gums while they heal. You can eat soft foods and drink cool or slightly warm liquids while the putty is in place and your gums are healing.
What is a gingivoplasty?
Gingivoplasty is a procedure in which we surgically reshape and re-contour the gum tissue for cosmetic, physiological, or functional purposes. Gingivoplasty is the surgical reshaping of the outer surface of the gums and it's usually done in combination with gingivectomy. Many patients have a gummy smile which is caused by excessive and overgrown gum tissue. Excess gum tissue can usually be removed to reveal a beautiful smile underneath.
How is a gingivoplasty done?
After a gingivectomy procedure, the gingivoplasty procedure thins the remaining gums tissue so the tissue looks natural and pleasing. It's done this using an electrosurgery unit or a soft tissue laser. The electrosurgery unit uses electricity to cut the gum tissues and at the same time, causes the gum tissues to clot and stop bleeding.
It sounds like one and the same. What is the difference between a gingivoplasty and a typical gingivectomy procedure?
Gingivoplasty corrects the remaining thick and unnaturally shaped gum tissue left after the gingivectomy procedure exposes the hidden teeth. Natural gum tissue thins as it approaches and surrounds teeth. The two procedures are almost always used at the same time. These procedures can also be used to reshape irregularly shaped and unattractive gums.
How long do the effects of a gingivectomy take to heal?
A couple of weeks after the gum removal procedure, the area will be completely healed.
Will I be able to see the results of my gingivectomy right away?
Once your gum removal surgery has healed, you should notice how much more natural this area looks.
I have periodontitis (severe gum disease). Why has my dentist recommended a gingivectomy?
You may need surgery for severe gum disease (periodontitis) if it cannot be cured with antibiotics or root planing and scaling. A gingivectomy removes and reshapes loose, diseased gum tissue to get rid of pockets between the teeth and gums.
It sounds painful. Is it safe?
Gingivectomy and gingivoplasty procedures are usually done with local anesthetics. The electrosurgery equipment minimizes bleeding and most patients experience very little post operative pain after the procedure. A gingivectomy is a safe and predictable way to remove excess gum tissue and improve the natural appearance of your smile.
Oral Care Products
What kinds of oral care products should I use?
Here are some guidelines for choosing dental care products – what works for most patients most of the time. To find out what is best for your particular needs, talk to your periodontist.
How should I choose oral care products?
Choose products that carry the American Dental Association Seal of Acceptance – an important symbol of a dental product's safety and effectiveness.
What is gum disease?
Gum disease refers to inflammation of the soft tissue (gingiva) and abnormal loss of bone that surrounds the teeth and holds them in place. Gum disease is the second most common cause of toothache.What causes gum disease?
Gum disease is caused by toxins secreted by bacteria in "plaque" that accumulate over time along the gum line. This plaque is a mixture of food, saliva, and bacteria.What are symptoms of gum disease?
Early symptoms of gum disease include gum bleeding without pain. Pain is a symptom of more advanced gum disease as the loss of bone around the teeth leads to the formation of gum pockets. Bacteria in these pockets cause gum infection, swelling, pain, and further bone destruction. Advanced gum disease can cause loss of otherwise healthy teeth.How is gum disease treated?
Treatment of early gum disease involves oral hygiene and removal of bacterial plaque. Moderate to advanced gum disease usually requires a thorough cleaning of the teeth and teeth roots called "root planing" and "subgingival curettage." Root planing is the removal of plaque and tartar (hardened plaque) from exposed teeth roots while subgingival curettage refers to the removal of the surface of the inflamed layer of gum tissue. Both of these procedures are usually performed under local anesthesia and may be accompanied by the use of oral antibiotics to overcome gum infection or abscess. Follow-up treatment may include various types of gum surgeries. In advanced gum disease with significant bone destruction and loosening of teeth, teeth splinting or teeth extractions may be necessary.
Find Out More
Determine if you are at risk for periodontal disease.
You may not realize that persistent swollen, red or bleeding gums, tooth sensitivity, and bad breath are warning signs of periodontal (gum) disease -- a serious infection that, left untreated, can lead to tooth loss.
Jot down your answers to the following questions to find out if you have the symptoms of periodontal disease.
This is a "must visit" if you are going to India
for any medical treatment....
Click here to read more 
Our trip to India from USA was successful. We are very happy with the dental treatment we got from Dr. Anshu. "The thing that struck me the most about Dr. Anshu . Click here to read more
During
my visit from USA, I was impressed anew by the attitude of you and your
superb staff. You really have created ...
Click here to read more
I
recently completed my dental treatment from Dr Anshu during one of my
family visits to Chandigarh, India from USA. She completed the extensive
treatment plan in a short period of time ....Click
here to read more
Home | Dental Tourism in India | Meet Our Doctors | Service List | Smile Gallery | Visual Tour of Clinic | Client Testimonials | Visitor's Packages | Contact Us | Patient Education | Technology | Dental Glossary | Dental Implants | Smile Design | Cosmetic Dentistry | Braces (Orthodontics) | Endodontics | Restorative Dentistry (Fillings) | Metal Free Crowns and bridges | Teeth Whitening | Dentures | Periodontics | Pedodontics | Oral Surgery | Flap Surgery | Bone Grafts | Procera | IPS-EMPRESS | CAPTEK CROWNS
Copyright © 2008 chandigarhdentist.com Last Updated: Jan 5, 2010. Contact Webmaster for any feedback. Click here for our confidentiality and advertising Policy
