Restorative Gum Surgery – 3 Approaches That Could Save A Tooth When Nothing Else Will
Your teeth are supported by the gums. They provide a seal around your teeth with supporting fibrous tissue called periodontal ligaments. Your gum tissue acts like a frame and provides form and shape to the top of your teeth.
When bacteria builds up and invades the gum pockets between the teeth, some bleeding, redness or swellings occurs. Periodontal or gum diseases are often the result of poor hygiene, among other.
In most cases, scaling and smoothing the root in addition to appropriate daily tooth care at home are all that you need for an acceptable treatment result; however, more advanced cases may require surgical treatment. If non-surgical therapy is inadequate and doesn’t work in halting the symptoms of disease activity, a periodontal procedure may be necessary to avert the progress of bone loss and restore lost bone wherever possible. Periodontal procedures, such as soft tissue grafts may be necessary when the tissue surrounding your teeth is in poor shape and cannot be restored with nonsurgical methods.
The gum graft procedure strengthens thin gums or can replenish gums in places where they have receded. There are three types of soft tissue grafts, listed as follows.
The free gingival graft is a periodontal procedure, which can prevent progressive gum recession. In this procedure, a narrow piece of flesh is taken from the palate and the tissue is sutured to the gum tissue on the area under treatment. This procedure is often used to increase the thickness of very thin gum tissue.
If the gums have deeply receded, a connective tissue graft may be needed. In this surgical procedure, a tissue flap is detached from below the palate’s outer layer. In this type of grafting, the sub-epithelial connective tissue is placed over the gum recession (outlined) area, to strengthen the attached tissue, improve the aesthetics and reduce root sensitivity. The versatility of this procedure is demonstrated in covering areas of single or multiple exposed roots.
The pedicle graft is a surgical procedure for grafting gingival tissue from a donor site to the site of an isolated defect in a tooth surface stripped of attached gum. A flap of the gum with the subcutaneous tissue is taken from the area nearest to the treatment site. The flap (pedicle) is slid sideways over the exposed root before being stitched into place. It is to be noted however, that this can only be done in particular cases and the number one requirement is a tooth with adequate gum tissue to “share” has to be adjoining to the treated area.
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