Periodontitis is the inflammation of tissue around teeth. Gums that firmly hold your teeth in place are the soft targets of periodontitis. A periodontal disease initiates as a swelling in the gums called gingivitis, later progressing to periodontitis which is a severe condition.
Poor dental hygiene, hormonal imbalance, family history of dental diseases, and other disorders can cause periodontitis. Preliminary signs of periodontitis include red, tender, and swollen gums; bad breath; shift in biting patterns; gaps in teeth; and loose or shifting teeth.
Gingivitis is often easily neglected. Many of you may have some form of periodontal disease but may well be unaware of this condition. Only a certified periodontist may accurately diagnose and treat this condition.
Periodontics is a specialized branch of dentistry solely dedicated to periodontal disease treatment. Periodontal treatment may be either surgical or nonsurgical.
Dental curettage is a nonsurgical treatment option. This treatment is usually offered at the initial stage of the disease. A curette works its way around your teeth and gums removing harmful plaque and tartar build up. Furthermore, the roots may be planed for smoothening the root surfaces. This ensures the closure of periodontal pockets and filling up of gaps, if any.
Gum graft surgery is targeted at individuals with receding gums. Tissue loss around the gums causes gum receding. This is accompanied by swelling, bleeding, infection, and pain. Furthermore, increased sensitivity of the root and dental caries are other typical symptoms. Gum recession is a gradual process that manifests over a period. Grafting involves transfer of healthy tissue from a different source to facilitate tissue reconstruction.
There are three types of gum graft surgery:
Free gingival graft: In this technique, the donor tissue is usually sourced from the palate and transferred to the affected area. This technique has the most efficient treatment outcome because the donor and recipient tissues are identical in composition. A thin slice of healthy gum tissue is extracted from the palate and placed onto the affected area. Because the graft is completely isolated and free of the donor site, the technique is called free gingival graft. The healing period may vary on an individual basis; however, the average healing period lasts from a couple of weeks to a month.
Connective tissue graft: Connective tissue grafts are common in the treatment of exposed roots. The technique is similar to that of free gingival graft, and the palate tissue is the primary donor site. Connective tissue grafting involves transfer of a thick section of palate tissue comprising the primary and specialized tissues. The technique is highly intensive, requiring sharp surgical skills and care from the surgeon’s end. The success of this technique is highly dependent on graft acceptance, vascular growth around the recipient tissue, wound healing, superior surgical skills, and postoperative care. The advantages of connective tissue grafts are superior root coverage, lesser trauma and postoperative complications, and enhanced aesthetic appeal owing to high compatibility and similarity with the original gum tissue colour and appearance.
Pedicle graft: In a pedicle graft, a part of the donor tissue is slit and extended such that the recipient site is in contact with the original donor site. Thus, the recipient tissue is ensured of all the nutrition and the vascular support from the donor tissue. Moreover, this technique is called soft-tissue grafting because it involves the sharing of soft tissue between the gum and teeth. The success rate of this technique is high because the graft is attached to the parent tissue, thus receiving uninterrupted nutrition and blood supply. Hence, tissue regeneration is faster and graft rejection is a rarity. However, the only critical element responsible for the success of this technique is the occurrence of the suitable donor tissue around the affected tooth. Thus, pedicle grafts are feasible only in case of availability of a healthy tissue around the affected tooth.
After the surgery, you may be advised a specific soft food-based diet by your dental expert for ensuring efficient recovery and little damage. You can avail any of these periodontal treatment techniques at our clinic. Based on a preliminary examination, we can devise a suitable treatment option for you at your convenience and at no extra cost. After all, ensuring your comfort and satisfaction is our prime motto. Click here to book an appointment at the Sterling Dental Clinic or call us at +91-11-26152930 / 26152999.