Gum surgery sometimes needed to correct the gum defect caused by gum disease (such as periodontitist) or gum recession usually due extensive brushing. Gum surgery will helps to impove the gum aesthetically but most importantly, it enable the patient to clean his teeth better.
Different Types of Gum Surgery
There are certain types of gum surgery that usually the dentist will perform depend on the condition of the patient’s gum:
- Pocket reduction (Gingiva Flap Surgery) This procedure is indicated for patient with deep pocketing on his gum as the result of gum disease (periodontitist). In this procedure, dentist or periodontist (gum specialist) will reflect the gum to expose the root of deep cleaning and then reposition the gum slightly lower in order to reduce pocket. Thus, this allows the patient to clean his teeth more efficiently.
- Regeneration (Guided bone regeneration GBR) When there is excessive bone lost to a single or few teeth in the mouth, the dentist/periodontist might try to ‘re-grow’ the bone back around the tooth. The procedure can be done only after the gum disease ceased. Dentist/periodontist folds back the gums and removes disease-causing bacteria, then inserts bone grafts, membranes, or tissue-stimulating proteins (or any combination of the three) to encourage your gum tissues to regenerate and fit snugly around the teeth again.
- Crown lengthening This procedure is done to lengthen the crown of the tooth for restoration later (Example: porcelain crowns or fillings). In cases where the tooth breaks down badly, sometimes, up to the gum level; crown lengthening is performed before restoration. The gum around the tooth will be removed to expose the root. This can be done with laser or electrocautery under local anesthetic. Once the gum healed, the tooth finally will be restore with filling or porcelain crown.
- Removing excessive gum (Gingivectomy) In certain conditions where overgrowth of gum covering the teeth (gingiva hyperplasia), gingivectomy can be performed to reduce it. Gingiva hyperplasia usually cause be irritation to the gum, or certain medication patient taking causing the gum grows excessively or can be unknown reason. Basically, gingivectomy improves the teeth aesthetically and reduce plaque accumulation around them.
- Soft tissue graft (Gingivoplasty)This procedure is performed on the gum that is thin and receded due to over-brushing. Dentist will take a tissue from elsewhere in your mouth (usually on the palate) and attaches it to your gums to replace gum tissue that has receded or has been removed due to gum disease. This procedure is often used for cosmetic purposes as well as to treat gum disease because it covers areas where the root is becoming exposed and improves the appearance of the teeth.
Is Gum Surgery Painful?
Most people will have only mild to moderate pain after surgery that can be managed with pain relievers. If the is moderate swelling on the gum, cold pack can be used to reduce it. Usually the dentist will give instructions on managing the wound after surgery.
- Oral Health Matters
- Gum Anatomy
- Gum Disease: Gingivitis
- Gum Disease: Periodontitis
- Gum Disease: Gum bleeding pregnancy
- Gum disease and diabetic
- Gum disease and heart disease
Treatments of gum disease:
- Scaling and polishing
- Air Polishing – A way to eliminate staining due to smoking, coffee or tea
- Root Planing
- Gum Surgery
- Cosmetic Gum Surgery
- Fear of Dental Treatment? How to overcome it..?