Periodontics Dentistry

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Scaling & Polishing

Dental scaling and polishing is the removal of plaque and tartar deposits built up on the teeth and the polishing of the smooth surfaces of the teeth. This procedure is conducted during routine cleaning (prophylaxis) at a visit to the dentist. Scaling removes tartar (or calculus), which will reduce tooth decay. Scaling can reverse gingivitis before it turns into more serious gum disease. After the scaling and planing procedures, your teeth will be free from tartar, plaque, and bacteria.

Polishing refers to the removal of stains and very small particles of calculus (the white or yellow hard deposits that accumulate on your teeth and are not removable by routine brushing).

Deep Scaling

In deep scaling, a dentist or hygienist removes plaque and tartar on teeth below the gum line from the pocket area between the teeth and gums that forms when inflammation is present. The gum tissue is gently pushed back.

Teeth scaling and root planing can cause some discomfort, so you'll receive a topical or local anesthetic to numb your gums. You can expect some sensitivity after your treatment. Your gums might swell, and you might have minor bleeding, too.

Dental scaling and planing can often be done in a single, one or two-hour visit to the dentist. However, if you have numerous trouble spots or the infection is widespread, the dentist will usually work on one or two quadrants of your mouth per appointment.

A deep teeth cleaning can remove a buildup of plaque and tartar on your teeth, reducing gum inflammation and improving gum health.

Plaque is a sticky film that forms on teeth. It contains bacteria and develops when food particles mix with saliva. You can remove plaque, which collects on teeth daily, by brushing your teeth.

Brushing, however, doesn’t remove all plaque in between your teeth. Leftover plaque calcifies or hardens, which forms tartar.The accumulation of plaque or tartar can lead to gum disease. This includes gingivitis, which is inflammation of the gums. If left untreated, gingivitis can advance to periodontitis. This is a serious infection that destroys the bone that supports the teeth.

Soft Tissue Grafting

A soft tissue graft is a procedure to cover tooth roots or replace lost soft gum tissue resulting from excessive gingival recession. Healthy gum tissue is removed from the palate or taken from another donor source and attached to the area where the soft tissue has receded.

The level of pain you may feel depends on what type of soft tissue grafting you are having performed. If no tissue is removed from your palate, you will likely not experience any pain at all. If some tissue is removed, you may experience mild discomfort which can be controlled with pain remedy.

You may choose to undergo a soft tissue graft if you want to enhance your smile and a cosmetic procedure of restorative dentistry. Receding gums affect many people, and the process causes gum recession to expose the tooth's root

FLAP SURGERY

Flap surgery is a technique in plastic and reconstructive surgery where any type of tissue is lifted from a donor site and moved to a recipient site with an intact blood supply. This is distinct from a graft, which does not have an intact blood supply and therefore relies on growth of new blood vessels.

Flap surgery is a technique in plastic and reconstructive surgery where any type of tissue is lifted from a donor site and moved to a recipient site with an intact blood supply. This is distinct from a graft, which does not have an intact blood supply and therefore relies on growth of new blood vessels.

A flap procedure is often needed to save teeth that are supported by a bone damaged by gum disease. Gum disease usually will come back if you do not brush and floss regularly after surgery. To promote healing, stop all use of tobacco.

Most patients experience some discomfort after a flap procedure. Depending on your needs, we may prescribe pain medication or recommend over-the-counter medicine. It is important to relax after surgery, as strenuous activity may cause the treated area to bleed.

To access it, a flap-like incision is made in the gum tissue. This allows diseased tissue to be removed from inside the pocket, and provides access to the teeth's root surfaces for a thorough cleaning, which helps to eliminate harmful plaque and calculus (tartar). Afterward, the “flap” is closed, sealing the area.

Any excess gum tissue that is removed to reposition the gum line and reveal more of the teeth will not grow back. This longevity is a relief for patients, particularly those who are self-conscious about the appearance of their gums and don't want to worry about excess gum tissue returning in the future.

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