Chronic, active gum disease most always results with bone loss in the upper and lower jaws. Bone grafting is a resourceful and conventional procedure which satisfies a wide range of functions.
Additional factors important for bone regeneration include:
- Gum tissue regeneration – this process involves placing a thin membrane which acts as a barrier over the extraction site to prevent the bone graft material from falling out and facilitates faster healing of the gum tissue.
The loss of gum tissue around the surfaces of the teeth is an irreversible process that will progressively become worse if not stopped. Gum recession begins during one’s teenage years and becomes commonly found in adults over the age of 40 due to the gradual onset.
Gum recession presents with the following symptoms:
- Tooth sensitivity – When the roots become exposed due to the loss of gum tissue, this exposes the underlying layers of each tooth
- Visible Roots
- Progressively longer looking teeth due to the lost gum tissue
- Bad breath along with gum inflammation and bleeding are all caused by the same bacteria that cause the gums to recede when they are embedded underneath the gum tissue
Risk Factors of Gum Recession
- Overaggressive toothbrushing
- Poor oral hygiene
- Tobacco products
- Gum disease (periodontal disease)
Misdiagnosed Gum Recession
Abfraction occurs as tiny notches caused by an unequally distribution of force on teeth, mostly caused from incorrect bite, chewing, clenching, and grinding. All of which put undue pressure on teeth, causing them to flex. They occur
Teeth with these notches can become progressively weaker through time, leaving them prone to further microfractures and at a higher risk of breaking. These lesions do not heal with time and although some may worsen, unless severe, they do not require treatment.
The progression of these lesions can be prevented from becoming more severe by correcting the underlying cause of undue stress and the uneven distribution of forces on these teeth.
Periodontal disease is a gradually destructive condition which leads to severe inflammation with subsequent tooth and bone loss when left untreated.
Upon return to our office after the initial periodontal scaling and root planning, our dentist or dental hygienist will evaluate your gum pockets to determine if further treatment is necessary.
One treatment option is the direct delivery of antibiotics into the gum pocket. The minocycline antiobiotic, Arestin ® comes in small pellets which are applied into the gum pockets weeks after scaling and root planning. Research suggests that it is more advantageous to wait for the healing of the gum tissues before application of an antibiotic.
Periodontal Scaling And Root Planing
Periodontal scaling and root planing is the initial, noninvasive therapy to alleviate the cause of gum inflammation and subsequent bone loss. This therapeutic procedure is effective in treating patients that
suffer from mild gum inflammation, or gingivitis, to a more moderate and/or severe periodontal disease.
The reasons one may be diagnosed for scaling and root planing periodontal therapy include:
- Prevention of disease
- Protection of the teeth
- Improved oral health
- Improved breath
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