Regenerative Procedures

Gum recession is the phenomenon in which the gum tissues surrounding the teeth recede and wear away, exposing the tooth roots to sensitivity, decay, and infections. Gum recession is often accompanied by gaps and pockets between teeth. These pockets house toxin-secreting bacteria. Teeth provide the bones with stimulation to keep them healthy and sturdy. In the case of tooth loss, bones don't receive the required stimulation and start to dissolve. Bone loss can also occur due to congenial birth defects, dental trauma, periodontitis, and radiation. If left untreated, you will experience irreversible gum and tooth damage and untimely tooth loss.

Fortuitously, timely examination coupled with efficient regenerative procedures can prevent the progress of the disease and preserve the teeth. There are various regenerative dental procedures possible to revive the health of damaged gums, bone structure, and teeth.

What are the different regenerative procedures?

Scaling and root planing

Routine cleanings are performed to prevent gum diseases while scaling and root planing are performed to treat gum diseases. These are non-surgical deep cleaning procedures that thoroughly clean plaque, tartar, calculus, and bacterial toxins from both above and below the gumline.

Scaling and root planing are performed after a thorough X-ray examination. Your dentist will determine the depth of plaque and tartar deposits to devise a treatment plan. Scaling and root planing are carried out under the effect of local anesthesia.

Scaling

Scaling is performed to remove plaque and tartar deposits from above and below the gumline. Your dentist identifies the areas of plaque and tartar deposits through touch and uses a dental scaler and a curette to manually eliminate them. 

Ultrasonic scaling instruments can also be used to perform scaling. The instrument has a vibrating tip and a water spray. The vibrating identifies areas of plaque deposits and chips them off, while the water spray cleans abscess and plaque pockets below the gumline. An antimicrobial is used to irrigate the gums to remove bacteria.

Root Planing

Root planing is performed after dental scaling. Root planing accesses the deeper regions and addresses the tooth's roots. It smooths the rough root surfaces for the gums to reattach themselves. Smooth roots prevent plaque, tartar, and bacteria from re-adhering below the gumline and allow your gums to heal and reattach themselves more securely.

Bone grafting

 Placing a bone graft is a surgical procedure and is used to treat problems related to the bones and joints. In dentistry, bone grafting is used to treat bone loss in the jaw. Teeth provide the bones with stimulation to keep them healthy and sturdy. In the case of tooth loss, bones don't receive the required stimulation and start to dissolve. Bone loss can also occur due to congenial birth defects, dental trauma, periodontitis, and radiation. Bone grafts help in fixing bone loss by transplanting bone tissue from a donor area to the target area. Bone grafts provide a framework that is easily accepted by the body and new bone starts to form around it. The two most common types of bone grafts are:

Allografts

Allografts use bone tissues from a deceased donor. The bone tissues are clean and stored in a tissue bank.

Autografts

Autografts use bone tissues from your own body parts like hips, ribs, wrist or pelvis.

Your dentist will anesthetize the grafting and extraction sites. An incision is made and the bone graft is positioned and anchored in place. A synthetic membrane may be placed over the graft to prevent bacterial growth. The membrane also encourages bone regeneration.  On occasion, a synthetic membrane may be used to cover the new bone. This membrane prevents soft tissue and bacterial invasions, and encourages new bone growth. The new bone grows around the graft and soon replaces it.

Gum grafting

Gum grafting is a surgical procedure performed treat gum recession caused due to periodontal diseases, vigorous brushing, genetics or poor oral care. It involves the transplant of healthy tissue to the recessed area thereby improving the strength and length of your gums. 

Before placing the gum grafts scaling and root planing are performed to deeply cleanse the tooth surfaces and gums. Placement of gum grafts involves the extraction of healthy tissue from one area and transplanting it to the recessed area. The process is performed under anesthesia to avoid pain and discomfort. There are three kinds of gum grafting procedures, and your dentist will choose the best option for you depending on the severity of damage and unique individual needs. 

Connective-Tissue Grafts

Connective-tissue grafts are commonly used to tend receding gums and tissues around teeth whose roots are exposed

  • A small incision is made on the roof of the mouth and strip is cut.
  • Subepithelial healthy tissue is extracted from below the strip and the strip is sutured back securely.
  • The extracted tissue is transplanted to the recessed area and the exposed tooth roots are covered.
  • The transplanted tissue integrates with the receding gums to permanently strengthen and lengthen the gum line.

Free Gingival Grafts

Free gingival grafts are used to strengthen a naturally thin gumline and tissues. They are similar to connective tissue gum grafts and enlarge the naturally thin gumline.

  • Free gingival grafts don't involve removing tissue from under a strip on the roof of the mouth. Instead, the tissue is removed directly from the surface of the palate. 
  • The extracted tissue is transplanted to the recessed area and the exposed tooth roots are covered.
  • The transplanted tissue integrates with the receding gums to permanently strengthen and lengthen the gum line.

Pedicle or Lateral Grafts

Pedicle or lateral grafts are used if you have healthy tissue adjacent to your receding gums. 

  • Pedicle grafts don't use tissue from the roof of your mouth. Instead, a strip of tissue, called a pedicle, is taken from the healthy gums near the recessed area. Only a part of the healthy tissue is cut. 
  • The strip is or pulled down over the exposed tooth roots in the upper jaw and pulled up to cover the exposed tooth roots in the lower jaw. The tissue-strip is held in place with stitches.
  • Pedicle gum grafts have the highest success rate. They do not stop blood flow in any section of the mouth. After the surgery, the mouth is disinfected using anti-bacterial mouthwash.

Pocket reduction surgery

Plaque and tartar accumulations house oral bacteria, which secrete toxins that inflame and damage the gums. Inflammation of gums results in pockets or gaps formation between the teeth and the gums. These pockets become the breeding grounds for bacteria which cause gum diseases. Gum pocket reduction surgery is performed to treat these periodontal pockets. Gum pocket reduction surgery is also known as gingivectomy, osseus surgery or flap surgery. It is a series of several procedures that aim at treating deep periodontal pockets to remove plaque, bacteria, and tartar deposits. 

In the case of deep periodontal pockets, flap surgery is performed. Flap surgery involves cutting a flap in the gums to clean the deep periodontal pockets and repair the receding gum tissues and bone. The flap is then stitched back in place. In the case of extreme bone and gum tissue loss, regenerative techniques like gum grafting and bone grafting are used. 

We, at Bliss Dentistry of Campbell, California, cater to all your needs pertaining to dental services and routine exams. Our Campbell dentists with their entire team persevere to provide you with exceptional treatment that enhances and maintains the beauty of your smile. If you have any further question, queries or dental emergencies and are looking for an experienced dentist in the South Bay Area, feel free to contact us at (408) 963-6678 to schedule an appointment.


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1930 South Bascom Avenue, Suite 100, Campbell, CA 95008

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(408) 963-6678

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