Remember there are two approaches to treatment for periodontitis. For the less severe instances a non surgical approach has been shown to be quite effective. We continue to have great success with a non-surgical approach in both treating and slowing the progression of periodontal disease. In our office this heavily relies upon your dental hygienist for root planing and multiple and rather frequent supportive periodontal sessions. Dr Hutton will monitor your progress and inform you of your progress and how to proceed.
If you have more severe periodontitis or if you have tried without success a non-surgical approach then a surgical approach may be something you wish to considered and referral to a specialist may be recommended. Pocket reduction surgery (also known as gingivectomy, osseous surgery and flap surgery) is a collective term for a series of several different surgeries aimed at gaining access to the roots of the teeth in order to remove bacteria and tartar (calculus). Pocket reduction surgery is a common periodontal procedure which has been proven effective at eliminating bacteria, reducing inflammation and saving teeth. Pocket reduction surgery can be performed under local or general anesthetia depending on your preferences.
The gums will be gently pulled back from the teeth and bacteria and calculus (tartar) will be eliminated. Scaling and root planing will generally be required to fully remove the ossification (tartar) from the surface of the tooth root. If the root is not completely smooth, a planing procedure will be performed to ensure that when the gums do heal, they will not reattach to rough or uneven surfaces. The gum is then sutured with tiny stitches that are left in place for 5-10 days.
Though the gums will be more sensitive immediately following the procedure, there will be a significant reduction in pocket depth and a vast improvement in the condition of the teeth and gums.
If you have any questions about pocket reduction surgery or treatment for periodontal disease, please contact our office.