Periodontal disease, often called a gum disease, is defined as an inflammation and infection of gums, ligaments, bone, and other tissues surrounding the teeth. Gingivitis, which involves gums only, and periodontitis, involving gums and bone, are the two main forms of periodontal disease.
Klempka Dental offers surgical and non- surgical treatment options for all your gum problems.
Scaling and Root Planning
Scaling and root planning is a procedure of calculus deposits removal from above and below the gum line and smoothing out the rough spot on the root surface where the bacteria gather. This procedure helps the tissue reattach to the bone preventing further bone loss.
Periodontal maintenance is crucial to keep the bacteria out of the gum pockets. It ensures gums reattachment to the bone. It should be performed every three months after scaling and root planning until the gums are healthy.
Arestin is an antibiotic that is often used after scaling and root planning. This medication is placed in the gum pocket. The antibiotic is released over the next few days controlling the bacteria and reducing the periodontal pocket.
Gummy Smile and Uneven Tissue Height
Gummy smile is a name for excessive and in some cases uneven height of the gum tissue showing during smile. It may be a result of orthodontic treatment. A simple procedure of tissue reduction, such as crown lengthening may be a solution to this problem.
The procedure of crown lengthening may be needed for two reasons: esthetic or restorative. It is a procedure of reshaping the gum and the bone in a particular area to uncover more structure of a natural tooth.
Esthetic crown lengthening cosmetically improves the smile line eliminating the “gummy” smile. It may be performed on one tooth to improve the gum line in one specific area, or on the whole “smile line” to improve the esthetics of the patient’s smile.
Restorative crown lengthening is performed when for example a tooth fractures or a decay appears under the gum line. Crown lengthening uncovers more of the tooth structure so that a restoration ( e.g. prosthetic crown) can be done.
In most cases the only alternative to this treatment is extraction of the tooth.
Soft Tissue Graft
Very often gum tissue recedes due to hard brushing, grinding or periodontal disease exposing root surface. This leads to unaesthetic look of the smile, as well as sensitivity, bone loss and, if left untreated, tooth loss.
Soft tissue grafting is a procedure of covering the exposed root surfaces with a soft tissue from your palate or other donor sites. It can be done on one or on multiple teeth to improve esthetics of the smile line as well as to stop further dental problems. Tissue grafts can reduce or eliminate further gum recession, bone loss and tooth sensitivity.