Periodontal Therapy

Speciality Dentistry

Periodontal Therapy

Periodontal disease or PERIODONTITIS is a common inflammatory condition which affects the supporting and surrounding soft tissues of the tooth also the jaw bone itself when in its most advanced stages.
If you have very severe gum disease, it may be genetic or you may have a problem with your systemic health which needs to be investigated. If left untreated, gum disease can even cause tooth loss.
The mildest form of gum disease is called GINGIVITIS, which is bacterial infection affects the gums when the toxins contained in plaque begin to irritate and inflame the gum tissues. This and can be reversed with regular professional oral cleanings and oral hygiene maintenance.
Advanced Gingivitis, or Periodontitis, is a progressive condition that eventually leads to the destruction of the connective tissue and jawbone. If left untreated, it can lead to shifting teeth, loose teeth and eventually Tooth Loss. This condition may require additional Conservative or Surgical treatment by our Gum Specialist.

Periodontal (Gum Disease) Therapy

Oral Prophylaxis

An oral prophylaxis is a professional cleaning treatment performed to thoroughly clean the teeth and gums. This prevents and stops progression of gum disease.

Benefits include:
• Removal of Soft Plaque and tartar- Even with a proper home brushing and flossing routine, it can be impossible to remove all of debris, bacteria from gum pockets. The experienced eye of a dentist using specialized dental equipment is necessary to prevent potentially damaging build-up.
• Removes the external stains which dramatically decrease the esthetic appearance
• Fresher breath. Bad breath is generally indicative of advancing periodontal disease. A combination of rotting food particles and potential pus stemming from a gum infection, results in a bad breath. Thorough oral prophylaxis under magnification can noticeably improve halitosis and reduce infection.
We recommend that oral prophylaxis be performed twice annually as a preventative procedure but should be completed every 3-4 months for people with severe gum disease.

Specialised Gum Procedures

Exposed tooth roots are the result of gum recession may result in tooth sensitivity. Gum graft surgery will repair the defect and help to prevent additional recession and bone loss.

Gum grafts can be used to cover roots or develop gum tissue where absent due to excessive gingival recession. During gum graft surgery, our periodontist takes gum tissue from your palate or another donor source to cover the exposed root. This can be done for one tooth or several teeth to even your gum line and reduce sensitivity.

Benefits

• Reduce further recession and bone loss
• It can cover exposed roots to protect them from decay
• May reduce tooth sensitivity and improve esthetics of your smile

Whether you have a gum graft to improve function or esthetics, patients often receive the benefits of both: a beautiful new smile and improved periodontal health – your keys to smiling, eating and speaking with comfort and confidence.

• Lasers are the answer when we are looking for treatment options which are minimally invasive, painless and having a faster healing time.

• At Smile Matters we use the diode Laser to disinfect deep gum pockets, do efficient and easy dental crown lengthening procedures and de pigmentation of your dark gums

• Procedures that regenerate lost bone and tissue supporting your teeth can reverse some of the damage caused by periodontal disease.

• Your periodontist may recommend a regenerative procedure when the bone supporting your teeth has been destroyed due to periodontal disease. These procedures can reverse some of the damage by regenerating lost bone and tissue.

• During this procedure, your periodontist folds back the gum tissue and removes the disease-causing bacteria. Membranes, bone grafts or Tissue-stimulating Proteins can be used to encourage your body's natural ability to regenerate bone and tissue.

• Eliminating existing bacteria and regenerating bone and tissue helps to reduce pocket depth and repair damage caused by the progression of periodontal disease. With a combination of daily oral hygiene and professional maintenance care, you'll increase the chances of keeping your natural teeth – and decrease the chances of other health problems associated with periodontal disease.

• You may have asked your periodontist about procedures to improve a "gummy" smile because your teeth appear short. Your teeth may actually be the proper lengths, but they're covered with too much gum tissue. To correct this, your periodontist performs a dental crown lengthening procedure.

• During the dental crown lengthening procedure, excess gum and bone tissue is reshaped to expose more of the natural tooth. This can be done to one tooth, to even your gum line, or to several teeth to expose a natural, broad smile.

• Your dentist or periodontist may also recommend dental crown lengthening to make a restorative or cosmetic dental procedure possible. Perhaps your tooth is decayed, broken below the gum line, or has insufficient tooth structure for a restoration, such as a crown or bridge. Crown lengthening adjusts the gum and bone level to expose more of the tooth so it can be restored.

Your bone and gum tissue should fit snugly around your teeth like a turtleneck around your neck. When you have periodontal disease, this supporting tissue and bone is destroyed, forming "pockets" around the teeth.

Over time, these pockets become deeper, providing a larger space for bacteria to live. As bacteria develop around the teeth, they can accumulate and advance under the gum tissue. These deep pockets collect even more bacteria, resulting in further bone and tissue loss. Eventually, if too much bone is lost, the teeth will need to be extracted.

A Periodontal Pocket Reduction Procedure or Excisional New Attachment Procedure (ENAP) has been recommended because you have pockets that are too deep to clean with daily at-home oral hygiene and a professional care routine.

During this procedure, your periodontist folds back the gum tissue and removes the disease-causing bacteria before securing the tissue into place. In some cases, irregular surfaces of the damaged bone are smoothed to limit areas where disease-causing bacteria can hide. This allows the gum tissue to better reattach to healthy bone.

Periodontists are often considered the plastic surgeons of dentistry. If you are looking to improve your smile, a periodontist may be able to help.

Gummy smile or uneven gum line
Do you feel your teeth look too short and your smile is too gummy or your gums cover too much of some teeth while leaving the others the right length? If so, dental crown lengthening might be the solution for you. During this procedure, excess gum tissue is removed to expose more of the crown of the tooth. Then your gumline is sculpted to give your new smile just the right look.

Long teeth/exposed roots
Sometimes gum recession causes the tooth root to become exposed, which makes your teeth look long and can make you look older than you are. This recession can happen as a result of a variety of causes, including periodontal diseases. Gum graft surgery and other root coverage procedures are designed to cover exposed roots, to reduce further gum recession and to protect vulnerable roots from decay.

Bad Breath (Halitosis) Therapy

Halitosis or bad breath can be caused by either simple dental problems or due to an infection. Both cases are treatable. At Smile Matters we will provide you advise that is caring and sensitive to your concerns. We can understand that bad breath can cause much daily unhappiness and embarrassment.