Periodontics
Surgical periodontal treatment
Some more advanced cases require surgical corrective phases.
After periodontal etiological therapy and periodontal reevaluation at 6-8 weeks, your periodontist may be asked to finalize the treatment of your disease by surgery.
Non surgical treatment will always be preferred, when the prognosis is similar.
The objectives of these treatments are multiple:
- access to root surfaces in the presence of deep pockets,
- elimination of calculus,
- elimination of deep inflammation,
- reduction of pocket depth,
- regeneration of tooth support tissues.
There are many proven surgical techniques with different indications:
- Periodontal surgery assainissement
The objective of this surgery is to access areas not accessible by non-surgical treatment, such as the faces of the roots between the teeth or the lesions between the roots. In addition, the bone contour can be regularized and the gum pockets reduced.
- Induced tissue regenerative periodontal surgery
The objective of this surgery is to regenerate the supporting tissues of the tooth: the cementum, the ligament and the bone.
It allows access to areas not accessible by non-surgical treatment, such as the faces of the roots between the teeth or lesions between the roots, then proteins derived from porcine enamel, amelogenins are applied in order to induce the regeneration of fabrics.
Clinical case
Regenerative periodontal surgery
- Guided tissue regenerative periodontal surgery
The objective of this surgery is to regenerate the supporting tissues of the tooth: the cementum, the ligament and the bone.
It allows access to areas not accessible by non-surgical treatment, such as the faces of the roots between the teeth or the lesions between the roots, then membranes are put in place to guide tissue regeneration.
- Periodontal crown lengthening surgery
The goal of this surgery is to restore biological space so that the gum can cling to the tooth. A bone modeling is performed and the gum is repositioned.
This surgery also allows correction of the collars of the anterior teeth during cosmetic prosthetics.
- Gum contouring adjustment surgery
The objective of this surgery is to optimize the periodontal state before prosthetic work.
Parts of roots can be removed, biological spaces restored, gingival tissue thickened and repositioned.
- Muco-gingival or periodontal plastic surgery
The objective of this surgery is to reconstruct and reposition the soft tissue, the gum. They mainly use grafting techniques. Currently the most used grafts and showing the best results are buried connective grafts. Only the internal part of the tissues is removed, then grafted under the gum which is badly positioned or too thin.
- Periodontal maintenance
Once the disease has been treated, the implementation of periodontal support therapy, or maintenance, is essential to maintain periodontal health. These sessions make it possible to control possible recurrence of pocket formation and intercept them. They allow a reinforcement of hygiene techniques and a complete cleaning in order to reduce the quantity of plaque and deposit difficult to access for the patient. These sessions are generally scheduled every 3 to 4 months.
Periodontal disease can be treated well. The key to success is to follow the treatment offered by your periodontist and eliminate the bacterial plaque that triggers the disease process by having excellent oral hygiene.