Sometimes advanced periodontal disease cannot  be commonly treated.

When that happens, the periodontist may  suggest surgical treatment.

The most commonly used surgical periodontal  treatments include:

  • Gingivectomy – This procedure is  conducted to remove excess gum tissue  that may be overgrown on the teeth in  order to provide a better area to clean  the teeth. With this procedure, the  periodontist would administer a local  anesthetic to the patient’s gum to  remove the excess gum tissue from the  mouth.
  • Gingivoplasty – This type of gum surgery  is used to reshape gum tissue around  the teeth in order to correct deformities.  If a person has gum recession where the  gum is pushed away from the tooth, a gingivoplasty can be performed. A  gingival or gum graft can be carried out  where tissue is taken from the roof of  the mouth (palate) and then stitched  into place on either side of the tooth at  the place of the deformity.
  • Gingival Flap Surgery – If gum pockets are greater than 4 millimeters in depth, the periodontist would conduct this procedure to reduce the periodontal pockets. Most patients who have been diagnosed with moderate to severe periodontitis would go through this procedure. The periodontist would cut the gum tissue in order to separate it from the teeth, conduct a thorough deep cleaning with an ultrasonic scaling device as well as hand instruments to remove tartar, plaque and biofilm below the pockets.

 

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