HEALTHY GUMS / GINGIVITIS / PERIODONTITIS
Gum infections initially start off as Ginigivitis when it involves only the gums. It is called Periodontitis when it spreads from the gums to the underlying bone there by leading to bone loss around the tooth eventually leading to the loss of tooth.
Periodontitis is a form of gum infection involving the supporting structures of the tooth ie the periodontium, which consists of gums and the underlying bone around the tooth.
Normally a minimal to moderate gum infection can be handled by scaling and deeper cleaning called curettage with or without use of lasers. But when the extent of gum infection is severe and the instruments used for deeper cleaning will not be able to penetrate to the deepest areas of infection or when regeneration of lost bone is possible using bone graft materials, then a Flap surgery is indicated.
Flap surgery is nothing but the procedure of opening the gums to expose the roots of the teeth with very deep pockets thereby providing easier access and visibility. These pockets are filled with tartar and infected dead tissues which can be thoroughly cleaned and disinfected and if possible regenerated using bone grafts.
-Once the area is made numb with local anesthesia, the periodontist / gum specialist open / raise the gum back so that we can visualize tartar that may be attached to the roots.
-We then remove the tartar and scoop out the diseased and dead tissue from the bone defects and plane the surface of the tooth to make it smooth.
-Lasers are used to further create a sterilized environment ensuring complete removal of bacteria and other toxic agents.
-The bone defects are filled with bone grafts if regeneration is possible or if not then its contoured using bone files.
-The gum is placed back in its original position and stitches are placed.
-Post operative medications and instructions are given to make you feel comfortable and to help you take care of the surgical area.
The cost price or charges of flap surgery starts from 8000 INR per quadrant (quarter mouth). The charges can vary depending on the clinical condition of the gums. When LASER is combined with flap surgery, there can be additional cost. Also depending on the bone grafts (quality and quantity) used for GTR /GBR, bone grafting charges would extra. The best bone grafts used in gum surgery at FMS Dental Kochi is CREOS from NOBEL BIOCARE Sweden, ROCKY MOUNTAIN from USA, NOVABONE PUTTY from USA etc
Gum specialists or Periodontists are specialized dental surgeons who performs flap surgery with bone grafting, LANAP 9Laser assisted new attachment procedure), Cosmetic gum sugery, Gum Grafting procedure, Gum Depigmentation, Black triangle closure, Root coverage procedure etc
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