What are the Procedures and Operations Applied in the Treatment of Gum Diseases?

Tooth stone cleaning

Teeth cleaning is not a painful procedure, it is usually performed without the need for anesthesia. Teeth cleaning does not harm the enamel of the teeth, even the stones attached to the surface of the enamel can rot the enamel by releasing acid, so scaling cleaning is a protective process for the tooth enamel. The instruments used are precision instruments and do not cause scratching or damage to the enamel of the tooth. If your gums continue to bleed despite scaling cleaning, advanced periodontal treatments are needed.

Gum pocket reduction surgery (Subgingival Curettage)

It can be roughly described as deep cleaning, the purpose is to clean the calculus and infected tissues that are adhered to the root surface under the gingiva. It is performed under local anesthesia, our patients do not feel anything during the procedure, and it is sufficient to use only painkillers after the operation.

Flap Operation

In the later stages of gingival diseases, the fibers between the root of the tooth and the alveolar bone melt, and spaces called pockets form between the gingiva and the tooth. In a healthy gum, the depth of this pocket is measured as 1-3 mm, these pockets become deep and difficult to clean due to gum diseases. Bacteria and dental stones that cause infection in the pockets accelerate bone resorption and cause problems up to tooth loss.

The aim of subgingival curettage and flap operation is to clean the calculus and microorganisms in these pockets and to reduce the pocket depths. If the pockets are too deep to be cleaned by curettage, the gingiva is stripped from the tooth and the alveolar bone, the infected tissues and calculus are cleaned with special hand tools, then the gums are sutured together and primary healing is expected in a week-ten-day period. It takes 6-8 weeks for the tissues to fully heal and the depth of the pockets to decrease. If a restoration is planned after this operation, the ideal waiting period is 6-8 weeks. Depending on the level of bone destruction during the flap operation, it may be necessary to strengthen the teeth with bone grafts. This decision is a decision that the physician will make during the operation. Gum diseases have a one-to-one negative effect on general body health, the dense microorganism in the mouth can be swallowed and join the blood circulation and settle in the healthy organs of the body. Studies have shown that gum diseases increase the likelihood of some systemic diseases (cardiovascular, diabetes, atherosclerosis, kidney disorders).

Gum diseases do not go away on their own or by using medication, using mouthwashes, using vitamins. Medicines reduce the risk of infection after the treatments and help to complete the healing without any problems, but its use alone, without periodontal treatment, does not give results!

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