| Surgical
therapy on gums treats infection that is too advanced and pockets
that are too deep to be corrected by scaling and root planing alone. The
gums are opened and the infection removed and then they are repositioned
to make it easier to keep the teeth and roots clean. |
| Osseous
(Bone) Surgery |
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|
|
After numbing
the area very well, an incision is made in the gum to separate the gum
from the tooth. This "flap" allows us to access to the plaque calculus
deep in the pocket. |
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|
The rough sharp
edges of the bone can be smoothed off. |
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|
The gum is then
repositioned around the neck of the tooth and held in place with
sutures. |
| Osseous
(Bone) Graft |
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|
If there is a
defect down in the bone, often times a bone graft can be placed to
stimulate new bone formation |
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|
We use
combinations of synthetic and natural bone blended with an antibiotic to
fill the defect. |
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Research has
shown we can expect a 60% fill of the defect 80% of the time. |
| Guided
Tissue Regeneration |
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|
|
 |
|
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There are times when it is appropriate
to use a barrier membrane to separate the bone and ligament space from
the gum tissue. This helps allow a regeneration of new bone and
periodontal ligament.
Very often osseous (bone) grafts are performed to regenerate the lost
bone support. The material comes in a jar from a tissue bank. We have
been getting excellent results with
Puros™
and
PepGen P-15™.
|
|
 |
|
We use any number of materials
including
Gortex *, Atrisorb *,
Biomend *, Capset *, EpiGuide * and Alloderm *. |
Associates
in Periodontics
