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Periodontics



Periodontics: Gum Diseases

Periodontal disease is one of the most common dental problems adults face, but periodontal can begin at just about any age. Periodontal disease often develops slowly and without causing any pain. Sometimes you may not notice any signs until the disease are serious and you are in danger of losing teeth. Periodontal disease can almost always be prevented, if it starts, it can be treated and it can even be turned around in its early stages.

Healthy gums and bone hold teeth firmly in place. Gums attach to teeth just below the edge of the gums. Periodontal disease affects the attachment between gums and teeth.

Periodontal disease begins with plaque. Plaque is clear and sticky and contains germs. It forms on your teeth every day. If plaque is not removed every, it hardens into tartar. Tartar cannot be removed by brushing and flossing. Tartar can lead to an infection at the point where the gums attach to the teeth. In these early stages, gum disease is called gingivitis. Your gums may be a bit red and bleed when you brush, but you may not notice anything.

As gingivitis gets worse, tiny pockets of infection form at the point of attachment. You cannot see them, but you may notice puffy gums, traces of blood on your toothbrush, or a change in the colour of your gums. Your gums will probably not be sore.

parodontie

parodontie modérée et avancée

Over time, the infection breaks down the gum tissue that attaches to the teeth. This is called attachment loss. At this point, you will notice swelling, bleeding or colour changes in your gums. Along with attachment loss, periodontal disease causes the bone that holds your teeth in place to break down too. If periodontal disease is not treated, teeth become loose and in danger of falling out.

In its early stages, periodontal disease is very hard to see. You may not know that you have a problem. But every time you have a dental exam, your dentist looks for the signs of gum disease.

Periodontal disease is one of the main reasons why adults lose their teeth. But the good news is periodontal disease can almost always be prevented. If it starts, it can be treated and can even be turned around in its early stages.

If periodontal disease is not treated, you can have gums that are always sore, red and puffy, get a painful infection in the area between your teeth and gums or lose your teeth.

Without enough gum tissue and bone to hold your teeth in place, they can become loose and fall out. Nobody wants to have things happen. With regular care, they won’t.


Gum Graft

Patients who experience sensitivity or pain when brushing or when teeth are exposed to hot or cold may need a dental treatment called periodontal soft tissue gum grafting. Gums serve in a protective capacity in your mouths. When gums recede, the roots of teeth become exposed. The recession of hum tissue can lead to increased sensitivity, pain and cavities because roots are no longer protected. If left untreated, gum recession can also involve periodontitis and eventual tooth loss.

This new grafted gum tissue remains stable over time, giving teeth the protection they need. The main goal of soft tissue gum grafting treatment is to either cover the exposed root or to thicken the existing gum line by transplanting your own tissue from healthy gums or donor tissue to those requiring treatment.

greffe de tissu

étape d'un greffon de la gencive

What is the procedure?

Gum grafting and gum recession treatments can help greatly improve your overall gum health by halting tissue and bone loss and by protecting the exposed roots from further complications.

A perioderm allograft is a treatment option that eliminates a patient’s need to donate bone or tissue for a periodontal procedure. An allograft is donated bone or tissue that’s been specially processed so that is can be surgically transplanted. This alternative treatment provides patients with sterile human tissue that doesn’t contain blood or cells.


Bone Graft

Bone grafting is the replacement or augmentation of the bone around the teeth.

Bone grafting is performed to reverse the bone loss or destruction caused by periodontal disease, trauma, or ill fitting removable dentures. It is also used to augment bone to permit implant placement, such as augmenting bone in the sinus area for implant placement, or augmenting bone to enhance the fit and comfort of removable prostheses, or to enhance esthetics of a missing tooth site in the smile zone. When one loses a tooth, as in an extraction, the surrounding bone collapses. To preserve this bone for future implant placement or for esthetics, a bone graft is used.

Cross section of a jaw that has lost volume following tooth loss. There isn’t enough bone to safely place a dental implant. The patient’s cells migrate into allograft material and remodel it into new bone. Over time host bone will remodel to replace the allograft.

greffe osseuse

À quoi sert la greffe osseuse

About Bone Grafting

Restored jaw now has adequate room for placement of a dental implant to replace the missing tooth.

Most dental bone grafting procedures are done to restore your bone to its previous from following tooth loss, gum disease or trauma. Bone grafting may also be used to maintain bone structure after tooth extraction.

Restoring and maintaining facial bone structure is important for several reasons. Many dental procedures, such as implant placement, require that the bone be as close to its original dimension and position as possible for optimal results. Also, the jaw and other facial bones support the skin and muscle that are responsible for our outward cosmetic appearance. Without the support of the underlying bone, our faces can look prematurely aged.

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