Periodontology is the field of dentistry, which involves the treatment of diseases of the tissues surrounding the teeth.
The most common contributing factors in periodontology are the inflammation of gums (gingivitis) and inflammation surrounding the root of the tooth (periodontitis). Furthermore, periodontal diseases have long been a reason for tooth loss if untreated, and can also cause the darkening of gums.
Periodontists are specialised dentists who specializes in the diagnosis, treatment and prevention of periodontal diseases. The lack of knowledge and the painless progression of the disease are the common factors, which leave patients unaware.
However, identifying and visiting the dentists with early warning signs is important to avoid severe periodontal diseases. Early symptoms for periodontal diseases include bleeding, swelling of gums, receding gum lines, appearance of pus between teeth and gums, change in bite and bad breath. Tooth loss may be a potential symptom of an underling periodontal disease or any other oral condition.
Therefore, depending on the state of the periodontal disease and degree of severity, there are number of treatment options available both invasive and non-invasive. Non-surgical treatments are applicable to patients with mild progression and as an initial step to preventing or treating the periodontal disease. Some of the most common treatments include scaling and root planning, tissue regeneration and flap surgery.
Daily brushing, flossing, and scheduling regular hygiene and dental visits twice a year are great ways to reduce or diagnose and treat periodontal diseases.
Gum disease is an inflammation of the gum line that can progress to affect the bone that surrounds and supports your teeth.
Symptoms Of Gum Disease
The characteristic symptoms of gum disease are:
- Bad breath
- Swollen (inflamed) gums
- Loose teeth
- Gums which bleed when brushed
- Bad taste in the mouth
- Highly sensitive teeth to hot and cold liquids
- Receding gums
How is gum treatment performed?
Controlling and containing the infection are the prime objectives of a treatment. Depending on the severity of the case, treatment types and frequency may vary. However, regardless of the complexity of the infection, a patient is required to perform proper daily care at home on a regular basis. It may also require the patient to make lifestyle changes, such as quitting smoking, to aid the treatment.
Deep Cleaning (Scaling and Root Planing)
This method involves the removal of plaque with the use of a deep-cleaning treatment named scaling and root planning. Scaling involves scraping off the tartar that has built up on the surface from above and below the gum line. Root planing, on the other hand, smooths the rough spots on the tooth root, which can serve as a potential breeding ground of germs. This helps in the elimination of the bacteria that help spread the disease. Based on the discretion of the specialist, laser technology may also be used to eliminate plaque and tartar. With this advanced procedure, the patient endures less swelling, bleeding, and overall discomfort than traditional treatment methods.
A period of observation is set following the treatment to determine if inflammation and deep pockets remain after. Based on the findings of the specialist, flap surgery may be performed to eliminate the tartar deposits in the deep pockets or reduce the periodontal pocket for easier cleaning. This is performed by lifting the gums and scraping the tartar underneath. Afterwards, the gums are sutured together to accelerate the healing process and make for a tighter fit around the tooth.
Bone And Tissue Grafts
Another treatment that may be suggested by our periodontist is a bone and tissue graft. This procedure is performed to introduce the regeneration of bone or gum tissue that has been lost to periodontitis. Bone grafting involves the placement of natural or synthetic bone in the area that has suffered bone loss to encourage bone growth. In conjunction with this, tissue grafting can also be performed to introduce tissue regeneration to the target area. This is performed with a small mesh-like material placed between bone and gum tissue to maintain a controlled growth for both. In some cases, growth factors are also used to accelerate the regrowth process. If necessary, soft tissue graft is also performed using synthetic material or natural tissue acquired from the same cavity to cover any exposed tooth roots.
As is the case in every treatment, the quality of results will vary depending on a variety of factors, including the severity of the disease, the home oral care habits of the patient, and other risk factors such as smoking.
Dental Lasers And Treatment Of Periodontal Disease
Dental Lasers are used in a variety of gum disease treatments. In many cases, patients can have their natural teeth and gums restored to health without incisions, stitches, or the discomfort of traditional gum surgery.
The dental laser uses the energy of various wavelengths of light to act as a cutting instrument or a vaporizer of tissue that it comes in contact with.
Soft Tissue (Gum) Laser Dentistry Procedures Include
Pocket Reduction – Gum Disease Treatment: Dental laser gum surgery can be used to promote healing of diseased gum pockets by eliminating or reducing the pocket depth and helping to restore healthy periodontal structures around the teeth. With certain types of lasers, regeneration and “new attachment” of the bone, ligaments, and gum connective tissue, can be accomplished. Bacteria levels in the gum pockets are significantly reduced by the dental laser.
Crown Lengthening: Dental lasers can reshape gum tissue (soft tissue laser) and bone (hard tissue laser) to expose healthy, solid tooth structure (crown lengthening) to aid in the placement of dental restorations such as fillings and crowns.
Esthetic Gum Contouring: Dental lasers can reshape gum tissue to expose additional tooth structure and improve the appearance of a “gummy” smile and short teeth.
Frenectomy: A laser frenectomy is an ideal treatment option for children who have a very low connection of the fold of skin (frenum) between the two front teeth. The frenum oftentimes prevents proper closure of the space during orthodontic treatment. A laser frenectomy may also help to eliminate speech impediments, or difficulty with proper tooth brushing due to a low frenum.
Soft Tissue Folds (Epulis): Dental lasers may be used for the painless removal of soft tissue.
Advantages Of Laser Dentistry Include
- In some cases, soft tissue dental laser treatment leaves no wounds to be sutured.
- Certain laser dentistry procedures do not require anesthesia.
- Laser dentistry minimizes bleeding because the high-energy light beam aids in the clotting (coagulation)of exposed blood vessels, thus inhibiting blood loss.
- Bacterial infections are minimized because the high-energy beam sterilizes the area being worked on.
- Damage to surrounding tissue is minimized.
- Wounds heal faster and periodontal tissues can be regenerated.
Gum Depigmentation / Whitening With Laser
Gum or gingival depigmentation is a cosmetic dentistry procedure used to remove dark spots on the gums. While the normal gum color is pale pink, abnormally high amounts of melanin can cause dark spots and patches to appear on the gum tissue. This gum discoloration can affect the appearance of your smile and result in decreased confidence and self-esteem.
With the laser dentistry technology and tools such as the diode laser, patients can have their gums sculpted to perfectly accent their smiles in a fast, simple, and virtually painless procedure.
A gingivectomy removes and reshapes loose, diseased gum tissue to get rid of pockets between the teeth and gums. A gum specialist (periodontist) or oral surgeon often will do the procedure.
Gum grafting can be performed to provide tissue cover to roots or introduce gum tissue development to a particular area suffering from gingival recession. During gum graft surgery, your periodontist takes gum tissue from your palate or another donor source to cover the exposed root.
Chao Pinhole Surgical Technique
Chao Pinhole Surgical Technique is a minimally invasive treatment designed to address gum recession. Unlike traditional grafting techniques, this technique is incision and suture free, which translates to virtually zero downtime and recovery period.
This treatment is performed by introducing a small hole in the existing gum tissue with the use of an incredibly fine needle. Through this miniscule hole, special instruments are used to loosen the gum tissue, allowing it to expand and cover exposed root structures.
There are no grafts, no sutures, and no incisions needed with the Chao Pinhole Surgical Technique. It simply involves the adjustment of the existing tissue.
It requires no incisions or sutures. Unlike tissue grafting, the treatment does not introduce incisions, which means sutures are not required. In lieu of sutures, specially designed collagen strips are used to hold the tissue in place.
The procedure is fast and virtually painless. This treatment can typically be performed in under an hour, depending on how many teeth are being treated. The procedure takes a relatively short amount of time, patients can expect only minor pain and discomfort.
Relatively short recovery period with instant results. Patients generally have very little downtime, experience minimal swelling, and often return to regular activities the day after the procedure. This treatment provides a cosmetic enhancement that is immediately noticeable.
Additional Treatments: Gum whitening in Dubai
In addition to treating periodontal diseases, our clinic also offers world-class gum whitening in Dubai for patients who suffer from dark gums. This condition is caused by hyperpigmentation, which is the concentration of melanin on a particular area. This can often be attributed to genetics, but studies are also linking poor dental habits and smoking to this condition.
At Dubai Sky clinic, we can help you enjoy lighter gums through the use of advanced dental laser technology. Our minimally invasive whitening procedure removes dark pigmentation on the gums, thus effectively alleviating gum discoloration. Our clinic does not use needles or involve incisions, which translates to a painless treatment and short recovery period.