PERIODONTAL SURGERY

Periodontal treatment is necessary when various conditions affect the health of your gums and the regions of your jawbone that hold your teeth in place. Retaining your teeth is directly dependent on proper periodontal care and maintenance. Healthy gums enhance the appearance of your teeth, like a frame around a beautiful painting. When your gums become unhealthy, they can either recede or become swollen and red. In later stages, the supporting bone is destroyed and your teeth will shift, loosen, or fall out. These changes not only affect your ability to chew and speak. They also spoil your smile. Periodontal diseases are ongoing infections of the gums that gradually destroy the support of your natural teeth. Periodontal disease affects one or more of the periodontal tissues: alveolar bone, periodontal ligament, cementum, or gingiva. While there are many diseases which affect the tooth-supporting structures, plaque-induced inflammatory lesions make up the majority of periodontal issues, and are divided into two categories: gingivitis and periodontitis. While gingivitis, the less serious of the diseases, may never progress into periodontitis, it always precedes periodontitis.

Periodontics is a field of dentistry which encompasses the prevention, diagnosis and the treatment of oral diseases which affects the supporting and the surrounding tissues of the tooth/teeth or their substitutes (dental implants). The tissues which provide support or the supporting tissues are known as the periodontium. These include the gingiva (gums), alveolar bone, cementum, and the periodontal ligament. Periodontium is so called because in Greek the word 'peri' mean 'around' and 'odons' mean tooth. Basically Periodontics means, the study of tissues around the tooth/teeth.

Although periodontal diseases take many different forms, they are generally a result of a coalescence of bacterial plaque, biofilm accumulation of the gingiva and teeth, together with the host immuno-inflammatory mechanisms and other factors which are fatal. These lead to destruction of the supporting bone around natural teeth. If they are left untreated, these diseases may lead to alveolar bone loss and tooth loss. Since centuries this has been the main reason for tooth/teeth loss in adults. A dentist who specializes in the diagnosis and surgical and non-surgical treatment of diseases and conditions of the periodontium is called as a Periodontist. Periodontists are known to be the best in treating the patients with periodontal diseases. These may consist of all forms of gingivitis, periodontitis and gingival recession, including the surgical placement and long-term maintenance of dental implants.

 

GINGIVITIS is caused by bacteria accumulating on the gingival sulcus, resulting in inflammation, redness and bleeding. People with poor oral hygiene are prone to gingivitis, and certain factors such as pregnancy, puberty, orthodontic anomalies or wearing a denture can contribute to deterioration of the clinical features of the disease. Untreated gingivitis will lead to a progression of the bacterial infection, which moves into deeper tissue and results in PERIODONTITIS. This leads to an irreversible loss of bone followed by movement and loss of teeth. Emotional stress, smoking or systemic diseases (i.e. diabetes) can exacerbate the clinical features of the disease.

DIAGNOSIS AND TREATMENT OF PERIODONTAL DISEASE

 

Every DCD patient receives an intraoral examination, followed by ultrasonic tartar cleaning and teeth polishing. During the first checkup the patient gets instructions on oral hygiene. Then the doctors give the diagnosis, backed by an orthopantomographic or CT analysis, and work together with the patient to make an individual therapy plan. The therapy for periodontal disease depends on how advanced the disease is. This is determined by measuring the depth of the periodontal pockets with a special periodontal probe connected to a computer. In this sophisticated way and using a special software, your periodontal file will be saved at DCD and, together with our doctors, you will be able to keep track of the changes and progress made during therapy. Until recently, advanced periodontal diseases were incurable - therapy was considered successful if the disease was kept at the same level as when the patient first came to see the doctor. Medical and technological progress has helped periodontal experts discover that laser energy (in the form of a beam) affects periodontal tissue and bacteria in the pockets. Today periodontal disease can not only be stopped, but periodontal tissue can recover and the bone can regenerate.

DCD doctors use the most advanced "LIGHTWALKER" (Fotona) dental laser with two wave lengths, meaning it has two lasers in one machine. Based on this feature, and the research and experience of eminent periodontologists, DCD doctors have developed our own special protocol of treatment of periodontal disease (TPT or Twin Light Periodontal Treatment). Using the laser beam, the goal of the therapy is to destroy the bacteria in the periodontal pocket and eliminate the toxins that are responsible for the clinical features of the disease. The laser beam is a disinfectant and destroys 96% of the bacteria in the pocket, which is impossible when using a surgical method. After this, the granular (inflamed) tissue and the leftovers of sub gingival plaque are removed, creating conditions for recovery. Depending on the stage of the disease, the therapy is completed in two to four additional visits to the dental centre. Based on instructions given by DCD, the patient maintains strict oral hygiene. After the therapy he or she comes for checkups where we monitor the success of the therapy and prevent the return of the disease.

In modern times dental health is of great value to both doctors and patients, who are becoming more and more aware of the importance of retaining their natural teeth. Here at DCD we will help you with advice and therapy, and work together to find the best solution for keeping you and your teeth healthy!

 

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Dr. Nikhil Verma

    Doctor (B.D.S)

    Oral and Dental Surgeon

Dr. Sapna Verma

    Doctor (B.D.S)

    Oral and Dental Surgeon

Address

    102 Riddhi Siddhi Tower, R N T Marg, Chhawani Road
    Indore – 452001

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