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Periodontal Treatments

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GUM DISEASE

Gum disease is also known as Periodontal disease. It is characterized by the chronic (persists over time) inflammation and infection of the supporting structures of the tooth causing gum irritation, bleeding gums, detachment of the gums form from the tooth, bad breath, bone loss and finally tooth loss. The good news is that treating gum disease in the early stages can help prevent tooth loss.

Are you experiencing one of the following symptoms?

  • Gums that bleed during flossing or brushing.
  • Irritated gums, red gums or gums with pus.
  • Gums that are not firmly attached to your teeth.
  • Persistent bad breath.
  • Mobility on one or many teeth in your mouth.
  • Bite changes or bite off or problems with an uneven bite.
You may have one or more of these symptoms that may be related to gum disease. However, in some cases no symptoms can be present. This is why gum disease is also known as a silent disease.

How Can I know If I am at risk?

Periodontal disease is associated to multiple factors. Among them we find the following:

  • Bacterial plaque (poor brushing)
  • Smoking
  • Medical conditions such as Diabetes
  • Certain medications mainly if they cause dry-mouth such as blood pressure medications.
  • Hormonal changes in teenagers, pregnant women and patient taking contraceptives medications.
  • Genetic predisposition. Parents with periodontal disease.
Make an appointment

How Gum disease can be developed?

Gum disease starts when bacteria deposits located at or under the gum margin develop a local irritation and infection. This infection leads to inflammation of the gum tissue and posteriorly separation of the gum tissue from the tooth (pockets). If this separation continues then bone loss and tooth loss will occur. This is why is very important to treat gum disease as early as possible.

Types of Gum Disease
Gingivitis: Very mild form of gum disease. It refers to inflammation of the gums. Gums can appear red and they may bleed with flossing and brushing.

Periodontitis: It refers to bone loss and the loss of supporting structures of the tooth in additions to gum inflammation. Depending on its severity can be considered Mild, Moderate or Severe Periodontitis.

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How Can I know if I have Gum Disease?

You will need a periodontal evaluation in order to know if gum disease is present. This evaluation by Dr. Abril will include:

    • Review of medical history.
    • Oral evaluation.
    • Radiographic exam.
    • Contact us for a complete periodontal exam.

 

IS THERE ANY CURE FOR GUM DISEASE? Yes. The good news is that there is treatment for gum disease. If the gum disease is detected in an early stage of then a very conservative approach that may involve scaling and root planing commonly know as deep cleaning followed by frequent maintenance therapies may be more that enough. However, in some cases depending on the severity of the gum disease a gum surgery may be needed. The aim of periodontal surgery is to regenerate or reshape the bone architecture around natural tooth or implants.

In some cases, bone allograft is needed to replace and regenerate the supporting structures of the tooth.

Benefits of the Pocket-Depth Reduction:

  • Prevention of further bone loss.
  • Prevents tooth loss.
  • Prevents halitosis caused by bacteria byproducts.
  • Stops gum inflammation and bleeding.

Before

After

Gum disease is very common and treatment is available. Contact us to schedule an appointment about gum inflammation and bone loss around a tooth.

GUM RECESSION

Gum recession starts when the gum tissue pulls back from the root, causing root exposure.

What signs or symptoms should I expect if I have recession?

  • Tooth may look longer than normal.
  • Root caries.
  • Tooth sensitivity with cold.


Among the causes of gum recession we can find:

  • Brushing trauma.
  • Thin gum tissue.
  • History of gum disease.
  • Previous orthodontic treatment.
  • Grinding or clenching of teeth.
  • Oral piercing.

Before

After

Before

After

What can I do to reduce the risk of gum recession?

  • Use a soft toothbrush.
  • Review proper brushing techniques with our hygienist and/or Dr. Abril.

Treatment for gum recession.

A gum graft can be utilized to replace the gum tissue that has receded. This graft can be taken from another part of your mouth usually the palate (the roof of your mouth) or the tissue can come from the tissue bank.

Recession of the gums is very common. Contact us to schedule an appointment about receding gums.

BONE GRAFTING

Missing teeth for a long time, periodontal disease, trauma can lead to insufficient bone to place implants. Especial bone grafting techniques at the time of extraction or after the tooth has been extracted can be performed by Dr. Abril to preserve or rebuild the missing bone. This will increase the success for your implants while also can improve the function and the appearance of your new restoration.

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SINUS GRAFTING

The long-term success for the implant depends on the quantity and quality of the bone around the implant. In some cases, where placing implants in the posterior upper areas the bone may be limited in both quality and quantity mainly due to the position and the size of the maxillary sinus. In these cases procedures may need to be done prior to or at the same time of the implant surgery. With the use of minimally invasive bone grafting techniques, Dr. Abril can raise the sinus and create bone that will be the key for the long-term success of the upper posterior implants.

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ESTHETIC PERIODONTAL THERAPY

Esthetic Crown Lengthening

Your gums are also part of your smile. But sometimes having too much gum tissue can make your teeth to appear short. In fact, your teeth may have the right length. Dr. Abril can help you to create a harmonious smile with techniques that correct the excess of gum tissue or “gummy smile” in one tooth or multiple teeth in to expose a natural smile. Patients that desire to have dental veneers can also benefit from this cosmetic periodontal therapy to improve and achieved that harmonious smile.

Smile, eat and speak with determination and enjoyment.

Make an appointment

GUM CONTOURING PROCEDURE

Functional Crown Lengthening
Perhaps, the amount of the gum tissue is right but the tooth is decayed, fracture below the gum line or it is too short to have a good restorative procedure like a crown or a bridge. In this situation, gum recontouring and sometimes bone remodeling is necessary to exposed part of the healthy tooth creating room for a good quality restoration.

Make an appointment
Bone and Sinus Grafting are very common and treatments are available. Contact us to schedule an appointment.

FAQs

How can I know if I am at risk?

Periodontal disease is associated to multiple factors. Among them we find the following:

  • Bacterial plaque (poor brushing)
  • Smoking
  • Medical conditions such as Diabetes
  • Certain medications mainly if they cause dry-mouth such as blood pressure medications.
  • Hormonal changes in teenagers, pregnant women and patient taking contraceptives medications.
  • Genetic predisposition. Parents with periodontal disease.

How gum disease can be developed?

Gum disease starts when bacteria deposits located at or under the gum margin develop a local irritation and infection. This infection leads to inflammation of the gum tissue and posteriorly separation of the gum tissue from the tooth (pockets). If this separation continues then bone loss and tooth loss will occur. This is why is very important to treat gum disease as early as possible.

How can I know if I have gum disease?

  • You will need a periodontal evaluation in order to know if gum disease is present. This evaluation by Dr. Abril will include:
    • Review of medical history.
    • Oral evaluation.
    • Radiographic exam.

    Contact us for a complete periodontal exam.

Is there any cure for gum disease?

Yes. The good news is that there is treatment for gum disease. If the gum disease is detected in an early stage of then a very conservative approach that may involve scaling and root planning commonly known as deep cleaning followed by frequent maintenance therapies may be more than enough. However, in some cases depending on the severity of the gum disease a gum surgery may be needed. The aim of periodontal surgery is to regenerate or reshape the bone architecture around natural tooth or implants.

What signs or symptoms should I expect if I have recession?

  • Tooth may look longer than normal.
  • Root caries.
  • Tooth sensitivity with cold.

What can I do to reduce the risk of gum recession?

  • Use a soft toothbrush.
  • Review proper brushing techniques with our hygienist and/or Dr. Abril.
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