Indications
When periodontal (gum)
disease progresses to a more advanced stage, it is common for the underlying
supporting bone to become involved. First, the soft, periodontal tissue becomes
infected and inflamed. When the inflammation increases, the bone reacts to the
infection. Bone is destroyed, and it does not return. You will generally not
feel the gums becoming infected or the bone disappearing. Unfortunately, it is
painless. General ly, by the time
pain is involved, the condition is quite serious.
Since periodontal disease is
site-specific, the bone loss will not be uniform. Some teeth will show slight
bone loss, some teeth will show more serious loss, and some teeth will exhibit
no bone loss at all. The bone loss around a specific tooth or teeth may be
regular or irregular in form. The bone loss may be vertical, horizontal, or
both. If irregular, surgery to correct the bone loss will be needed. It is not
possible at this time to reliably regenerate all lost bone. Once it is gone, it
is gone. Research involving the possibility of periodontal bone regeneration
has been underway for some time. But at this time, there are few ways to regrow
periodontal supporting bone after it has dissolved from periodontal disease.
Treatment
Until fairly recently, the
only method of correcting the irregular bone was to smooth off the high spots.
The new bone height between teeth would be even at the level of the most severe
bone loss. Although the problem was now corrected, other teeth might lose healthy
bone in the leveling process. This could and would make those teeth less
stable, an unavoidable and undesirable consequence. In some cases, the nature
of the bone defect still dictates that this procedure be done.
A better approach is to
augment or build up the irregular bone in locations where it has been lost.
This is accomplished with the placement of natural or synthetic bone in a
procedure known as grafting. Natural
bone has been used for over 3 decades and there have been no reported immune
system problems. There are also autografts that use your own bone. Allografts
are synthetic or freeze-dried natural bone.
Preoperative radiographs,
clinical examinations, and periodontal charting will give us an understanding
of the type of osseous surgery that is necessary. However, the full extent of
the problem may not be fully discovered until the area is exposed during
surgery. Radiographs are a two-dimensional, black-and-white representation of a
three-dimensional, full-color area. For this reason, treatment goals will
remain the same, but the surgery method may be modified. Prognosis of the teeth
needing surgery, options, and a best guess for treatment progress will be
discussed prior to treatment.
To perform periodontal
osseous surgery, a flap must be raised.
A local
anesthetic is used and postoperative discomfort is handled with
medication. After this surgical
procedure, sutures and a periodontal dressing are placed.
Osseous surgery may be the
only treatment that will successfully help to retain your teeth after severe
periodontal disease has been present for some time. Keeping your own natural
teeth is generally better than having dentures.
If you have any questions about periodontal osseous surgery, please
feel free to ask us at (512)250-5012.
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Omni Dental Group.
Thanks for providing us the detailed information on Osseous surgery. In such cases some teeth will show slight bone loss and serious loss. Quebec dentist will offer quality treatment to the patients nerve which extends from the tooth’s root to bring vital nutrients to the tooth.
ReplyDeleteThanks for reading!
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