As a result of severe periodontal disease, pockets can often develop between the teeth and gums over time. These pockets are often filled with plaque and unwanted bacteria over time, and while non-surgical; means are available for more severe instances surgery may become necessary.
They can be combined with regenerative procedures in order to spur the development of new bone tissue as well.
Pocket Reduction Surgery
Reshaping the Gum & Bone Tissue
The pocket reduction procedure begins with flap surgery, in which the gum is separated front eh tooth and then reattached in a new, better position. In most cases, osseous surgery is also done – the reshaping and smoothing the bone.
After the treatment, the gumline is then lowered, leaving more of the tooth exposed. If the root becomes exposed, then additional treatment may be needed. The procedure takes on the following steps:
- Gum Opening: The gum is first lifted and rolled back, creating a gum flap. Tartar and bacteria are then removed from the root. The surgeon also removes diseased gum tissue.
- Shaping of the Bones Tissue: If needed, the bone is smoothed and reshaped in order to reduce the areas in which bacteria and plaque can build up.
- Tissue Healing: In order to help the tissue heal and the ligaments and gum to reattach properly, we apply a substance and use a series of tools to seal off the area and reduce the bleeding.
The gum flap is then closed up and sewn shut in a position that reduces the size of the pocket. A dressing may be used to protect the area. This dressing is a bit like clay or putty. Once the gum is healed, the stitches dissolve or are removed. The result will be a shallower pocket between the teeth and gums, as well as a lower gumline – it is likely that more of the tooth will be visible. Good oral hygiene and regular dental visits are needed to maintain the health of the gum tissue.
For more information on this procedure or other issues, be sure to contact us today.