Pocket Reduction Surgery
Pocket reduction surgery (also known as gingivectomy, osseous surgery and flap surgery) is a collective term for a series of several different surgeries aimed at gaining access to the roots of the teeth to remove bacteria and tartar (calculus).
The human mouth contains dozens of different bacteria at any given time. The bacteria found in plaque (the sticky substance on teeth) produce acids that lead to demineralization of the tooth surface and ultimately contribute to periodontal disease.
Periodontal infections cause a chronic inflammatory response in the body that literally destroys bone and gum tissues once they invade the subgingival area (below the gum line). Gum pockets form and deepen between the gums and teeth as the tissue continues to be destroyed.
Periodontal disease is a progressive condition that, if left untreated, causes massive bacteria colonization in gum pockets, and can eventually lead to teeth falling out. Pocket reduction surgery is an attempt to alleviate this destructive cycle and reduce the depth of the bacteria-harboring pockets
Treatment of Gum Recession
Oftentimes, the roots of teeth become exposed because of gum recession. Teeth appear to look longer than normal as the gum tissues move towards the root. Gum graft surgery can help prevent the recession from getting worse, and in many cases, can even cover some of the exposed root surfaces to provide improved support for the teeth and a more esthetic smile.
Causes of Gum Recession
- Age
- Gum disease
- Genetics
- Smoking
- Plaque accumulation
- Orthodontic treatment
- Trauma to the gums/Brushing too hard or too aggressively
Benefits of Gum Grafting Surgery
- Prevent further recession and bone loss
- Improved tissue thickness
- In some cases, obtain coverage on the exposed root surfaces
- Improve the esthetics of the smile
Biopsies
Cancers can occur anywhere in the oral cavity and oropharyngeal region but are most found on the lateral border of the tongue and the floor of the mouth. It is imperative to routinely perform oral cancer screenings when examining patients. While our surgeons are comprehensively examining the patients, they look for oral cancers, and if they find a suspicious area, can remove it, and send it to a pathologist who can determine the proper diagnosis and, if need be, further treatment. Our surgeons will discuss the pathology results and coordinate treatment in an efficient and timely manner.
Crown Lengthening
Crown lengthening (or crown exposure) is required when your tooth needs a new crown or other restoration. The edge of that restoration is deep below the gum tissue and not accessible. It is also usually too close to the bone or below the bone.
The procedure involves adjusting the level of the gum tissue and bone around the tooth in question to create a new gum-to-tooth relationship.
This allows us to reach the edge of the restoration, ensuring a proper fit to the tooth. It should also provide enough tooth structure so the new restoration will not come loose in the future. This allows you to clean the edge of the restoration when you brush and floss to prevent decay and gum disease.
For more information about periodontal cosmetic surgery, call (752) 422-0005 or (752) 548-2553.