Is the first stage of active periodontal therapy with the aim of removing the irritants (plaque and calculus/tartar) from the depth of pockets on the root surface with special tools that also require a specific skill set, under local anesthesia. This is a very detailed job and is time consuming. Non-surgical periodontal therapy is very effective in reversing the inflammatory process and improving the pocket depts, however it has limitations and in some instances other treatment modalities such as surgery are required in order to access difficult anatomical area that have not responded to non-surgical treatment.
Is the next stage of active periodontal therapy when still there are some residual non-responsive sites after non-surgical therapy that resist to respond to treatment. The non-responsiveness might be due to the shape of the soft tissue or root anatomy such as a groove or furcation. Surgical flapping of the gum is a minor surgery under local anesthesia that helps improving the visibility and access to these sites for corrective purposes and reducing the pocket depths. We should keep in mind that deep pockets contain large numbers of aggressive germs with high tissue toxicity.
In some instances when the damage to the bone through disease process happens in a certain way that creates a well-contained bony defect, regenerative surgical techniques can assist to restore a part of lost bone. This requires the use of biologically active or bone substitute materials.
Dental implants are meant to replace missing or non-restorable teeth. They are commonly made of Titanium alloy, which is a biocompatible metal, however in recent years ceramic implants (Zirconia) are also available for a metal free tooth replacement. The bone loves titanium and Zirconia and grows and bonds to the surface of the implant. This however takes around 3 months to happen.
The success rate and longevity of the implants are quite high, however there are a number of risk factors such as poor oral hygiene, smoking, uncontrolled diabetes and gum disease that increase the risk of complications, hence reduce the success rate of implants.
Implants are inserted in the jawbone through a minor oral surgery. Under local anesthesia, the gum will be flapped and an accurate bed is prepared for the selected size of implant. The implant will be inserted and the site will be closed and left undisturbed to heal.
After a period of healing (usually 3 months), the integration of the implant is assessed, and the healed implant is ready for taking impression and fabrication of the final restoration.
After successful control of periodontal disease through active periodontal therapy, a regular supportive care program will be designed tailored to suit each individual patient’s need based on his or her genetic level of susceptibility. This includes regular measurement of the pockets (monitoring) and systematically removing the plaque deposits from all the sites (maintenance) in order to keep the balance for a durable health condition. Whenever a change or deterioration of any site is intercepted during monitoring, it will be treated and settled before permanent bone loss occurs.
GC Perio (Periodontics & Dental Implants)
123 Bayview St, Runaway Bay, QLD 4216, AU
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