The graft may be made from small bits of your own bone, or the bone may be made of artificial material or donated. This procedure is performed when periodontitis destroys the bone around your tooth root. This can help reduce further gum loss, cover exposed roots and give your teeth a better appearance. This is usually done by removing a small amount of tissue from the roof of your mouth or using tissue from another donor source and attaching it to the affected site. You may need to have some of the damaged tissue reinforced. When you lose gum tissue, your gumline gets lower, exposing some of your tooth roots. After you heal, it's easier to clean the areas around your teeth and maintain healthy gum tissue. Because periodontitis often causes bone loss, the underlying bone may be reshaped before the gum tissue is stitched back in place. This exposes the tooth roots for more effective scaling and root planing. Your periodontist makes cuts in your gums to carefully fold back the tissue. Flap surgery, also called pocket reduction surgery.If you have advanced periodontitis, you may need dental surgery, such as: Sometimes oral antibiotics are needed to get of bacteria that cause infections. Topical antibiotics can include antibiotic mouth rinses or putting gel containing an antibiotic into gum pockets. Topical or oral antibiotics can help control bacterial infection. ![]() It also helps your gums attach to your teeth again. This helps prevent further buildup of tartar and bacteria. It may be done using instruments, a laser or an ultrasonic device. Scaling removes tartar and bacteria from your tooth surfaces and below your gumline. If periodontitis isn't advanced, treatment may involve less invasive procedures, including: You have the best chance for successful treatment when you also have a daily routine of good oral care, manage health conditions that may impact dental health and stop tobacco use. The goal of treatment is to thoroughly clean the pockets around teeth and prevent damage to surrounding gum tissue and bone. A dental hygienist may work with your dentist or periodontist as part of your treatment plan. ![]() A periodontist is a dentist who specializes in gum disease. Treatment may be done by a dentist or a periodontist.
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