Non surgical procedures include Scaling and Root Planning (cleaning and smoothing the root of the teeth)removing the bacterial adhesion and to allow the gum fibers to re-attach to the teeth.
Local antibiotics are sometimes placed into the pockets to avoid the re-growth of bacteria, control the infection and accelerate the normal healing.
Scaling and root planning may not be the ultimate and definitive treatment and surgical procedures are needed to restore the periodontal health.
Osseous surgery is done to eliminate the infected gum tissue, re-contour the uneven bone and allow the patient to improve oral hygiene in the area and to maintain the good oral health.
Regenerative periodontal therapies are indicated in cases when the bone need to be filled with bone graft to restore the anatomy and allow tissue regeneration around the area where the bone has been lost.
When tooth has insufficient sound tooth structure to hold a new crown bone needs to be removed around the tooth to obtain enough tooth structure to hold the crown and to allow the gum firers to attach and create the normal biological width with no swelling or discomfort.
Your gums may have receded for a variety of reasons, including aggressive tooth brushing or periodontal disease. When recession reaches the mucosa, the first line of defense against bacterial penetration is lost.
Soft tissue grafts can be used to cover roots or develop gum tissue where absent due to excessive gingival recession. During this procedure, your periodontist takes gum tissue from your palate or another donor source to cover the exposed root. This can be done for one tooth or several teeth to even your gum line and reduce sensitivity.