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Periodontal literally means "around the tooth." Periodontal or gum diseases are serious infections affecting the tissues surrounding the teeth. These tissues include the gums and bone supporting the teeth. Without treatment, periodontal disease can result in tooth loss

Periodontal disease is usually a slow, painless, progressive disease. Most adults with periodontal disease are unaware they have it. If diagnosed and treated early the teeth can be saved

Chances are that if you have been diagnosed with periodontal disease, periodontal surgery may be recommended. Surgery is indicated when non-surgical methods are not enough to stop the disease process.

Depending on how advanced your particular case is, treatment may involve any of the following:

Scaling and root planing. Scaling involves the removal of the plaque and calculus deposits on the tooth surfaces, while root planing is the smoothing of the root surfaces in order to promote reattachment of the gum tissue to the tooth.

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Plaque and tartar (yellow or brown Hardened plaque) are scraped off the tooth's crown and roots.

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After Scaling, the rough surfaces of the root are smoothed, providing a healthy surface for healing.

Flap/Osseous Therapy allows the periodontist to gain access to the root of the tooth for removal of plaque, calculus, and diseased tissue. The gum is then carefully sutured back into place. Flap therapy may sometimes be accompanied by minor osseous (bone) shaping or removal in order to ease tissue positioning, facilitate home care, and simplify your maintenance appointments.

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The gum is lifted from the tooth and bone, and diseased tissue is removed.

The uneven bone may also may be reshaped.

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After surgery, the gum is repositioned and sutured in place.

Guided tissue regeneration(GTR) involves the use of a biocompatible membrane material, often in combination with a bone graft, that promotes the growth of lost tissue and bone around your tooth. Not every case is suitable for grafting so ask your dentist or Dr.'s Nejat & Aldredge if this procedure can benefit you.

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In some cases, destroyed tissue between teeth or roots can be partially regenerated.

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Once the damaged area is prepared and special membranes are inserted, new tissue can grow over a period of weeks and months.