Mouth gum surgery – What do I need to know?

Your dentist has recommended that you go to a parodontologist, a dental specialist who deals with gum disease. Gum disease is a bacterial infection that affects the gum and causes inflammation, red gums, swelling and bone loss around the teeth. It can hit a tooth or more. National Institutes of Health reports that 80 percent of all adults in the United States have any form of gum disease.

How did I get a gum disease?

Dental diseases begin with the presence of bacteria in the mouth that attack the teeth. The bacteria accumulate and become more and form a biofilm called dental plaque. If the plaque remains on the teeth, the adjacent gums may become inflamed and cause gingivitis, an early form of gum disease. Gingivitis can be prevented by using dental floss every day and brushing your teeth twice a day with toothpaste fighting bacteria. Plaque and leftovers are removed with good oral hygiene and by cleaning the surface of the teeth and removing bacterial-filled plaque at the gum edge. [It must be clear in this paragraph that gingivitis is an early disease of gum disease that can lead to periodontal disease, a serious form of gum disease, if not treated.]

If the plaque and leftovers are not removed and the oral hygiene is not taken, the gingivite becomes worse and the gum may become more inflamed, begin to bleed and the area between the teeth and the gums may become deeper and form pockets where gum disease may develop.

A gum pocket is formed when the bacteria in the plaque from the biofilm continue to accumulate and penetrate under the gum edge. In this mode, normal toothbrushing is not very effective to remove the plaque. If not treated by a dentist or dental hygienist, the biofilm will continue to spread under the gum edge and infect the inside of the toothpick. The bacteria in the plaque form byproducts that cause the adjacent soft and hard tissues to be destroyed and form an even deeper pocket. This type of advanced gum disease can kill the dental roots and they may also become infected. The teeth may begin to loosen or feel uncomfortable and the patient needs dental surgery. The patient first needs treatment against the gum pockets with depuration and root planing. The dental hygienist uses an ultrasonic depuration tool to remove plaque, tartar and leftovers under the gum edge and scrapes the tooth and the root by hand to make it even and disease free. Depuration and root planning can be done on two to four visits depending on how extensive the disease the patient has. Thorough oral hygiene should be reviewed with the patient to improve oral care technology at home.

Types of dental surgery

1. Flap surgery

If the pockets are larger than 5 millimeters deep, the parodontologist performs this treatment to reduce the denture pockets noted in the patient’s journal. Most patients diagnosed with moderate to severe dental disease receive this treatment. The parodontologist then intersects the gums to separate it from the teeth, performs a deep cleansing with an ultrasonic depuration instrument as well as instruments for removing tartar, plaque and biofilm under the pockets.

2. Gingivectomy

This treatment is performed to remove excess tissue that may have spread over the teeth to obtain a better surface for cleaning the teeth. The parodontologist robs the patient’s gum and cut the extra gums in the mouth.

3. Gingivoplasty

This type of dental surgery is used to transform fresh gums around the teeth to make them look better. If a person has gums that go back, you can perform gingivoplastics. A gums can be made where tissue is taken from the palate and sewed on either side of the tooth where the gum has retreated.

After dental surgery, it is important that the parodontologist or dental hygienist informs you how to clean your teeth and gum with toothbrush and antimicrobial flirting cream, dental floss and antibacterial mouth rinse. Talk to your parodontologist or dentist for more information on how to take care of your gums and teeth after dental surgery.