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Sometimes, periodontal surgery may be needed to treat certain gum diseases and conditions, such as gingivitis or periodontitis. Which kind of surgery Dr. Harrell performs depends on the type and severity of the gum disease.
Gum tissue is designed to fit snugly around your tooth. When disease is present, the fit is loose and bacteria collect even more in these pocket areas causing bone loss. If pocketing is not eliminated by scaling and root planing, the pockets will need to be surgically eliminated by removing diseased tissue and bone, creating a tight fit around the tooth that can be kept clean.
In some cases, bone graft and tissue membranes may also be placed in an effort to rebuild the supporting structures around the teeth.
Peri- implantitis is an infectious disease that causes inflammation of the gum and the bone structure around a dental implant. If the gum tissue is loose around the implants, harmful bacteria can grow below the gums causing bone loss. Appropriate management of peri-implantitis often requires a referral to a periodontist. In order to control the bacterial infection and reduce the inflammation in the tissues, debridement and bone grafting is necessary.
Signs of peri-implant diseases are similar to symptoms of gum disease: red or tender gums around the implants, or bleeding when brushing. And just like your natural teeth, implants require regular tooth brushing and flossing and regular check-ups from a dental professional. Other risks factors for developing peri-implant disease include previous periodontal disease, poor plaque control, smoking, and diabetes. It is important to routinely monitor dental implants as part of a comprehensive periodontal exam.