In some cases, periodontal surgeries are required to treat gum diseases and conditions. This type of surgery is known as gum surgery. The goal of these surgical procedures is to treat gum disease or
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to regain lost bone tissue and soft tissues
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to prevent tooth loss.
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eliminating bacteria and infection
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shaping the gums
It covers procedures such as.
Types of Surgical Procedures
Periodontology, which has developed rapidly in the last three decades, has introduced a wide variety of surgical approaches to dentistry. Because the surgical procedures used in the field of periodontology vary widely. Which surgical procedure the gum specialist will perform may vary depending on the type and severity of gum disease.
Generally, before gum surgeries, gum specialists perform procedures such as tooth surface cleaning, root surface flattening (curettage) if necessary, and make the necessary recommendations regarding oral hygiene.
Periodontal surgical procedures; It covers various applications such as flap operations, bone graft applications, guided tissue regenerations and soft tissue transfers.
Preparations for Gum Surgery
Before gum surgery, the gum specialist must make a pre-operative evaluation. Because although surgery is necessary, periodontal surgery cannot be performed under all circumstances. To make sure everything is ready, the gum specialist;
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takes medical history and evaluates the patient's condition
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evaluates the stability and health of teeth, mouth and jaw bones
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checks for the presence of infection, abscess or other lesions that may affect the healing of the surgical procedure area
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The patient is informed about the benefits and risks of the operation and the surgical procedure is started with the patient's approval.
What Happens During Surgery?
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Although it varies depending on the type of surgical operation performed, a number of transaction is in progress. Gum surgery procedures generally take between 30 minutes and 90 minutes.
Periodontal surgical procedures can generally be performed easily under local anesthesia. In some cases, these operations can be performed with sedation or general anesthesia. However, this decision is made by the gingival specialist together with the patient.
During the operation, the gingival specialist performing the surgery uses completely sterile equipment, including the patient drape, light source arm, and table cover. Since sterilization is very important to minimize the risk of possible infection, materials such as covers, saliva ejectors and tampons are disposable and are thrown into the medical waste garbage after the end of the operation.
Small incisions are made and the gum is removed from around the teeth. Thus, the gum specialist can see the root surfaces better and can easily remove the stones, debris, plaque or infection tissues in this area.
Following the cleaning of the surgical area, the gum specialist may perform gum shaping, bone regeneration procedures or other planned procedures.
If the procedure to be performed is a gum graft operation, the area prepared for the new gum tissue In addition, an incision is made in the donor area and appropriate tissue is obtained as much as the prepared area and transferred to the recipient area.
Following the completion of the planned surgical operation, the gum specialist closes the surgical area by stitching the gum tissue back into place. These stitches may fall off on their own, or they may need to be removed after the period determined by the gum specialist after the procedure. If there are stitches that need to be removed, the waiting period is usually between 7-10 days.
Healing Period
Every dental After the procedure, the dentist or gum specialist will give you information on how to achieve the best and most comfortable recovery. Healing time and process vary depending on the type and extent of the procedures performed.
Pain relieving and relieving medications are generally needed after gum operations. After the operation, the gum specialist gives information to the patient about the medications he recommends. Along with these;
- The use of antiseptic mouthwash may be recommended to keep the operation area clean and to prevent infection.
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Avoiding intense exercise may be recommended.
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It may be recommended to consume soft foods for the first few days following the operation.
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Smoking should not be avoided.
>The gum specialist makes an appointment within 1-2 weeks for a check-up and observes the healing of the gums and, if he deems it appropriate, removes all or some of the stitches.
The gums and teeth heal, become tighter and stronger, they become stronger. Some individuals may start to feel tooth sensitivity with hot and cold foods and drinks. In this case, they may need to follow the procedures recommended by the gingival specialist.
Compliance with the control program determined by the gingival physician regarding what needs to be done to reduce the possibility of requiring re-operation following the healing period is at least as important as the operation.
Can Gum Disease Be Prevented?
Considering that gum disease is caused by bacterial colonization, plaque and tartar formation, providing proper oral hygiene is usually the cause of gum disease. It can be applied to prevent or reverse the disease.
In many cases, proper brushing twice a day and interface care (dental floss, interface brush, use of oral irrigator, etc.) followed by regular medical check-up can prevent gum disease before it occurs.
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