Periodontal disease is caused by an infection of both the soft and hard tissues that surround and support the teeth such as the gums, the periodontal ligament and the alveolar bone. The long term presence of plaque and calculus lead to swollen and bleeding gums that are early signs of infection; in a late stage, if nothing is done, the infection can lead to alveolar bone destruction that supports the teeth. It’s a major cause of tooth loss and it could lead to other health problems.
Dr Cicero as a periodontist is specialized in the treatment of this pathology. His every day goal is to save compromised tissues and teeth and rehabilitate the arch to it’s original aesthetic and mechanical functions using cutting-edge procedures.
Cleaning and deep cleaning
There are two different methods to remove plaque and calculus that cannot be removed by brushing, flossing or with a regular home cleaning.
A simple Cleaning focuses on the surfaces of the teeth and between teeth above the gum line. During this procedure, the teeth are also polished.
A Deep cleaning also known as Scaling and Root planning removes bacteria, calculus (tartar), and debris that has collected under the gum line.
Open flap debridement
If the cleaning and the deep cleaning treatment don’t eliminate the gum infection, a gingival flap surgery may be used. With this procedure, the gums are separated from the teeth and folded back temporarily. This allows the dentist to get a better sight of the root of the tooth and of the bone, and to remove the infected tissues by a deep cleaning on the structures he has exposed.
In order to remove the damaged bone around the tooth, an osseous surgery is necessary after a procedure of open flap debridement. Smothering the damaged bone leads to a better reattachment of the gum tissue and then to a better tissues healing. Depending on the severity of the bone loss, the dentist may also perform a bone graft or guided tissue regeneration before reattaching the gum tissue.
Guided tissue regeneration
The guided tissue regeneration (GTR) typically refers to regeneration of periodontal attachment using a barrier (generally a membrane) put in between the tooth and the gum. Barrier techniques are generally employed in this procedure for excluding the ingrowth of epithelium on the root structure or existing bone surface that interferes with the regenerative process.
Dr Cicero uses the latest regenerative protocols to treat this kind of problems as you can see in some of the cases shown in this page.
Sub epithelial microbial therapy
The aim of Sub epithelial microbial therapy is to eradicate the pathogens associated with the periodontal disease that cannot be reached by mechanical therapy and attain periodontal health. This can be sometimes completely achieved only by a combination of non-surgical, surgical and antimicrobial therapy.
An other possible periodontal disease therapy is to use a dental laser to remove the inflamed gum tissue from around the root of the tooth. Using laser for excising diseased gum tissue does not need general anesthetic; it can target the diseased areas precisely and accurately; bleeding, pain and swelling are limited because periodontal laser therapy is less invasive than regular surgery; recovery and healing times are shorter.