Periodontal surgery (Periodontal Surgery)

The goal of the surgery:

Aims periodontal surgery to treat periodontitis (Periodontitis), which is not getting better, or who can not be cured through non-surgical treatment.

Periodontitis occurs due to infection with bacterial chronic, in layers that surround the teeth (which function to provide support for age), infection first occurs via the bacterial plaque on the tooth and then develop inflammation in the surrounding age classes, any periodontitis. Shan severe inflammation that causes destruction of these layers, and creating spaces between the tooth and the support system (the pocket), it was up to the erosion of the bone and full exposure to the root of the tooth.

In most cases, the treatment of this case conservative treatment (ie, not surgically). But the cases that require a periodontal surgery are difficult cases that do not respond to conservative treatment (tooth root coverage, and reduce the sinuses), or cases in which exacerbated by inflammation - defects in the tissues of periodontitis caused by the continuation of the disease for a long time and the decline of periodontal (building system support of a new age, the cultivation of periodontal and other ..)

Preparation for surgery:

This is done with surgery under local anesthesia, although he can be in this day surgery procedure under general anesthesia. Before doing surgery on patients do have filmed their teeth scans, and in some cases there is a need to do a special filming (panoramic imaging) or even filming a computerized CT (CT).

In people who are in good health, you do not need to make another special tests. But patients who are more susceptible to infection endocarditis (Endocarditis), such as people with artificial valves and others, they must inform the dentist even provide them with a dose of antibiotics prior to treatment.

May be asked of people who suffer from disorders of the blood coagulation, a blood test to check and coagulation functions have before surgery, so they are susceptible to bleeding.

The course of the surgery:

Are doing periodontal surgery in the dental clinic sterile conditions, the dentist periodontal disease specialist / oral surgery and palate, conduct this process.

The patient receives a local anesthetic for periodontal injection, as is the case in all the usual dental treatments (sometimes be a need to expand the scope of anesthesia, according to the affected sites in periodontitis).

After anesthesia site, the surgeon dimensions periodontal layer as much as possible for age, even to the doctor revealed the source of the damage these classes. Then the surgeon will remove the hardened deposits of inflammation on the tooth surface (bacterial plaque accumulated including inflamed tissue surrounding the tooth). So can peridentales that surround the age of a new, better. In case there were deep pockets or loss of material age, the surgeon may planting of periodontal tissue or tissue in the bone age through what is called for the purpose of tissue - flap (flap). In the end is rounded periodontal again, and then be stitched.

The risks of the surgery:

General risks of surgery for each:

Alty- in most cases the infection is superficial and being treated topically, but in some rare cases, serious infection may occur, which may reach the stream Dam- infection (Sepsis), and up to the heart valves leading to infection, endocarditis (Endocarditis) and others. In some rare cases be needed to open the periodontal area again to bring out the remains germ.

Nsep- mainly be in the area of ​​surgery because of these tissues exposed to trauma topical. Bleeding may occur immediately after surgery or until 24 hours after the end of the process, and in some rare cases bleeding may appear after several weeks and even months after the passage of the process. This bleeding occurs due to the rupture of a blood vessel in periodontitis. In cases where severe bleeding, be needed were drawing blood, but this is rare.

Ndob- related to the nature of the healing scar quality stitches and genetic factors. There's no way we can anticipate how similar scar to heal after surgery. But talk about a few and often invisible stitches.

Risks related to Altkhaddar- most hypersensitivity symptoms of narcotic drugs (allergens) response. In some rare cases, a dangerous drop in blood pressure may occur (anaphylactic shock (Anaphylactic shock)).

    

For periodontal surgery risks:

Damage to the nerves - because of the use of sharp instruments in a narrow space.

Sensitivity to cold or heat in the oral cavity as a result of exposure to the root of the tooth.

Treatment after surgery:

There is no need to keep the patient under observation after periodontal surgery. Must refrain from eating or drinking for two hours after the end of surgery, even disappears anesthetic effect.

After periodontal surgery, it is expected that the patient feels in Palm surgery area, especially in the first few days after the surgery, so it is possible to use painkillers that there were needed. Sometimes bandage is placed inside the mouth in order to isolate it. It also is expected to swell periodontal area for several days after the end of surgery.

Stitches are out and the bandage after a week in most cases. Sensitivity to cold may continue or heat caused by exposure to the root of the tooth certain period of time, but it is temporary.

In order to get optimal results after surgery must maintain oral hygiene intensively and systematically, including rubbing the teeth with a soft toothbrush (to prevent damage to periodontal), cleaning the teeth by a dedicated cleaning equipment so (brushes / sticks with the right flour party to clean the sinuses consisting of bacterial plaque).

In the following cases must immediately go to see the doctor: high temperature, feeling severe pain, bleeding or discharge from the mouth localized.