Non-surgical management of periodontal diseases

This could include any of the following, instruction in plaque control, scaling and root surface debridement, bacterial analysis and antimicrobial therapy, occlusal analysis and adjustment and splinting of teeth.
The patient’s response to non-surgical therapy is closely monitored; if periodontal problems persist further treatment may be required.

Non surgical treatment for severe periodontitis

Gum disease severe periodontitis before and after treatment

Gum disease severe periodontitis before and after treatment

BEFORE
This gentleman has severe gum problems caused by neglect and also medication for his high blood pressure. After undergoing a course of gum treatment, the swelling and bleeding was completely eliminated. His teeth were much more comfortable and felt his breath was much fresher. The long term outcome is very good with good flossing and brushing.
AFTER
After treatment the periodontal condition has been stabilised with just non-surgical therapy and has been maintained by excellent plaque control by the patient.

Periodontal plastic surgery.

Problems such as excessive recession around teeth that cause aesthetic and sensitivity problems can now be dealt with great success. The use of soft tissue grafts can increase the zone of keratinised tissue and cover exposed roots. They can also be used for ridge augmentation and papilla regeneration around implants. The use of microsurgical techniques has greatly enhanced the predictability and success rate whilst also minimising post-operative discomfort.

Surgical periodontal and regenerative therapy.

This is usually performed if there are still problem areas after non-surgical therapy. Various surgical techniques are used for pocket elimination and predictable regenerative therapy using the latest materials available.

Periodontal resective therapy

BEFORE
Non-responding sites that after root surface debridement still have deep pocketing and bleeding on deep probing.

AFTER
Pocket reduction periodontal surgery was carried out resulting in minimal probing depths and no bleeding on deep probing. This also provides the patient with proper access for plaque control in home maintenance.

Periodontal regenerative therapy

BEFORE
Advanced bone loss on the distal surface of the premolars. Surgical regenerative therapy was carried out using Emdogain bone regenerative material.

AFTER

Bone regenerative therapy establishes new tooth support through new bone growth thereby enhancing the long-term prognosis of the tooth.

Root resection : root hemisection surgical procedure

Often multi-rooted teeth have a localised infection around one root. This surgical procedure is used to remove an infected root or to divide a two rooted tooth. The tooth remains functional because the infection is eliminated making it possible to perform effective plaque control and keep the site healthy.

Root resection surgery before and after treatment

Root resection surgery before and after treatment

BEFORE
Extensive bone loss and failed root filling around the distal root of the molar. The mesial root was found to be sound.

AFTER
The distal root has been removed and the mesial root retained. The mesial root will be subsequently restored by the referring dentist.

Crown lengthening.

Short and inadequate tooth length prevents the placement and retention of a new crown or bridge. This procedure increases the amount of tooth structure to support a crown or bridge by contouring the gingiva and the underlying bone. In addition it can also be used to improve the appearance of the anterior teeth prior to any advanced dental treatment or by removing excess gum tissue in the case of a “gummy” smile.

Periodontal surgery for tooth fracture

crown lengthening surgical procedure

crown lengthening surgical procedure

BEFORE
A tooth fracture with inadequate tooth structure for crown retention.

AFTER
After crown-lengthening procedure was carried out additional tooth is available to provide successful placement of a crown. After the procedure you can see a full coverage crown that is more retentive and natural looking.

Periodontal surgery for gummy smile

BEFORE
Short teeth and a gummy smile that compromises the aesthetic appearance of the smile.

AFTER
After aesthetic periodontal surgery the gums were positioned in a more pleasing position and contour. The beauty of this smile was completed with new porcelain veneers.