Periodontics is the specialty of dentistry deals with supporting structures of teeth, as well as diseases and conditions that affect them, supporting structures of teeth are gums, bone surrounded by teeth etc.
Everyone experiences some form of plaque buildup. The saliva, bacteria, and proteins in your mouth form a thin layer that covers your teeth at almost all times.
When you eat, tiny particles, acids, and sugars from the food stick to this film, creating a buildup on the teeth known as plaque. The bacteria that lives in this plaque can cause gum disease and tooth decay. Brushing, flossing, and regular dental cleanings will help remove the plaque and prevent more serious problems.
If you have healthy gums, the tissue will fit tightly around the tooth and keep plaque out. However, if gum disease begins to form, this tissue will loosen. Healthy gums attach to the tooth just 1 to 3 millimeters below the gumline. With gum disease, you’ll begin to develop deeper pockets. These can fill with plaque, worsening your problems and causing symptoms like bad breath.
If you have pockets of 4 millimeters or more, your dentist will probably recommend dental scaling to remove the plaque beneath the gumline and help treat the gum disease.
Dental scaling involves the careful removal of plaque bacteria from the tooth’s surface just below the gumline. There are two basic methods for scaling teeth. If your dentist uses handheld instruments, he or she will scrape plaque from the tooth using a metal tool known as a dental scaler and curette. The dentist will insert this thin tool beneath the gum line to access plaque your toothbrush can’t reach.
Alternately, your dentist may choose an ultrasonic instrument to scale your teeth. This features a vibrating metal tip combined with a cool water spray. The tip chips tartar away as the water flushes out the pocket.
1.Can cleaning damage your teeth?
Dental cleaning will not damage teeth; it will help gums to become healthy. It causes very little discomfort post operatively.
2. Does scaling & polishing whiten teeth?
It removes the surface stains & deposits & keep your gums healthy. Scaling & Polishing will not make them whiter,but it will make the teeth look cleaner & brighter.
3.Can I eat after scaling & Polishing?
In most cases you can eat right after a dental cleaning, but to receive the most out of this treatment you need to wait for 30 minutes.
4. Is dental scaling really necessary?
The treatment, also called scaling and root planing, removes plaque and bacteria below the gums to prevent bone loss that can loosen teeth and complicate medical conditions, such as diabetes and heart disease.
5. Is scaling of teeth harmful?
Scaling is a safe and routine procedure and does not damage the tooth surface in any way. It must be done by a dental professional.
6. What to do after teeth cleaning?
A fluoride treatment can help strengthen your teeth against decay, repairing the enamel on your teeth. To receive the most out of this treatment, you will need to wait 30 minutes after your dental cleaning to eat or drink. By waiting 30 minutes, the fluoride treatment has enough time to seal around your teeth.
7. How often should scaling of teeth be done?
The dental hygienist will use a scaling instrument to remove plaque and tartar from the surface of the roots of your teeth. Scaling is required atleast 06 months once.
8. Can cleaning loosen teeth?
A: Cleaning will loosen your teeth only if they are supported by tartar or calculus and have lost the natural bone, gums support. Do not delay the treatment with fear of loosening teeth, there are ways to tighten them.
Receding gums or exposure in the roots of the teeth caused by loss of gum tissue is gum recession.
For mild gum recession a need to get deep cleaning treatments called “Scaling & root planning” to treat gum recession.
Receding Gum Symptoms-
If deep cleaning is not sufficient because of excess loss of bone & deep pockets, receding gum surgery may be required, gum surgery like gingivoplasty or gum graft.
This treatment prevents from conditions like sensitivity & other more serious problems like loose teeth, periodontitis & also give good esthetic appearance.
1. How painful is a gum graft?
A: It will be a painless procedure as it will be done under anaesthesia. Post-operative discomfort persists for few days.
2. Can receding gum be reversed?
A:Gums might also recede around a tooth if it is in an abnormal position.
3. How long does it take for gum graft surgery to heal?
A:One to two weeks, but you will need to schedule a follow up appointment after 1 week with your periodontist so that they can make sure its healing.
4.Is gum grafting necessary?
A:A gum graft is a type of dental surgery performed to correct the effects of gum recession. Some people choose to have a gum graft to have a better smile, while for others it is necessary to protect the exposed tooth from damage & repair any damage already done.
It is a surgical procedure designed to remove the soft tissue lining of the periodontal pocket.
-Gingival curettage involves removing the tartar & the bacterial plaque from the gingival pockets.
-Gingival curettage is only carried out under anesthesia
-A special instrument is used to scrape the gingival wall, eliminating the soft tissue from the periodontal pocket while also cleaning any exposed portion of the tooth’s root.
This procedure improves the stability of the teeth , the health of the gums. Prevents from further damage of tooth and its surrounding structures.
1.How painful is a curettage procedure?
A.It is carried out under anesthesia, so pain doesn’t occur during the procedure, but once the effect of anesthesia gets over then pain may occur. In that case pain killer has to be taken.
2. How long does it take to heal?
A: one-two weeks, depending upon the severity.
Periodontal or gum disease is an infection of the supporting tissues and bone that hold your teeth in place. It is usually caused by:
Typical treatment for periodontal disease is scaling and root planing (SRP), which is a non-surgical method of cleaning the surfaces of the teeth and their root which may be exposed due to gum recession. This removes tartar, plaque and bacteria from the gum surrounding the root, and promotes the healthy regeneration of the gum tissue.
Alternatively, the periodontist may perform gum flap surgery, surgically the gum tissue is cut and flapped back to allow deep cleaning around the roots underneath. The gum tissue is then sutured back into place to heal.
In periodontal laser therapy, the provider uses a dental laser to access and remove the inflamed gum tissue from around the root of the tooth. When the infected tissue is removed and the root is exposed, the root scaling begins. This involves scraping off the calculus and plaque built up below the gumline and around the root. The dentist then smoothens the root with instruments to remove any rough spots that might attract bacteria and cause future infections. The area between the gum and the root can then regenerate during the healing process.
Dental surgeons perform crown lengthening by recontouring gum tissue, and sometimes bone, to expose more of a tooth’s surface for a crown. It’s a common procedure and often takes less than an hour to complete.
Crown lengthening can be necessary if there isn’t enough of the tooth in place to hold the crown on its own. Teeth that are broken or affected by tooth decay may prohibit a crown from firmly attaching.
Crown lengthening reduces gum tissue and shaves down bone when necessary so more of the tooth is above the gum’s surface. A properly fitted crown allows for better oral hygiene and comfort.
Some people seek crown lengthening to alter a “gummy smile,” in which the gums are visible above the teeth when smiling.
1. How long does it take for a crown lengthening to heal?
It usually takes 7 to 10 days. If bone trimming is done then Your gums should heal for aboutone to three months before the tooth is prepared for the final crown.
2. What is the procedure for crown lengthening?
During the dental crown lengthening procedure, excess gum and bone tissue is reshaped to expose more of the natural tooth. This can be done to one tooth, to even your gum line, or to several teeth to expose a natural, broad smile.
3. Is a crown lengthening necessary?
A crown lengthening can reduce the bone level and gum tissue in order to gain better access to your tooth. When a tooth breaks, or if there is severe decay, the remaining healthy tooth area is reduced and this can affect the potential for a successful tooth restoration.
4. Does a crown lengthening hurt?
The dentist removes a small amount of gum and bone around the tooth, and several weeks are needed for healing. The new “taller” tooth is then prepared for the crown. The crown lengthening procedure starts with anesthesia, and then the periodontist removes excess gum tissue to expose more of your teeth.