Osseous Surgery is designed to modify and reshape deformities in the alveolar bone surrounding the teeth. It is a common requirement in effective treatment of more involved periodontal diseases. In some instances, the bony support of the tooth assumes an unusual configuration as a result of uneven progression of the disease. When this occurs, modification of the altered bone support may be indicated.
This procedure is designed to replace or enhance the amount of gum supporting a tooth. Coverage of root surfaces exposed due to previous recession is also possible to achieve. These procedures are performed when there is inadequate gum remaining to help support a tooth or excessive recession has occurred exposing the root of the tooth.
Gingival Flap Procedures, including root planing-per quadrant are used when...as pocket depth increases, exposing root grooves, concavities and the entrances to furcations, the effectiveness of close debridement procedures, as well as plaque control, decreases markedly. With moderate to deep pocket formation and continued loss of attachment accompanied by an inflammatory exudate, various flap approaches are indicated to secure access and visibility for root surface debridement and the removal of inflamed tissue.
A frenectomy is the surgical removal of a frenum in the mouth. A frenum is a fold of tissue that passes from the movable lip or cheek to the gum. When a frenum is positioned in such a way as to interfere with the normal alignment of teeth or results in pulling away of the gum from the tooth surface causing recession, these are often removed using a surgical process known as a frenectomy.
Gingivectomy and/or gingivoplasty are those surgical procedures that are directed at correction of the soft tissue (gingiva) around the tooth. Gingival deformities (particularly enlargements) are reshaped and reduced to create normal and functional form improving the health and appearance of the tissues.
This surgical procedure uses a barrier membrane placed under the gum and over the remaining bone support to enhance regeneration of new bone in an area where teeth are being extracted or have already been removed. This is done to build up the bone support in an area in preparation for placement of dental implants or to improve the shape and contour of the region prior to placing new dentistry in this site.
When a tooth is damaged extensively due to fracture, decay (caries), or other reasons there may be inadequate healthy tooth exposed above the gum line for your dentist to attach a new restoration (crown or cap). By reshaping the remaining gum and bone support around the tooth we can expose additional healthy tooth that previously was hidden beneath the surface using a Crown Lengthening procedure.
When excessive gingiva covers the tooth, both health and esthetic problems exist. There is an increased chance of bacteria accumulation due to the pockets that form around the teeth. By reshaping the gums both esthetics and function can be enhanced.