Dr Shah’s philosophy is to always ensure that we gain as much of an improvement in your gum condition with non-surgical therapy prior to considering further treatments.
On occasions where deep periodontal pockets remain, periodontal surgery may be recommended. Teeth with deep periodontal pockets are more likely to suffer from progressive bone loss and may eventually be lost in the future.
Surgery is carried out under local anaesthesia and you can expect to be comfortable during treatment. If you are anxious, it is possible to arrange for Intra-venous sedation to be provided. Typical surgery appointments are between 90-120 minutes long.
All surgery begins with careful incisions to allow Dr Shah to visually assess and access the disease affected roots. After thorough cleaning, Dr Shah will then decide upon the top approach to ensure we can achieve disease resolution. Dr Shah utilises the latest minimally invasive microsurgical techniques for all surgical procedures.
Dr Shah’s preference wherever possible is to try to regenerate the damaged bone/root and gum tissue. To achieve this Dr Shah may consider the use of a biologic agent (such as enamel matrix derivatives) or a bone graft agent to promote optimal healing.
In cases where regeneration is deemed to be unfavourable, Dr Shah can reshape the gum and bone around the disease affected teeth. This will allow for improved self-performed cleaning and disease stability. At the end of the procedure, the gums will be stitched back, and a dressing may be placed. You will be given verbal and written instructions on how to look after your teeth and gums following surgery. The stitches will be removed after 1-2 weeks and you will be reviewed regularly over the following 12 months.
The benefits of surgery include:
- The ability to reduce pocketing and stabilise teeth which would otherwise not respond to non-surgical therapy.
- The ability to regenerate damaged root, bone and gum tissue around disease affected teeth.
- Increased lifespan of teeth.
Common risks include:
- Post-operative pain which will normally require the use of paracetamol/ibuprofen as instructed for 3-5 days.
- Mild swelling/bruising.
- Short-term bleeding from the gums, typically only for the first 24 hours following surgery.
- Sensitivity to hot/cold food and drink.
- Recession may be noted, particularly following surgery where regeneration is not possible.
- Short term increased mobility of teeth.
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