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Health Matters Related to Periodontal Disease
bleeding gums contagious
halitosis (breath)
heart disease
heredity                info  pages
oral cancer     cancer treatment periodontal disease
self test

smoking- tobacco

oral hygiene methods
oral care products
preventive cleanings
your role in therapy      nutrition and vitamins

antibiotic therapies
bone regeneration
Emdogain        Guided tissue regeneration   cosmetic surgery
crown lengthening
gum grafting
non-surgical care
dental endoscopy periodontal surgery


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Articles of interest in Periodontics

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Patient Photos


Deep pocket with calculus Flap reflected to access calculus
Gum sutured back to normal height, leaving a deepened space Gum sutured down to bone to reduce residual space.

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Treating the problem before it occurs is ideal.  Here are some clinical photos.

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This photo shows a hopeless upper bicuspid with serious bone loss.  The patient lost her crown several weeks prior. Here is the extracted, fracured tooth that could not be saved.
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This is the bone defect resulting from the infection. A serious cosmetic defect would result. A bone graft is placed in to the extraction socket to restore the lost bone. Finally, the gum is closed over the bone graft that has been protected by a GTR membrane (see above).

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Missing front tooth to be replaced with an implant Implant inserted in jawbone, and gum closed over implant
Edentulous lower jaw
Placing synthetic bone Synthetic bone placed in defect
Synthetic bone stimulates
patient's natural bone to regenerate
2. Guided Tissue Regeneration
A more recently developed type of regenerative surgery depends on guiding the proper tissue to heal the periodontal lesions. Gum tissue heals very quickly, and after surgery migrates down into the bone pocket quickly. Unfortunately, this does not allow time for the bone to refill the pocket, so the defect persists. With guided tissue regeneration, the gum tissue is excluded from the bone defect with a resorbable membrane, allowing time for the bone to fill back in. This technique has been available for 18 years, and in certain areas is extremely predictable.
Defect Membrane isolating defect
so bone has time to heal
New bone forming as membrane dissolves Final healing