Lumino The Dentists

Lumino the Dentists

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Periodontics

Why see a Periodontist?

A periodontist is a dentist who receives extensive training, including additional three years of education beyond dental school, in order to specialise in the prevention, diagnosis, and treatment of periodontal (gum) diseases. Periodontists are also experts in the placement and maintenance of dental implants. 

Some periodontal needs can be managed by the general dentist, however, we’re seeing more and more cases where having the greater understanding and experience of a periodontist can significantly help treat our patients.
 

What is Periodontic Treatment?

Periodontists are expertly trained to treat patients with severe gum disease or patients with a complex medical history. They offer a wide range of treatments, from scaling and root planning (a treatment for periodontal disease) to soft tissue grafts (to cover the exposed roots of teeth, reduce sensitivity or prevent additional recession). On top of this, periodontists are specially trained in the placement, maintenance, and repair of dental implants as well.

During your first visit, a periodontist will evaluate your gum inflammation, examine the space between the gum and the tooth (probing depth or pocket depth), and measure the gum recession. A periodontist will then formulate a periodontal diagnosis and treatment plan based on clinical examination and radiographic investigation.
 

What are some of the procedures that a Periodontist performs?

     • Scaling and root planing
The treatment of periodontal (gum) disease depends on the severity of the disease. Periodontal (gum) disease progresses as the bacteria, plaque and tartar (calculus) in the space between gums and teeth (pocket) can cause damage to the gums and bone loss.

     • Pocket elimination surgery 
Pocket elimination surgery is a collective term for several different surgical procedures that is aimed to gain access to the roots of teeth to remove bacteria, plaque and tartar (calculus) and help reduce the depth of pockets.

     • Regenerative periodontal treatment
Regenerative periodontal treatment (guided tissue regeneration) is performed in certain situations to “regrow” the bone and gum attachment around teeth that have been damaged by periodontal disease.

     • Crown lengthening
When a tooth is decayed or broken below the gum line, crown lengthening can be recommended by a dentist to expose more of the tooth to make a restorative / cosmetic procedure possible.

     • Soft tissue grafts
Soft tissue graft procedures can be performed to cover the exposed roots of teeth, reduce sensitivity to hot or cold foods and liquids and prevent additional recession and bone loss as well as improve the aesthetics of gum line. 

     • Preservation of jawbone after extraction (socket preservation)
Socket preservation (alveolar ridge preservation) can minimise bone loss after tooth extraction by filling the socket with bone grafting materials. Such a procedure can provide a foundation for a future implant placement to replace the missing tooth.

     • Dental implants 
Dental implants provide a fixed solution to replace missing teeth or improve support and stability of removable partial or complete dentures. Prior to implant treatment, a comprehensive clinical examination and radiographic investigation will be carried out to ensure that implant dentistry is the right choice and finalise the treatment plan.

     • Sinus augmentation 
Sinus graft or sinus lift is performed to increase the thin wall of bone between the maxillary sinus and the mouth to allow replacement of upper missing teeth with dental implants. 

     • Peri-implant disease treatment
Dental implants are susceptible to gum disease as natural teeth. Treatment of peri-implantitis requires a surgical procedure that involves decontamination of implant surface, use of bone grafting materials and artificial membranes if the bony defect around the implant is favourable. 

You will discuss all possible treatment options with your periodontist as part of your initial consultation.
 


What do I do next?

To see a periodontist, a referral from your general dentist will be needed and an initial consultation is required with the periodontist. At this appointment, your tooth is assessed and the options, costs and potential complications are discussed. If you do not have a referral, please ask your Lumino dentist for one.