Periodontics, Dental Implants




Surgical Procedures

MIS Minimally Invasive Surgery

Traditionally, gum disease is treated by eliminating the gum pockets. The infected gum tissue is trimmed away, and uneven bone tissue re-contoured. Although this is still an effective way of treating gum disease, new and more sophisticated procedures are used routinely today. By utilizing microsurgical instruments we work through small openings to reach and correct the problem areas. Using a minimally invasive approach we can significantly speed up healing and minimize patient discomfort.
It is estimated that 25% of medical procedures are MIS. Examples of this would be arthroscopy and laparoscopy.

Immediate post-op showing surgical patient using mis approach

 

Tissue Engineering

Healing in our bodies takes place through a sequence or cascade of events at the molecular level. Recent advances make it possible to enhance healing and help regenerate the lost tissues by adding certain proteins (one example is Embdogain) to the surgical areas. When used in conjunction with MIS, we can obtain superior results with very fast patient recovery.

Crown Lengthening

Crown lengthening (or crown exposure) is required when your tooth needs a new crown or other restoration. The edge of that restoration is deep below the gum tissue and not accessible. It is also usually too close to the bone or below the bone.

The procedure involves adjusting the levels of the gum tissue and bone around the tooth in question, to create a new gum-to–tooth relationship. This allows us to reach the edge of the restoration, ensuring a proper fit to the tooth. It should also provide enough tooth structure so the new restoration will not come loose in the future. This allows you to clean the edge of the restoration when you brush and floss to prevent decay and gum disease. The procedure takes approximately one hour.

When the procedure is completed, sutures and a protective “bandage” are placed to help secure the new gum-to-tooth relationship. You will need to be seen in one or two weeks to evaluate your healing. Dissolvable sutures are typically used so removal is not necessary

Guided Tissue/Bone Regeneration

Guided Tissue Bone Regeneration "regenerates" the previously lost gum and bone tissue. Many approaches utilize membranes, which are inserted over the bone defects. These membranes are bio-absorbable which means they are dissolved by the body so there is no need for a secondary surgery to remove the membrane.

Tooth loss causes the jawbone to recede and can lead to an unnatural looking indentation in your gums and jaw, an appearance of a general aging. The original look of your mouth may not be recaptured because of spaces remaining under and between replacement teeth. They may appear too long compared to nearby teeth.

Bone grafting following tooth loss can preserve the socket/ridge and minimize gum and bone collapse. There is less shrinkage and a more esthetic tooth replacement for either an implant crown or fixed bridge around the replacement teeth.

Bone grafting

Over time, the jawbone associated with missing teeth atrophies or is reabsorbed. This often leaves a condition in which there is poor quality and quantity of bone suitable for placement of dental implants or dental bridges
Today, we have the ability to grow bone where needed. This not only gives us the opportunity to place implants of proper length and width, it also gives us a chance to restore functionality and esthetic appearance.

Special membranes may be utilized that dissolve under the gum and protect the bone graft and encourage bone regeneration. This is called guided bone regeneration or guided tissue regeneration.

[ Peter O. Cabrera, DDS: Periodonitics & Dental Implants in Chicago ] [ 939 W. North Ave. , Suite 700, Chicago, IL, 60622 ] [312/944.7939 ]

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