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What is Periodontics Dentistry?

A dentist with particular expertise in identifying, treating, and preventing gum disease is known as a Periodontist. They also assist you in managing symptoms of advanced gum disease, such as oral irritation.

Gum disease occurs when the tissue surrounding your teeth becomes infected and swells up. This swelling is typically brought on by plaque-forming bacteria that accumulate on your teeth and spread beyond the gum line.

Gingivitis is the early stage of gum disease. By receiving therapy, maintaining good oral hygiene, and scheduling routine dental visits, you can manage this problem. However, more severe gum disease, often known as periodontitis, may need more thorough treatment. That is when you should consult a periodontist.

Your medical and dental history will be examined. Then they’ll do a dental checkup to determine the best treatment choice. This may encompass both surgical and nonsurgical procedures.

Why Consult a Periodontist?

Some gum disorders may be treatable by your regular dentist. However, your dentist will recommend you to a Periodontist if you have complicated medical issues, worsening gum disease, or a risk of tooth loss. Make an appointment with your dentist if you have any of these typical gum disease signs and symptoms so they can determine whether you need to see a periodontist.

  • Gums that are swollen or bulging

Bacteria that build plaque and tartar can also cause irritation, which is generally the first indication of gingivitis. This irritation, if left untreated, can cause pockets to develop around your teeth. This increases your chances of getting an infection, which might lead to tooth loss.

A comprehensive cleaning at the dentist and maintaining good dental hygiene at home will help you cure this inflammation in its early stages.

  • Easily bleeding gums

Additionally, whether you brush, floss, or eat, inflammation can make your gums bleed readily. If your gums are painful to the touch, your toothbrush is pink after brushing, or you spit up blood when you brush or floss, see your dentist.

  • Poor Breath

Bad breath is prevalent, but it is not necessarily reason for alarm. However, if you take good care of your mouth and foul breath persists, it might be a sign of something other issues.

  • Chewing is painful.

Gum inflammation can cause pockets to grow around your teeth, causing them to loosen and become more painful. You may also have difficulty chewing. If you detect a change in how your teeth fit together or new gaps appearing between your teeth, schedule a consultation with your dentist.

  • Gum line receding

Gum recession is not usually caused by gum disease. This can also be caused by cleaning your teeth too forcefully, which causes gum tissue damage. A periodontist can correct this condition for aesthetic reasons, perhaps decreasing your risk of future gum disorders. Gum recession that isn’t caused by excessive brushing, on the other hand, is frequently an indication of advanced gum disease. A periodontist can analyze the condition and provide appropriate treatment at this stage.

What is the primary cause of periodontitis?

It is mainly caused by inadequate dental hygiene. Brushing at least twice a day, flossing daily, and having regular dental examinations will considerably enhance your odds of successfully treating periodontitis and lowering your risk of acquiring it.

When food’s carbohydrates and sugars combine with the oral bacteria that typically resides in your mouth, plaque is created on your teeth. Plaque is removed by twice-daily brushing and once-daily flossing, but it soon develops again.

If plaque is allowed to remain on your teeth, it can solidify behind the gum line and become tartar (calculus). Tartar is harder to remove, since it contains germs. Plaque and tartar can do greater harm to your teeth the longer they remain on them. Tartar cannot be removed by brushing and flossing; instead, a professional tooth cleaning is required.

Gingivitis, the mildest type of gum disease, can be caused by plaque. Gum disease, often known as gingivitis, is an irritation and inflammation of the gum tissue that surrounds the tooth’s root (gingiva).

Professional care and proper dental hygiene practices at home can reverse gingivitis.

Periodontitis, which is characterized by persistent gum inflammation, can lead to the formation of pockets between your gums and teeth that eventually overgrow with plaque, tartar, and germs. These pockets grow deeper with time, filled with additional germs. If left untreated, these severe infections result in bone and tissue loss, which might lead to the eventual loss of one or more teeth. Your immune system may also be affected by continuous chronic inflammation.

Why Flap surgery and curettage is needed?

Your teeth are in danger if you have extensive gum disease (periodontitis): You may even start losing teeth at this point since the ligaments and supporting bone tissue are being damaged. If non-surgical therapy such dental cleaning and scaling fail to control the condition, periodontal flap surgery may be your best choice.

The most popular procedure for treating and restoring periodontal pockets nowadays is flap surgery. What exactly are these “pockets?” They are regions beneath the gum line where gum tissue has separated from the teeth, leaving an uncleanable gap where dangerous germs can flourish. These bacteria produce tissue inflammation, which causes sensitivity, bleeding, and discomfort.

They can result in a variety of issues if left untreated, such as gum disease, bone loss around the teeth, and sometimes even systemic (whole-body) issues.

The initial step in treating periodontal pockets is often cleaning and scaling (also known as root debridement) using a manual or ultrasonic tool. If this does not work, periodontal surgery is recommended. Although flap surgery does not treat periodontal disease, it does help to establish an environment that makes it simpler to keep your periodontal health. Even if you are predisposed to gum disease, frequent at-home care and good expert care can help you maintain the healthiest possible mouth.


Gums that are healthy are firm, light pink, and fit tightly around teeth. Periodontitis can cause the following signs and symptoms:

  • Gums that are swollen or bulging
  • Gums that are bright red, dark red, or purple in colour
  • Gums that are sensitive to the touch
  • Easily bleeding gums
  • Brushing with a pink-tinged toothbrush
  • When cleaning or flossing your teeth, you may vomit blood.
  • Breath that stinks
  • You have pus between your teeth and gums.
  • Loose teeth or tooth loss
  • Chewing is painful.
  • New gaps are forming between your teeth.
  • Your teeth appear longer than usual because to receding gums that pull away from them.
  • A shift in the way your teeth bite together

How to get prepared for Surgery

Some drugs, including aspirin (Bayer, Bufferin), painkillers, and blood thinners may need to be stopped a few weeks before to your treatment. For at least 24 hours before to the operation, most dentists advise not smoking or consuming alcohol.

To reduce your risk of contracting an infection, your doctor may recommend taking an antibiotic before your surgery.

Follow our doctor’s precise preparation recommendations for your procedure.

Aims of Flap Surgery

The elimination or reduction of the pocket itself is one of the main goals of flap surgery. A flap-like incision in the gum tissue is created to get access to it. This permits unhealthy tissue to be removed from within the pocket and allows access to the root surfaces of the teeth for thorough cleaning, which aids in the removal of toxic plaque and calculus (tartar). The “flap” is then closed, closing the region. The healing process then starts and moves quickly after this.

Another objective is the repair of bone and periodontal ligament tissue that may have been lost as a result of the illness. A multitude of treatments, including high-tech bone grafting and growth factor drugs, may be utilised to accomplish this. These methods support the healthy and stable anchoring of teeth while assisting in the restoration of the gums to their original shape and function.

The Flap Surgery Method

Flap surgery is frequently carried out under local anesthetic and occasionally in conjunction with oral sedatives; it can also be done while being sedated intravenously. After the anesthetic has worn off, a tiny incision is performed to remove the gums from the teeth. To get access to the roots and the tissue that supports the ligaments and bones, the outer gum tissue is gently pulled aside.

After that, the tooth roots can be cleansed and the infected gum tissue can be removed. If necessary, the region can also get treatment with antibiotics or other drugs. Grafting material can be used to fill up bone deficiencies, and growth factors and barrier membranes can be used to physically and chemically promote the regeneration of the periodontal ligament. The incision is finally closed, and the surgery is over.

Modern flap surgery has a great track record and delivers benefits that are well-established when carried out by a skilled hand. It’s frequently the therapy of choice for treating periodontal disease and maintaining your oral health – and preserving your teeth.

Why Choose us?

Do you want healthy gums that are free of bacteria? Our highly skilled periodontist can assist you with any of your issues. We ensure your total comfort during the process and guarantee the desired outcome. Make sure the dental centre you choose will provide you the proper attention and comprehensive treatment before you have any surgery.

With Al Mumtaz Dental Center on your side, you can have a confident smile & a healthy gum.

Frequently Asked Questions (FAQs)

In order to shift the gum line and expose more of the teeth, extra gum tissue may be removed. This extra gum tissue won’t regrow. This durability is a comfort for patients, especially for those who are self-conscious about the look of their gums and don’t want to worry about extra gum tissue regrowing in the future.

Periodontal therapy may cause some discomfort, but it is likely to be far less than you think. One of the reasons individuals don’t visit the dentist as soon as they should when they discover symptoms is the high fear factor.

Etiology. Typically, anaerobes like Porphyromonas gingivalis and Treponema denticola are involved in mixed periodontal infections. Localized juvenile periodontitis is an uncommon type of periodontitis caused by the microaerophile Actinobacillus actinomycetemcomitans.

A gingival flap is made during gingival flap surgery, in which gum tissue is divided from neighbouring teeth and redirected back to provide a dentist access to the jawbone and the tooth’s root.

Using cutting-edge methods and technology, perio-surgery is efficient and almost painless. But the outcomes are very worthwhile! Not to add, periodontal therapy helps in restoring your dental health.

In addition to preventing tooth loss, reducing gum spaces between teeth, and reshaping the jawbone to minimize bacterial development, periodontal surgery can regenerate damaged bones, tissues, and gums. Gum disease is not, however, the only cause for gum surgery.

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