Surgical therapy

Surgical therapy for periodontal disease aims to eliminate or reduce the depth of periodontal pockets and remove so-called mucogingival anomalies, thus creating conditions for the patient to prevent disease recurrence through adequate oral hygiene maintenance.

The most commonly performed surgical procedure to eliminate a periodontal pocket is flap surgery. It is a procedure in which a part of the oral mucosa is surgically lifted in the form of a flap, pathological periodontal tissue is removed, and the surgical field is covered again with the flap.

Regeneration and Reconstruction

The regeneration and reconstruction of the affected periodontium can be achieved through surgical procedures during which a bone graft or some other synthetic implant (bone implants or "artificial bone") is inserted into the surgical field. There are several types of bone grafts used in periodontal surgery. Bone grafts can be categorized based on their biological effect, origin, type of bone tissue, location of procurement...

Also, synthetic materials "artificial bone" play a significant role in compensating for lost bone tissue. They have exceptional biocompatibility and represent an inorganic basis on which new bone develops.

All mentioned bone grafts and implants have their advantages and disadvantages, and the type of material used is decided by our surgeon when determining the surgical intervention plan.

Placement of a bone graft to fill deep bone periodontal pockets

In the case of bone periodontal pockets and defects in the root branching area, guided tissue regeneration can be performed, with special membranes being installed. The role of the membranes is to enable unhindered regeneration of the jawbone by preventing the growth of mucous membranes and connective tissue into the bone defect. These membranes can be made of resorptive and non-resorptive material. Non-resorptive material membranes must be removed after 5 to 6 weeks, requiring an additional surgical intervention.

Additionally, periodontal surgery includes procedures for lengthening the clinical crown in the smile zone, i.e., correction of the so-called "gummy smile." Normally, the gums are located around the neck of the teeth and are relatively little visible when smiling. Sometimes gums can cover not only the necks but are also in the tooth crown area, creating the impression of shorter teeth and overly visible gums.