Tartar is plaque that has had time to harden and is that white (sometimes yellow) substance found at the base of the tooth just above the gumline. Tartar is usually not removed with standard brushing and flossing and usually requires coming in to see us for proper and thorough removal.
Tooth scaling is a service that involves using a tool that is specifically designed to break-apart and remove tartar. We gently run the tooth scaling tool along the front and back surfaces of teeth that have any signs of tartar which effectively cleans the gumline and smooths the tooth enamel. Every time you come in for a dental checkup, tooth scaling is performed to help prevent future dental problems such as cavities and gum disease.
Each person's oral health is unique and the stage and current condition of the teeth and gums will dictate how involved a deep cleaning is as well as how long it takes to heal. Usually a deep cleaning is done one-half of the mouth at a time and healing takes about a day or two.
During a deep cleaning we will numb the areas of your gums where we are working, which will keep you from feeling any discomfort during the procedure. Using a special tool, we will remove any tartar build up that is found on tooth roots below the gumline and we ensure the tooth root gets a smooth finish to allow the gum tissues to start re-attaching itself. Our office uses a special ultrasonic tool that will ensure the quickest and most comfortable deep cleaning as possible and is something some other dental offices do not offer. After your root planing procedure, you may be recommended to take a medication to help control soreness from the procedure, keep away infections and to promote healing.
When a tooth is lost, both bone and gum tissue compete for the vacant space. The gum tissue generates more quickly than bone, subsequently occupying the space. With a membrane placement we can keep the gum tissue from invading the space, which will ideally give the bone sufficient time to regenerate. Bone regeneration is often used to rebuild the supporting structures around the teeth, which have been destroyed by periodontal disease. Bone surgery may be used to attempt to rebuild or reshape bone. Grafts of the patient's bone or artificial bone may be used, as well as special membranes.
When a tooth is lost and not immediately replaced, the bone reacts to this event by 'shrinking back'. The bone becomes thinner from a width perspective and the bone height is frequently reduced. This process is known as bone resorption. In order to place implants, it is necessary to rebuild the bone width and height through regenerative surgical therapy. Bone grafting of the ridge is almost always required to enable accurate placement of dental implants. The grafting is completed utilizing tissue bank and/or synthetic bone particles combined with collagen membranes. It is a highly predictable procedure.
The human skull has several cavities or air spaces called sinuses. When the sinus is enlarged and intrudes on areas where we want to place dental implants, bone or bone growth stimulation material is placed into the sinus. This procedure only affects the maxillary sinuses, which are located just over the molar teeth in the upper jaw. The side of the maxillary sinus is opened and the bottom is raised so it will fill in with bone. Several months later, dental implants can be placed in solid bone.
An "Osteotome Lift" is a surgical procedure that raises the floor of the sinus directly over where the implant is placed. This can be done without actually opening the sinus.
When a tooth is extracted and an implant is to be placed (either simultaneously or in the future) it is always necessary to complete bone grafting within the residual sockets that are left behind after the roots of the tooth are removed. The shape of the tooth root is always different from the shape of a dental implant and hence there are always residual socket defects (holes) that must be filled in so that there can be excellent contact of the implant to the newly formed bone.
Root exposure resulting from gingival tissue recession may pose multiple problems for patients:
A gingival tissue graft will restore the proper gum tissue structure around the tooth.
When deep pockets between teeth and gums (6 millimeters or deeper) are present, it is difficult for a dentist to thoroughly remove the plaque and tartar. Gum flap surgery is a procedure where the gum flap is lifted away from the tooth. Diseased tissue and sometimes bone is removed. The rough surfaces of the tooth are then smoothed by root planing. The area is medicated and the gum flap is replaced and sutured allowing the bone and gum tissue to heal.
One of the goals of gum flap surgery is to reduce the depth of the periodontal pockets to make them easier to keep clean.
A gum lift may be performed to create a more even gum line. Patients with a gummy smile can quickly and safely have unwanted tissue removed, thus exposing more tooth to shape a more attractive smile.