As discussed under the "minimally invasive root planing" tab above, in cases of more advanced periodontitis "gum disease" surgical therapy is required to allow access to the infection deep under the gums and into the underlying bone.
This procedure primarily provides access for your periodontist to go deep under your gums and remove any residual infection that has infected your bone.
It also allows your periodontist the opportunity to modify your tooth roots and eliminate any local contributing factors to your condition.
Another advantage this treatment has is access for the patient. As you will be shown on your radiographs during your initial consultation appointment, there are black triangles between your teeth where bone has been lost due to the infection and is currently filled by infected granulation tissue blocking you from accessing and cleaning the spaces between your teeth. This procedure will also allow the periodontist the opportunity to remove this infected non-functional granulation tissue, making these holes more accessible to the patient to be able to clean on a regular basis daily.
Once all the infection is removed your periodontist will close your gums back together more tightly snug around the base of your teeth allowing them to adapt closely and prevent bugs from getting back underneath them. This will also provide the patient with access they didn't have previously from getting in-between their teeth to clean regularly.
These procedure are very routine and are typically performed simply with local anesthesia in our office and patient can return to work the next day.
In cases where the patient has dental anxiety, the procedure can be provided under IV sedation for your comfort. In these cases you will need to be accompanied to your appointment with an adult to take you home after the procedure.