ROOT PLANING

The root planing is necessary when patients cannot perform efficient teeth cleaning. The dental plaque that adheres to the teeth gradually transforms to tartar with plaque on top. Plaque and tartar are the main predisposing factors of periodontal disease. When periodontitis developed, periodontal tissues are destroyed and periodontal pocket deepen. Plaque and tartar can adhere down along root surfaces which make it impossible for patients to clean.

The doctor will perform root planning to remove plaque, tartar and infected soft tissue from the pocket. This procedure might be done under local anesthesia and require many visits.

GUM SURGERY

CROWN LENGTHENING

Crown lengthening is a surgical procedure performed to increase crown length by removing gum and bone for the purpose of restoring the tooth. It is performed when the remaining tooth structure cannot give enough retention for prosthesis (crown or bridge).

It is also performed in gummy smile patient to increase crown length for esthetic.

Crown lengthening can be necessary if there isn’t enough of the tooth in place to hold the crown on its own. Teeth that are broken or affected by tooth decay may prohibit a crown from firmly attaching.

Gingivectomy & Gingivoplasty

Gingivectomy is a surgical removal of the gum margin to reduce pocket depth. The purpose is to ease cleaning for the patients.

Gingivoplasty is a surgical reshaping of the gum to correct deformities and for esthetic purpose.

Gingival Graft

Gingival graft is a surgical procedure to cover exposed root surfaces for aesthetic reasons. However, the success rates vary.

The recovery process

The recovery time for this procedure is approximately three months. However, you’ll be able to resume normal functions as your gums heal. You only need to avoid strenuous activity for the first two to three days. A physically demanding job, heavy lifting, and heavy exertion could inhibit your healing and cause more bleeding.

Talk to your surgeon about the specifics of your recovery. In general, follow these guidelines:

Use an ice pack: Using a pack on your face for the first few hours after the procedure can reduce swelling. Alternate use of the ice pack, following 20 minutes on and 20 minutes off. You may switch to moist heat a couple days after surgery.

Avoid hot foods for the first 24 hours: Also, don’t rinse your mouth. Both can make the bleeding last longer. If bleeding continues, use a moistened tea bag or moistened gauze to apply slight pressure to the area for 20 to 30 minutes.

Leave dressings in for 7 to 14 days: The doctor may replace the dressing once or twice during this period.

Brush carefully: Gently brush only your biting surfaces where the dressing has been applied. Brush and floss normally in other areas. Chew on the opposite side of your mouth from the dressing.

Wear your stent or denture: If wearing a clear stent or upper denture was included in your instructions, don’t remove it for 24 hours. If your mouth pools with blood, rinse with lukewarm saltwater or Chlorhexidine rinse, without removing the stent or denture. After 24 hours, you may wear it as desired.

Eat a soft food diet: Avoid the surgical area when you eat. Also, don’t eat anything hard, brittle, acidic, spicy, sticky, or highly seasoned. Avoid nuts and small seeds. Drink plenty of fluids.

Avoid alcohol: Refrain from drinking until after your post-op appointment.

Avoid smoking: Refrain from smoking for the first 7 to 10 days or longer.

Avoid prodding the area: Avoid using straws and playing with the surgical site with your tongue or finger. Don’t pull down your lip to check the site, as the pressure can cause damage.

Cost

Periodontal cosmetic surgery
Treatment Unit(s)  Cost
Laser-assisted gingivectomy Per tooth                                                          43
Laser-assisted Tooth lengthening Surgery Per tooth                                                          86
Gingivectomy Per tooth                                                          30
 Tooth lengthening Surgery Per tooth                                                          65
Gingival rescontruction Per tooth                                                          22
Connective tissue graft Per tooth                                                       129
Connective tissue graft + free gingival flap Per tooth                                                       172
GBR on tooth Per quadrant                                                       517
Laser-assisted Lip frenectomy Per case                                                          86
Laser-assised Lingual frenectomy Per case                                                          86
Frenum plastic surgery Per case                                                          65
Lip frenectomy Per case                                                          65
Lingual frenectomy Per case                                                          65
Periodontal abcess surgery class I Per tooth                                                          43
Periodontal abcess surgery class II Per tooth                                                          86
Gummy smile care Per case                                                       776
Periodontal abcess drainage Per tooth                                                            6

FAQs

Is root planing really necessary?

Yes, it is in periodontitis. The treatment, also called scaling and root planing, removes plaque and bacteria below the gums to prevent bone loss that can loosen teeth and complicated medical conditions, such as diabetes and heart disease

Does Dental Scaling Hurt?

During the teeth scaling process, your dentist or dental hygienist will numb the gums and tooth roots with a local anesthesia,but teeth scaling and root planing cause very little discomfort. Your dentist or dental hygienist will use specialized tools to remove the hardened deposits of plaque buildup (tartar) from the teeth both above and below the gum line.Root planing involves smoothing rough spots on the roots of the teeth that can promote gum disease by trapping andholding bacteria. The whole procedure may be done in a single visit, although generally a quadrant (1/4th of the mouth) or half of the mouth is recommended per appointment. After a scaling and planing, you can expect that your gums will be numb from the anesthesia and then possibly a little tender. But if you maintain a consistent oral health routine of twice-daily tooth brushing and daily flossing, your gums should quickly regain a firm, healthy, pink appearance.

What can I expect after scaling and root planing?

After scaling and root planing is completed, you may experience slight discomfort around the teeth for several days and increased sensitivity to hot and cold (and sometimes sweets) for up to four to six weeks duration. This is a normal course of healing.

How painful is a deep cleaning?

Is Deep Cleaning Painful? Generally, deep cleaning is not expected to cause much discomfort because it is a noninvasive procedure. However, the level of pain you will feel while it is being done will all depend on your tolerance and the severity of your plaque build-up.

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