Periodontal surgery deals with the surgical treatment of a periodontal disease that represents the infection of the supporting structures of the tooth which results in bone resorption and tooth decay.
If there are pockets present, one of the effective methods is to pour the pocket with rinsing. With deep pockets where significant bone resorption is present, a flap surgery with artificial bone and PRF (Platelet rich fibrin or plasma-rich growth factors) are proposed, from which there is a "sticky bone" and a PRF membranes for the best result of the replacement of the lost and resorbed bone.
We use PRF centrifuge by Dr. Choukroun in of the latest generation.
Elongation of the clinical part of crown
Gingiva should follow the smile line so that the overall look of teeth and smile is consistent. In case the gingiva dominates, ie it covers a slightly larger part of the crown surface, then the teeth look short, which is called "gummy smile". This problem is solved by a minor surgery, by extending the crown of the tooth so as to remove the excess of gingiva and in some situations even the bone.
Withdrawal of gingiva - recession
The withdrawal of gingiva is most often associated with periodontitis, but it can also be caused by other factors that are not associated with periodontal disease. The professional name for the withdrawal of gingiva is the recession. What characterizes them is that the edge of gingiva is much higher than it should be because of which the root of the tooth is exposed. The withdrawal of gingiva that is not caused by periodontitis is most often due to excessive teeth brushing and using hard or medium brushes. Surgical resolution of the gingival recession is possible using various techniques such as a microsurgical tunnel technique or taking a connective tissue transplant.