Scaling & Policing :
Gingivectomy :
Gingivectomy is the surgical excision of overgrown gum tissue. This can be preformed by using lasers or conventional surgery.
Flap Surgery :
This is for degranulation of the infected periodontal pockets which are generally deep (7.5mm) flap is a section of the gingiva and or mucosa surgically elevated to gain access to the underlying bone and root surface. Flap surgery is generally performed when the gum pockets do not resolve after scaling & root planning. Or when there are some deformation in the bone which have to be corrected. Following debridement, the flap is sutured back in the position.
Regenerative surgeries for regenerating the lost support & Bone :
The use of bone graft materials synthetic, autogenous, allogenous, GTR (Barrier membrance) growth factors, PRF, enamel matrix protein. Periodontal disease leads to bone loss and the pattern of bone destruction are broadly divided into horizontal & vertical / Angular. Horizontal bone loss can be seen as loss of bone in straight line on the radiograph. Vertical bone loss can be seen as saucer shaped (or V – shaped) defects and can be filled with bone graft powder. A successful regenerative therapy stops the progress of the disease, helps to fill up the bone defects over 3 – 6 months and restores support of the tooth.