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Periodontal Treatment | Covina Dental Arts

Periodontal Treatment

Periodontitis is a chronic inflammatory degradation of the tissue and bone supporting the teeth. If periodontal disease left untreated often causes irreversible damage to the bone surrounding the teeth. Periodontitis can be mild, moderate or advanced. Fortunately, Mild case of periodontitis can be treated before significant bone and tissue destruction occurs, usually non-surgically. Moderate and Advanced Periodontitis is usually treated surgically which often requires surgical recontouring of the supporting bone to prevent future periodontal disease (Osseous surgery) ormay include bone grafting or regeneration.

Before Osseous Surgery(arrows show bone defects) After correction of bone defects with Osseous surgery
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Before Bone Grafting( Arrow shows bone defect) After Bone Grafting ( Arrow shows bone graft)
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Before After

Dental Implants
Dental implants are designed to provide a foundation for replacement of lost teeth which look, feel, and function like natural teeth. The person who has lost teeth regains the ability to eat virtually anything and can smile with confidence, knowing that teeth appear natural. The dental implants are titanium posts which are surgically inserted into the jawbone in the place of missing teeth. These metal anchors act as tooth root substitutes, after the bone bonds to the titanium post and creating a strong foundation the crown part of the tooth will be attached to these post.

Before After  Implant Placement After crown placement
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Cosmetic Periodontal Surgery
The most common cosmetic procedure in periodontics involves covering an exposed root following gum recession. Other techniques can correct a “gummy smile” , rebuild tissue lost following a tooth extraction.

Gum Recession Repair ( Tissue graft)
Gum recession can be localized on one particular tooth or generalized in the mouth. Gum recession often results in root sensitivity to hot and cold foods as well as an unsightly appearance to the gum and tooth. Also, gum recession can predispose to worsening recession and expose the root surface leading to root caries and root gouging. Gum recessions are easily repaired with simple tissue graft surgery.

Recession Before  Treatment Recession  After Treatment
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Crown Lengthening
This procedure can be done for the correction of gummy smile or make a restorative or cosmetic dental procedure possible when your tooth is decayed, broken below the gum line, or has insufficient tooth structure for a restoration, such as a crown or bride. Crown lengthening adjusts the gum and bone level to expose more of the tooth so it can be restored.

During this procedure, excess gum and bone tissue is reshaped to expose more of the natural tooth.Crown lengthening for one tooth

Before After Surgery After Restoration
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Sinus Lift and/or Graft
When teeth are lost in the back areas of the upper jaw the sinuses in that area often expand and compromising dental implant placement. The sinus lift with bone grafting procedure helps to restore this area back to normal and creates new bone making dental implant placement possible.

Before Sinus Lift After Sinus Lift After Implant Placement
Periodontal treatment Periodontal treatment Periodontal treatment

Ridge Augmentation, Bone Grafting
Sometimes when tooth is lost in the jaw indentation in the gum and jaw bone may happen. This happens because the jawbone recedes when there is no tooth in the place. Not only is this indentation unnatural looking, it also causes the replacement tooth to look too long compared to the adjacent teeth. In these cases bone graft is placed to increase the ridge height and/or width for making dental implant placement possible.

Indentation in bone and gum After implant placement
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Bone grafting Bone grafting
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