A periodontal infection affects the teeth and can also cause the bone supporting the tooth to degenerate and lose its standard shape and width. A regenerative procedure, in this case, is beneficial.
Periodontal regeneration can reverse the damage caused by the infection to a great extent. It is a regenerative procedure for the lost bone and tissue which support the teeth. Dr. Behnaz Yalda, DMD can provide an expert team's assistance to help you understand the complete procedure of regeneration.
Procedure for Regeneration
During the regeneration procedure, our dentist makes an incision in the gum tissue, and the area underneath is exposed. The bone is cleared off any infection-causing bacteria, and a bone graft is placed in the damaged area for the bone to regenerate.
A bone graft procedure is when a bone fragment is taken from another source or the individual's own body and is placed in the damaged area. This fragment is placed after processing it in the laboratory and serves as a scaffold for the regenerative cells.
The cells attach to this fragment and help the bone to re-grow. Tissue stimulating proteins are used to promote bone and tissue regeneration in the area.
Types of Bone Defects Due to Periodontal Disease
According to the damage extent, periodontal disease's bone defects can be classified as suprabony and infrabony. A suprabony or suprcrestal defect is when the gum pocket is located coronally to the bone crest. Subcrestal or infrabony defect is where the gum pocket's apical end is situated below the bone crest.
An infrabony defect is further divided into intrabony defect and crater. When the defect is limited to the root of only one tooth, it is known as an intrabody defect. Whereas, when the defect is to more than one roots, it is known as a crater.
Nowadays, the commonly used classification is named as degree-I, degree-II and, degree-III damage. Degree-I damage consists of horizontal bone loss, which does not exceed one-third of the tooth's width. Degree-II damage is when the horizontal bone loss will acquire more than one-third of the tooth but will not involve the total area. Degree-III is the complete loss of the bone tissue.
Membrane Use During Regeneration
The membranes help in enabling the repopulation of cells so the bone structure can re-establish. It is also placed in the graft area to avoid the growth of the tissue in other areas.
This barrier should always have a few essential characteristics, so it can be considered safe to use. These are tissue integration, clinical manageability, cell occlusivity, space-making ability for the cells to increase, and biocompatibility.
Aftercare of a Regeneration Procedure
For efficient healing of the gums and bone tissue, one should avoid habits like smoking. Hot, cold, and very sugary foods are also to be avoided. The gums of a patient may feel swollen and sore for a few days after the procedure. This is a normal side effect and fades away with time as the tissues heal.
Excellent plaque control is also very crucial for excellent regenerative response. Strict oral hygiene, including brushing twice and flossing once a day, is essential to avoid excess plaque buildup. Dr. Behnaz Yalda, DMD experts can be contacted through (240) 831-6001 for further queries.