Aesthetics and Periodontics:
On many occasions, after diagnosing a periodontal disease, we find that after carrying out the necessary studies it is necessary to operate on the gums. With gum surgery, we are not generally aiming to recover the lost bone (except in certain cases when we use grafts) but instead to stabilise the disease, ensuring that it does not progress and keeping the teeth for as long as possible.
The aim of surgery is to remove the periodontal pockets, spaces that form between the surface of the gums and the bone surrounding the teeth. At the bottom of the pockets is a microbial metabolism that prolongs the process, as it is impossible to reach the bottom of the pocket with normal oral hygiene methods.
The surgery involves eliminating a collar of inflamed gum around the tooth, at the same time as lifting a flap to clean out the whole of the pocket and smooth the bone affected by the disease. We then stitch the gum over a base of healthy bone without pockets, eliminating the whole of the inflammatory and infectious process so that it is then possible to carry out correct hygiene.
In changing the position of the gum by removing the sac, the teeth appear to be longer, even more so when more bone has been lost. This is a handicap for the front teeth, especially if the patient has a gummy smile. In these cases a more conservative approach is used, and if this is not possible due to the seriousness of the disease, cosmetic treatment will be necessary once the underlying disease has been cured.