A Guide To GUM SURGERY At Any Age

3 min


Gum surgery is a treatment procedure to treat certain gum diseases and conditions. It is mostly done as a reparative or reconstructive procedure. A gum surgery as an interventional procedure aims to treat the following:

  • Damaged bones and tissues.
  • Preventing tooth loss.
  • Reduce the gum recession.
  • Reshaping of the irregularities in the bone and gums.
  • To reduce the bacterial growth in the bone.

GUM SURGERY INDICATIONS:

  • To remove bacterial infections.
  • In swollen reddish gums.
  • Receded gums.
  • Deep dental pockets.
  • Pain on chewing.
  • Bad breath.

Gum surgery is performed by a periodontist or a dentist under local anesthesia or conscious sedation. The patient has to take the following pre-operative precautions like:

  • Stop medications like aspirin 2 – 3 days before surgery.
  • Stop pain relievers or blood thinners 2 – 3 days before surgery.
  • Must not consume alcohol or smoke 24 hours before the surgery.
  • A detailed report to inform the dentists of any allergies to be noted.

TYPES OF GUM SURGERY:

Flap Surgery: The procedure involves the elevation of the flap to remove all the bacterial infections and tartar surrounding the teeth. Then the flaps are sutured back to its position.

Bone graft: It is indicated in severe bone loss or bone recession. The graft used can be an allograft or Autograft. A synthetic crushed bone graft is more preferred as they infuse with the other bone cells to form bone surrounding the teeth.

Guided Tissue Regeneration: It the process of having a small chip or material that promotes the bone and gum tissue regeneration at the site of placement.

Soft tissue graft: A soft tissue graft is indicated in the gum recession. The receding gums are covered with the soft tissue acquired from any possible intraoral locations. The most common donor site for soft tissue graft is palate as they are rich in blood vessels and can heal faster.

RECOVERY:

Very mild bleeding or ooze of blood is observed at the suture site on the day of surgery. Slight discomfort is felt for 2 to 3 days after the surgery. These signs regress if there are no physical disturbances to them. They refrained from consuming alcohol or smoking after the surgery for more than 14 days. The outcome is better if they don’t follow the habit for longer. It is best to use additional oral hygiene aids and gentle mouth washing using specialized rinses as prescribed by your dentist. A soft and less chewy diet is indicated. It takes a week to recover after gum surgery. The recovery period may prolong due to certain factors.

The factors influencing the recovery after a gum surgery include:

  • The severity of the disease or the condition.
  • General health status.
  • Postoperative care.

COST:

In India, gum surgery may range from Rs.3000 to Rs. 50000/- approximately. This range may increase with the severity of complications associated with the condition.

In USA insurance companies provides a small part of the expected range. The range for gum surgery is $500 – $ 10000/-.

In the UK it is $440 to $ 700 per tooth with insurance coverage for the treatment.

Australia and Canada have an approximate range of $100 to $1100/- per tooth which may vary with the severity of the disease.

LASER GUM THERAPY:

It is a conservative procedure done to remove the infection and promote the regeneration of the tissues when used locally. Their use as a chair-side tool in dentistry against periodontal diseases has a good outcome.

Advantages of laser gum therapy:

  • Conservative and non-invasive procedure.
  • Reduced bleeding.
  • Localized removal of the overgrown tissues.
  • Reshaping of the gum tissues.
  • Promoting the regeneration of gum and bone tissues.
  • Ease of use.
  • Faster healing.

PIN-HOLE GUM SURGERY:

It is a minimally invasive procedure to treat the gum recession with faster healing in a single visit. The procedure involves the use of a small needle to make holes in the patients existing gum tissue. A special instrument is inserted through these holes and the gum tissue is expanded slightly to cover the exposed tooth surface. The procedure does not involve the use of any incisions, flap elevation, graft placement or suturing. The pin-hole surgery is accepted for its good aesthetic outcome, reduced healing and recovery time, reduced dental visit.

The after-effects include mild swelling, pain, bleeding after the procedure for a day or two.


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Dr Arun

Dr. Arun is a practicing dentist with more than 11 years of experience. Loves to blog and in constant search of new knowledge in dentistry and health niche.

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