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 PERIODONTICS
 
 ORAL PROPHYLAXIS OR CLEANING OF TEETH OR SCALING
Sometimes regular brushing and flossing will not assist you in getting rid of deposits on your teeth.  Therefore professional dental cleaning is required to get rid of such stains and deposits.
These deposits that are not removed are often the culprit for bad breath,bleeding gums, receeding gums or tooth decay. By oral prophylaxis, the dentist takes out the hard and the soft deposits present on your teeth and thus make the teeth healthier and stronger. Thus we can maintain  our oral health and our teeth look clean and strong.
Flap Surgery
Flap surgery can be described as the loosening of the gum from bone to expose and clean underlying tooth structures.
In advanced periodontal disease when scaling and root planing have been unsuccessful in eliminating the entire pocket of decay or when there has been bone loss that needs to be surgically corrected then a dentist may perform periodontal flap surgery.
In flap surgery under local anesthesia small incisions are made in the gum so that it can be lifted back to expose the tooth and bone. The entire area is carefully cleaned and all tarter and infected granulation tissue are removed and the bone is examined. Because periodontal disease causes bone loss often the bone will need to be re-contoured in order for the gum to heal properly.
When the procedure is done the gums are sutured in to place on top of the bone.
The entire flap procedure typically requires from 1 to 3 hours to perform with only two quadrants of the mouth being addressed in a single visit. The sutures will remain in place for approximately one week and a patient will likely be given a prescription for pain medication and antibiotics.
It is very important for you to keep your mouth as clean as possible while the surgical site is healing. This means you should brush and floss the rest of your mouth normally. If the surgical site is not covered by a periodontal pack (A type of dental ‘band–aid’) you can use a toothbrush to gently remove plaque from the teeth. Mouth rinses containing chlorhexidine are commonly prescribed following periodontal surgery. Although these rinses do not remove plaque from the teeth they kill the bacteria and help your mouth heal. Post-surgical swelling is also possible and this can be minimized by applying an ice pack to the outside of your face in the treated area.
Initially after surgery there may be some bleeding swelling and risk of infection.
Frenectomy
Frenum is the fold of tissue or muscle connecting the tongue, lips or cheek to the jawbone. Frenectomy is removal of one of these folds of tissue which is attached too high on the gums causing either gum recession or spaces between teeth.
Gum Contouring
Gum contouring is a surgical procedure wherein the gums are shaped by surgical incisions, under local anaesthesia to a more esthetically balanced appearance. This is a simple cosmetic gum lift. The tissues heal very quickly and with very little discomfort after the surgery.
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