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Periodontics

Periodontist Orangeville

At Lord Dufferin Dental Centre we help provide our patients with excellent periodontal care. We do provide an in-house specialist Dr. Leve who can help treat our patient’s periodontal needs.
The 2 Stages of Gum Disease:

Gingivitis- Patients with gingivitis tend to have more tender gum tissues that are swollen and bleed easily when brushing or flossing.

Periodontal disease- If gingivitis progresses into periodontal disease the gum tissues will recede causing pockets to be created between the teeth. Over time food and debris get stuck in these pockets which can cause further deterioration of the tissues.

At Lord Dufferin Dental Centre we strive one detecting these diseases early enough so we can provide the proper treatment to help reverse them.

Some therapies include more scaling and root planing (deep scale), and sometimes even medication to treat the affected gum areas.

Our periodontist Dr. Leve can also perform periodontal surgeries such as:

  • Bone Grafting
  • Flap Surgery
  • Crown Lengthening
  • Frenectomy

To schedule a consultation with our periodontist Dr. Leve at Lord Dufferin Dental Centre in Orangeville please call us at 519-938-9500.

Periodontal Grafts

Graft procedures are advised or patients who have a gum problem that needs to be corrected.

Grafts are done to increase the width of your gum tissue and/ or cover an exposed root surface. An adequate band of gum tissue is necessary to protect the tooth from increased bacterial accumulation and inflammation. Inflammation can lead to bone loss and probably more gum recession. Also exposed root surfaces can lead to increase sensitivity and more susceptibility to decay. Treating gum recession in the front of your mouth will result in a more esthetically pleasing smile.

A graft is done by taking gum tissue from one part of your mouth, usually your palate (roof of your mouth) and transferring it to the area of your mouth that has gum recession. We can take gum from your palate without leaving a “hole” in the surgical area. The site where the graft is taken from and the site where the graft is placed is sutured to close these areas up tightly. A dressing is placed over both areas and will remain in place for as long as two weeks (or until it falls off.) This procedure is done under local anesthesia (freezing) and is virtually painless. The only pain you may feel will be when the freezing comes out. There may be no pain afterwards but there may be- it is difficult to predict. It is possible that you may have swelling or bruising in the surgical area.
The area will be checked about 10 days after the procedure has been done and approximately 4 weeks later to ensure that healing is taking place as it should.
If you have any questions please call the Lord Dufferin Dental Centre to set up a consultation with our periodontist.

Periodontal Flaps

Flap procedures are done to give the dentists access to the roots of the teeth and the bone that are beneath the gum tissue. The gum tissue is very gently lifted off the bone so that one or a combination of procedures may be done:

  1. The roots and bone may be thoroughly cleaned
  2. The bone may be gently reshaped in areas where it has been ragged or uneven due to bone loss caused by epriodontal disease (bone defects)
  3. The bone may be gently reshaped to expose a fractured tooth surface
  4. The roots and bone may be thoroughly cleaned, rinsed with an antibiotic and the defect in the bone covered with a special membrane to help regenerate bone in this damaged area. Sometimes a “filter” will be used in the damaged area before the membrane is placed.

To complete this procedure, the gum tissues are closed up, usually with the gum pressed tightly to the bone to reduce the pocket depth and re-establish a normal relationship between the gum and the bone (the only exception to this is when a membrane has been placed, where coverage of the membrane is the goal of gum closure). The gum is then stitched into place and a dressing may be placed over the area. You will not be able to chew in this area for about two weeks.

This area will be checked about 0 days after the procedure has been done and approximately 4 weeks later to ensure that healing is taking place as it should.

This procedure is done under local anesthesia (freezing) and there is usually no pain involved.

You may experience some pain after the freezing comes out, but this is not always the case.

Post Operative Instructions

  1. The covering that has been placed over the treated area is a surgical dressing.This should stay in place until your next appointment. Occasionally the dressing will break off. If there is no sensitivity in the area it will not require attention.
  2. Do not have anything hot to eat or drink for the next 2 hours.
  3. Do not eat on the side with the dressing,it should be favoured at all times.
  4. Continue oral hygiene as usual, but not on the surgical area.
  5. Use warm salt water freely to refresh your mouth.
  6. You may follow your regular daily activities, avoiding excessive exertion of any type for 72 hours.
  7. Apply ice packs to the surgical area, 10 minutes on – 10 minutes off, for the prescribed length of time.
  8. Discomfort is readily controlled with aprescription if necessary. There is no need for you to experience pain. Please contact us if this occurs…cont’d
  9. Keep your head elevated as muth as possible for the next 72 hours and sleep on two plllows upon retiring.
  10. Occasionally, bloodstains in the saliva may be expected; if there is considerable
    bleeding, take a piece of sterile gauze or a most tea bag and apply moderate pressure over the area that us bleeding.
  11. Contact us if:

-Excessive bleeding occurs
-If severe pain is present.
-Mark swelling occurs.