Osseous surgery, also known as flap surgery, involves creating a flap of gum tissue around the area that needs to be treated for direct access to the bone. It is an effective treatment for more advanced periodontal disease when the gums have not responded well to scaling and root planing or other gum disease treatments.
Once the root surface is thoroughly cleaned and treated, bone grafting may be necessary to fill in large bony defects caused by bacteria. A membrane may be used to protect the bone grafts during regeneration of new bone. The ultimate goal of osseous surgery is to stop the infection in the mouth and reduce or eliminate pocket depths so that cleaning your teeth will becomes easier.
Functional Crown Lengthening:
Your dentist may request this procedure prior to the fabrication of a crown or the placement of a filling when decay occurs too far below the gum line; or the tooth is broken beneath the gum.
The procedure involves adjusting the levels of the gum tissue and bone around the tooth in question, to create a new gum-to–tooth relationship. This allows the general dentist to reach the edge of the restoration, ensuring a proper fit to the tooth. It should also provide enough tooth structure so the new restoration will not come loose in the future. This allows you to clean the edge of the restoration when you brush and floss to prevent decay and gum disease.
Esthetic Crown Lengthening:
Esthetic Crown Lengthening surgery is usually done when teeth are too short (“gummy smile”) or of uneven length. Dr. Salzberg can correct this with esthetic crown lengthening to develop proper proportions between the width and height of the teeth. With this procedure, we can improve your smile by exposing more of your teeth to create the best esthetic result.
Sometimes excess tissues are present due to gingival (“gum”) inflammation or medications you are taking. A procedure called a gingivectomy is performed to eliminate the excess gum tissues to help develop proper proportions between the width and height of the teeth as well as ease of oral hygiene accessibility.
This procedure involves the removal of tissues most commonly found between the upper and lower front teeth; however, they can occur in other areas. When found between the upper front teeth, they can prevent the two front teeth from coming together or cause a space between the teeth. If located too closely to the gum line of the lower front teeth, they can cause gum recession.