Monday, December 7, 2009

How Houston Dentists Get Rid of Periodontal Pockets

Ideally, jaw bones and gum tissue should fit tightly together. A good analogy would be the snug fit of a turtleneck sweater around the human neck. However, periodontal disease can destroy supporting tissue and bone if not caught quickly enough. This supporting tissue is vital to keeping the gumline snug and tight with the bone: but if it is diminished, pockets will form around the teeth.

This does not happen all at once, however, so there is hope. Periodontal disease occurs in stages. These stages are gingivitis (an early and reversible condition), mild Periodontitis, moderate Periodontitis, and severe Periodontitis.

Periodontal pockets begin to develop during mild Periodontitis. They become progressively deeper as gum disease progresses. As they increase in size, bacteria have more space to breed and thrive. As they begin to accumulate, they advance beneath the gum tissue and begin attacking the deeper tissues beneath the skin. Eventually the bacteria become so prevalent and strong they begin to attack the bone as well.

People find it hard to believe that bacteria can eat away at bone like this, but they can. Even worse, bone loss will eventually cause tooth loss. This is because the teeth become so loose in a diminishing jaw line that they cannot function properly and will experience sensitivity and pain when exposed to hot and cold, and when any amount of normal bite pressure is applied.

Once this happens, the teeth will need to be extracted, and replacing them with a bridge or dental will be very expensive. Most people opt for cheaper dentures, but these never really do the job as well as more advanced tooth replacements.

Fortunately, our team of cosmetic dentists at the Medical Center Dental Group can do a lot for patients who are facing the apparent inevitability of tooth extraction. In fact, our cosmetic dentists routinely retain teeth that a lot of dentists may otherwise extract. We are able to do this because of ultra-sophisticated laser technology, and a procedure known as LANAP that has done as much for dentistry as LASIK has done for eye surgery.

LANAP saves as much healthy tissue as possible and is much more sterile than surgery with knives. It also maximizes patient healing time and thereby creates more opportunity for periodontal pockets to heal on their own.

LANAP not only cuts away tissue, but it also addresses the problem of periodontal pockets. A calibrated probe called a periodontal probe is used to measure the depth of the pocket, and this information then enables the cosmetic dentist to better apply the laser for maximum treatment of gum disease.

In the event that we do have to extract teeth, and assuming the worst case scenario of major bone loss, we can still do full mouth reconstructions for patients with Periodontitis. By using natural teeth in combination with dental implants we can help keep a patient from losing all of their teeth and having to resort to the unpleasant use of dentures.

There is nothing that can replace the feel and function of your natural teeth.

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Friday, November 20, 2009

Houston Cosmetic Dentist Perform Perio Regeneration

Bones and gums must fit together. One could compare the ideal fit to that of a turtleneck shirt around a neck. This fit is made possible by connective, supporting tissue that binds gums to teeth.

When you have periodontal disease, the infection destroys this supporting tissue. The bone also gets destroyed, and pockets develop between the gum, the teeth, and the bones. As this condition worsens, the teeth lose their grip and begin to deteriorate themselves. Eventually they will have to be extracted.

If this has happened to you, your Houston cosmetic dentist can help you with this. A revolutionary new procedure known as LANAP can reverse some of the damage by regenerating lost bone and tissue.

This procedure is known as Perio Regeneration, and it involves using membranes (filters), bone grafts, and tissue stimulating proteins to trigger your body’s ability to regenerate bone and tissue that has been destroyed by periodontal disease.

Your Houston Cosmetic Dentist must use a special dental laser to perform perio regeneration. This laser is known as the Periolase MVP-7, and it has revolutionized periodontal surgery much like LASIK revolutionized ophthalmology. It is the very best tool to use for removing diseased tissue and killing the disease-causing bacteria that infected the gums to begin with.

But exactly how does a laser help a cosmetic dentist remove microscopic bacteria and infected tissue? The answer lies in the patented protocol of the Periolase MVP-7 itself. The laser is very precise, and it cuts away the diseased tissue in the pocket itself. With its heat, it also kills the disease causing bacteria that thrive in hidden, hard to reach areas of the pocket, root surface and bone.

Not only do metal cutting tools do damage to healthy tissue, they simply cannot reach all of these areas as efficiently as a dental laser.

When a Houston cosmetic dentist performs this procedure, he or she puts the patient under local anesthesia. There is never any pain. Before using the laser, the cosmetic dentist will use ultrasonic scalars to remove calculus (hardened plaque) from the root surfaces of the teeth.

A bite adjustment will also be done at the end of the procedure in order to take the pressure of mobile teeth. The best part about this procedure as compared to traditional periodontal surgery there is no or little pain after the procedure.

There are many options to enhance support for your teeth and to restore your bone to a healthy level. Your dentist will discuss your best options with you.

The greatest benefit that perio regeneration offers is the elimination of existing bacteria and the regenerating bone and tissue helps to reduce pocket depth and repair damage caused by the progression of periodontal disease.

After the cosmetic dentist finishes this procedure, all the patient needs to do is follow the post operative instructions completely. Also, the patient follows a liquid and soft diet in the days following the procedure.

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Tuesday, May 26, 2009

Ask The Dentist:

What is the number scale that hygienists use to measure the amount of recession going on? Does it have a name, and is it universally used in the USA?

Dentistry uses the metric system for measurement. In assessing periodontal bone and/or soft tissue loss, the measurements would be in millimeters. The most common measurement is the depth of the periodontal pocket, in which we use a periodontal probe to measure the distance from the base of the gingival pocket to the gingival crest. The norm is approximately 2-3 mm, and deeper than this basically reflects periodontal bone loss.

When there is also recession of tissue, the facial root surface is exposed. Measurement of tissue loss and recession would be from the cervical line (where the enamel ends) to the height of the exposed root.

Adding these 2 numbers together would show total loss – bone lost in pocket + facial soft tissue lost.

There are a variety of ways to gather records, but these are the parameters that we are trying to assess. Individual clinicians would have different techniques and methods.


Chuck Campbell, DDS
(713) 795-5905

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