Gum disease is otherwise known as periodontitis, it is the infection in the gums caused by microbes and this infection affects the gums and the bone surrounding the teeth. The infection will slowly lead to tooth loss if unattained. There are various types of gum treatment for various stages of gum disease.
The signs of periodontal disease can be divided into mild, moderate, and severe.
In mild cases, the signs may be initiated with gum bleeding on brushing and redness around the teeth on the gums, this stage will progress on its own and maintaining dental hygiene will also help in slow progress.
In moderate cases, there will be severe gingival bleeding, bleeding on biting or chewing food, halitosis or bad breath, swollen gums, itchy gums, the deep pocket between teeth and gums, and mild shaking of teeth may be visible.
In severe cases, extreme halitosis, the gums may be purplish due to loss of oxygen supply, puss discharged from that tooth or segment of teeth, extreme bone loss surrounds the tooth/teeth, severe tooth movement, on spot bleeding. This is how a severe gum disease looks like.
The periodontitis is clinically proven and associated with many other general conditions like:
The treatment is decided with the loss of attachment of gums to the teeth and bone.
Gum disease can be reversed easily if diagnosed earlier, in the mild condition the there is 1-2mm of attachment loss, a simple tooth cleaning with ultrasonic scalers at your dental office will be helpful along with regular maintenance of oral hygiene. In most of the cases, the gingivitis will be reversed and simple home remedies like applying salt or turmeric over teeth can be done.
In moderate cases the attachment loss is 3-4mm, scaling and root planing(SRP), FLAP or LANAP will help in controlling the infection
In severe cases, the attachment loss is more than 5mm, FLAP, or LANAP along with the extraction of severely shaking teeth.
Scaling and root planning in short known as SRP, it’s a deep cleaning of the tooth. The normal dental scaling helps in the removal of a bacterial film known as plaque, this plaque is made up of bacterial matrix that sticks to your tooth firmly as they progress into your gums towards the bone catching those tooth.
The plaque forms a pocket in the gums and this causes an itchy sensation on the tooth, making you prick with pins, toothpicks, etc.
SRP is done by reflecting the gums from teeth and cleaning deeply in the pocket, this can be done with conventional instruments and LASER.
After SRP, we generally place medication inside (doxycycline) or leave it empty depending on the infection and let it heal for a few days.
There will be pain and sensitivity in the tooth for which we will prescribe medication and mouth wash for you.
The procedure is completely painless as it’s done under local anesthesia.
In India scaling and root planning cost ranges from 3000Rs. To 5000Rs. for a single tooth. This will also differ from conventional technique and LASER.
Regular oral hygiene maintenance, brushing twice a day, mouthwash, gum astringent, and visit your dentist once in 6 months is mandatory.
The procedure will take approximately 10-20 mins for single teeth and 15-30mins for an entire quadrant.
There are few risks involved in scaling and root planning, If you are hypertensive its always better to go with LASER than conventional as the conventional technique may allow excessive bleeding.
Healing may be delayed in case of diabetes.
Flap Surgery is done when the gum disease has damaged the bone that holds the tooth. When the infection is severe and cannot be controlled with SRP flap surgery is done, this surgery not only removes the plaque but also the dead tissues are known as granulation tissue.
In the surgery, the gums are completely reflected from teeth, granulation tissues, plaque, and debris are removed from the tooth. A disinfectant medicine is placed over the bone and suture is done.
It takes time to heal from flap surgery and do follow every instruction that we give to you.
Dental flap surgery in India will cost approximately 5000Rs. To 17,000Rs per quadrant depending on the severity.
There are two types of flap surgery, conventional and LASER which is known as LANAP.
Laser-Assisted New Attachment Procedure(LANAP), this procedure is widely used by dentists because it is the only procedure that passed FDA(Food and Drug Administration) clearance for producing new cementum, new periodontal ligament, and new alveolar bone, which are required for normal oral function.
The treatment is very effective in medically compromised patients like Hypertension, cardiac patients, and diabetes.
|Comparatively more pain||Less pain|
|Comparatively more bleeding.||Less bleeding|
|Comparatively more sensitivity||Less sensitivity|
|More swelling||Less swelling|
|Comparatively more recovery time.||Very little recovery time|
|More prone to infection.||Less post operative infection|
|Depends on grafts.||Supports regenerative tissues of gums|
|Healing is slow||Healing is more faster|
The cost of LANAP in India varies from 10,000Rs. to 25,000 per quadrant.