Proper Periodontal Care Is Essential to Oral and Overall Health
Dr. Chetan S. Patil offers outstanding periodontal care at Periodontal Associates in Englewood, NJ, to help patients achieve and maintain optimal oral health. Periodontal care is imperative for good oral and overall health, since periodontal disease has been linked to other health problems including heart disease. Our comprehensive treatment options can restore and preserve your periodontal health. Dr. Patil cares deeply about your comfort and ensures that all procedures are painless.
Periodontal Care Treatments
Scaling and Root Planing
Scaling and root planing are nonsurgical treatments to remove disease-causing bacteria from the gums and improve gum tissue quality. Scaling removes deep-set deposits of plaque and tartar. Root planing will smooth the tooth root surface to make it harder for bacteria to adhere. Antibiotics may be used to control the infection and promote healing. If scaling and root planing does not restore gum health, then surgery may be required.
Flap surgery is a treatment for moderate and advanced gum disease. During this procedure, Dr. Patil gently lifts a section (flap) of the gums back. He then cleans the tooth roots. Once this is complete, he will then place the lifted flap back in its normal position and secure it in place.
Also known as pocket depth reduction surgery, osseous surgery is necessary for pockets around the teeth that have not responded to other periodontal treatments. Dr. Patil will smooth and reshape the bone to create a shallower pocket, making it more difficult for bacteria to grow. He will clean the tooth roots and trim the gum tissue, which is then sutured. Some patients may require bone grafting or tissue regeneration.
Periodontal disease has been linked to other health problems including dementia and heart disease. Our comprehensive treatment options can restore and preserve your periodontal health.
A gingivectomy removes excess gum tissue, which encourages healthy gums and prevents periodontal infection. The procedure also improves aesthetics.
Gum recession can result in the exposure of tooth roots and even bone. If untreated, this could result in a greater risk of cavities, and sensitivity. If left untreated, it can result in tooth loss. Gum grafts can restore and protect teeth from the effects of gum recession. Dr. Patil may use one of several different types of grafts. A connective-tissue graft uses tissue from the roof of the mouth or the palate. The tissue is attached to the gums and then the flap is closed. A free gingival graft uses tissue from the top layer of the palate. A pedicle graft creates a flap in the gum tissue near the affected area. Dr. Patil then gently pulls that flap over and secures it in place. In some cases, Dr. Patil will recommend pinhole gum rejuvenation. This advanced surgical technique is minimally invasive, which promotes minimized discomfort and a reduced recovery period.
Pinhole Gum Rejuvenation
Also known as the Chao Pinhole® Surgical Technique, this minimally invasive treatment involves no incisions or sutures. It is commonly used to treat gum recession by making a small hole in the gums with a needle and then loosening the gums with a special instrument and expanding them to cover exposed tooth roots.
If damage, decay, or infection is too severe to be healed with root canal treatment or antibiotics, a tooth may need to be removed. As with all our procedures, Dr. Patil will provide the necessary anesthesia for your comfort. Then he will loosen the tooth and remove it with state-of-the-art techniques and instruments. Some patients may require stitches. The extraction site is packed with gauze to stop bleeding.
Root amputations can save a partially damaged tooth from extraction. This procedure can only be performed on teeth with multiple roots, such as the back molars. First, the tooth receives a root canal treatment to remove the pulp, vessels, and nerves from the infected root. Then Dr. Patil isolates and removes the damaged root. The tooth is cleaned to kill remaining bacteria, and a crown or filling is placed.
Exposure and/or Removal of Teeth
Patients who have teeth which have not erupted may sometimes need exposure of that tooth. After the exposure, braces can be used to bring the tooth into proper alignment. In other cases, removal may be necessary. Depending on the number of teeth being removed, a local or general anesthetic is administered. Dr. Patil opens the gum tissue, removes any bone covering the tooth, separates the tooth from the bone and tissue, and removes the tooth. He will then close the incision and place gauze to stop bleeding.
Sometimes, a tooth may not have enough tooth structure for your dentist to put on a crown or cap. This procedure can help expose enough of the tooth for the dentist to place a cap over the tooth. This process can make the teeth appear larger and more symmetrical, and it can reduce the appearance of a “gummy” smile. Crown lengthening may be done to one or more teeth for restorative or cosmetic purposes.
We use a variety of sedation options and other methods to ensure that your regular cleanings and deep cleanings (such as scaling and root planing) are pain free. We provide topical anesthetics, nitrous oxide, and oral sedatives as appropriate. Dr. Patil also uses the DentalVibe Injection Comfort System for pain-free Novocain injections anywhere in the mouth, as well as the Wand® and ANUTRA.
Find Out More
As a skilled and experienced periodontist, Dr. Patil offers a full range of the latest treatments with the maximum amount of patient comfort. Contact us today to schedule a consultation for periodontal treatment with Dr. Patil.
“Dr. Patil and his staff could not be more professional. They take the time to talk to you and explain what will be done. I am constantly surprised at how little pain is associated with the procedures they perform.” Jack T.