Periodontitis question?!


Question:

Periodontitis question?

I went to a dentist and he said there is dirt underneath my gums that is eating away my bone structure, etc. For treatment he can slice open my gums, clean the innerward, and stitch up the gums afterwards to fix the inflammation problem for about 2000 dollars; however, he is not a periodontic, but he to be knowledge.

Should I go ahead with the periodontic surgery or should I seek a specialist (which I think would cost more)?


Answers:

If you feel more comfortable going to a periodontist, by all means do.

In any case, periodontal flap surgery is actually basic technique that dental students have to do during their clinical training (3rd and 4th years), and most general dentists can do them.

Basically the practitioner detaches your gums from the cortical bone underneath to gain access to the areas around the tooth, then scrape them clean using scalers. Sometimes defects (cratering) in the bone would be recontoured if necessary (osteoplasty) and sometimes medications such as atridox placed. The gums are then repositioned and sutured shut for proper healing.

By the way, oral surgeons don't do such periodontal procedures. They do things like extractions and jaw / face surgery. Basically anything that involves picking up a hand scaler, oral surgeons don't do. :-P




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