Scaling
Even when we brush/ floss regularly, plaque build up occurs in a few nooks and corners that are not reacheable to the cleaning aids. This plaque collection hoards bacteria that is the very cause of decay and gum disease. Studies show that this bacteria also spreads to the heart, reproductive organs etc. In diabetics, it may even cause tooth loss. It is advisable to go for an ultrasonic tooth cleaning once in six months
Deep scaling
When plaque build up has affected the gum health, causing pockets, then the cleaning has to be deep, often done in multiple sittings
Root planing
Cleaning and smoothening the root surface of the tooth to prevent further accumulation of plaque on the root surface - that can cause more bone support loss for the tooth
Curettage
Cleaning and sterilising the infected gums that may be bleeding or causing bad breath using special instruments
Laser Curettage
Using LASERS to sterilise the pockets to rid them of the recalcitrant infections that repeatedly infect the gums
Flap Surgery
Reaching within the gums to remove the disease causing germs and infection. This can be performed with and without lasers
Flap surgery with Bone Grafting
Gum infection almost always progresses to the bones, which being delicate, almost always dissolves resulting in a loss of tooth support - this is the reason for shaky tooth and migration of the teeth causing spaces in between the teeth. When the gum disease has progressed to this level, it may also have pus build up in the gums and pockets causing bad breath. In such a situation, it may be necessary to augment the bone support that is lost by adding calcium particles to the tooth surroundings. This will strengthen the tooth further. and prolong the life of the natural tooth
Flap surgery with Biogenic Material (PRF)
When bone loss cannot be just compensated with calcium particles, we use special bone growth inducing growth factors to enhance and ensure healing. These special proteins are sometimes derived from the individuals own body (platelets) .
Depigmentation
Removal of the black pigmentation of the gums to make the gums pink is called gingival depigmentation
Root coverage / Recession Coverage
When the bone around the tooth is lost, the gum sags and gradually recedes exposing the roots of the teeth. This causes sensitivity . This cannot be cured by desensitising tooth pastes, it has to be "covered" by streatching the gums and placing them back in their original position.
Splinting
A procedure to stabilise shaky teeth till the bone healing occurs
