Periodontist refers to both an oral disease, as well as the trained professional specialist in which treat the disease. The study of Periodontitis is called Periodontics. Interestingly enough, when translated in its Greek meaning, Periodontics means simply, "around-tooth-inflammation", which in a nutshell, explains exactly what the disease periodontist is, an inflammation around the tooth.

Periodontist (the disease), is caused by microorganisms that have begun to grow on the tooth. Actually, gingivitis is the first of seven stages of the disease, as well as the easiest to treat.

However, the further down the list of the seven stages one's disease has progressed, the more irreversible the disease has become. In its most aggressiveness, the patient suffers severe alveolar bone loss.

That being the case, the patient will need a procedure called bone grafting in order to save their teeth from permanent loss.The procedure of bone grafting consist of the removal of bone from one area and grafting it to another.



Dental Bone Grafting Procedure

Although seemingly strong, the jawbone, when inflicted with periodontist, the bone begins to deteriorate and it is this that results in the patient loosing their teeth.

The first step in the procedure will involve the administering of anesthetic to numb the gums and area around the disease. Then an incision is made in the gum so the Dr. can flap the layer of skin back in order to clean up and remove the disease entirely to prevent any further bone or tooth loss.

After ensuring there is no more periodontal disease remaining, the specialist will then begin to fill in the areas of missing bone with bone grafting material that has been removed from another location on the patients jawbone, or the bone grafting material could be used from a cadaver, or even a cow, though due to the healing ability, the patient's own bone had rather be used.

Taking precise measurements, two holes will be pre-drilled into the patient's bone, just above the area in which the disease inflicted the most damage. The replacement bone will also have two pre-drilled holes in order to act as a guide for the screws to be put in place, as well as keep from splitting the bone by simply attempting to drill screws through the bone without the holes already in place.

Next, the piece of replacement bone will be gently laid over the area of missing bone. The holes will be aligned and two titanium screws will be driven into the holes, securing the two pieces together. Effectively filling up the area of disease and eliminating the bone loss entirely.

The steps that follow are absolutely critical to ensure the prevention of infection as well as promote healing. Another layer of skin, again, either from the patient or a cadaver donor, will be adhered to the area to add a protective type coating and to promote the cells regenerating process.

After the bone grafting has successfully been completed, the stitched into place. If the procedure was a success, the patient will no longer suffer from the periodontist disease.



After Care

After the bone grafting, the patient is encouraged to keep brushing and flossing those teeth not covered by the periodontal pack. The patient may also use a special bacteria killing rinse to avoid the possibility of infection.

In the best case scenario, within the next few months, the bone grafting will have promoted the attachment of the replacement bone to the jawbone. If all has appeared a success, the new bone will become adequate foundation for new teeth to be put in place.




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