Many people care if they have a patchwork for periodontitis? In the process of treating many dental diseases, a similar operation is used. During such surgical intervention, the doctor performs excision of the gum sections, thereby gaining access to the bacterial deposition on it. The surgeon makes a vertical incision, resulting in a place that resembles a flap. Under such conditions, he can clean the root and polish it without any problems. At the end of the patchwork operation for periodontitis, healthy tissues are sutured. The procedure is performed under the influence of local anesthesia.
For what purposes is the operation performed?
In the process of surgical intervention, the specialist should reduce the gum pockets and create a snug fit to the teeth. The specialist eliminates bacterial deposition, granulation tissue under the gums. After the procedure, the gums are noticeably reduced. In the process of treating periodontitis, this operation is indicated, since it is one of the most effective methods that helps to get rid of the disease forever.
Main indications
In the process of carrying out the manipulation, the specialist visualizes the affected areas in order to clean them as thoroughly as possible and eliminate the defective tissues. Most often, a patchwork is performed during periodontitis, as well as:
- with abnormal tooth structure;
- the presence of the gingival pocket, the depth of which is more than 6 mm;
- increased tooth mobility;
- thinning of the effective tissue of fibrous formations in the gums;
- severe bleeding;
- swelling and inflammation of the gums.
If one of the signs of the disease appears, it is important to consult a dentist immediately and carry out a thorough medical examination. Based on the diagnostic results obtained, the doctor will prescribe a suitable comprehensive treatment. Indications for the use of patchwork surgery for periodontitis are determined by a strictly treating specialist.
Under what circumstances is it contraindicated to perform an operation
There are several contraindications, on the basis of which the operation is contraindicated. Namely:
- problems with the protective function of the body;
- liver disease
- malfunctions of the cardiovascular system;
- the presence in the body of an artificial valve or joint;
- too much tooth decay;
- pronounced alveolar processes.
In the presence of one of the contraindications, another treatment method is used, which is determined by the doctor depending on the physiological characteristics of the patient.
How to prepare for the intervention?
Before performing flap surgery in periodontitis, using bone-forming preparations, the patient must undergo a thorough medical examination. It is important to pass the necessary laboratory tests. In some cases, a physician or cardiologist should be visited. After the results of the study, the doctor prescribes the patient a set of preparatory measures. First of all, it is necessary:
- Professionally brush your teeth in order to eliminate pathological processes, plaque and stones.
- It is imperative that the immune system be strengthened. To do this, you need to take a vitamin complex.
- Taking an anti-inflammatory drug is especially necessary if the doctor has identified an infectious disease inside the oral cavity.
In the presence of a chronic disease in the patient, the doctor prescribes an additional procedure.
The main stages of
Patchwork for periodontitis - what is it? Such a manipulation is one of the most modern and effective methods of treating this pathology. You should also be aware that a doctor performs any surgical intervention in surgical dentistry under anesthesia. Anesthesia is selected by specialists depending on the individual characteristics of the patient. It is necessary to follow all the doctor's recommendations so that there are no serious health problems after a patchwork for periodontitis (photos of complications can be found on the Internet). Before each manipulation, a specialist carries out local anesthesia for each patient. If desired, general anesthesia can be performed.
- The doctor treats the affected areas with disinfectants.
- Determines the size of the flaps on the mucosal-periosteal tissue.
- Within several nearby teeth, several vertical incisions are made.
- Carries out a horizontal incision, which combines the previously obtained vertical incisions.
- The resulting tissue flaps cuts off.
- Eliminates the area of inflamed tissue.
- Carries out the cleansing of the root from the pathogenic deposition of stones.
- The peeled root polishes.
- The site is treated with a special antibacterial agent.
- Using artificial materials, the surgeon restores the shape of the bones.
- The excised flaps return to the place and are hemmed.
- Using a drill, the doctor smooths out irregularities in the alveolar processes.
- Small bandage pieces moistened with saline are applied to the flap and pressed down for several minutes.
- Imparts a periodontal protective dressing.
Depending on the suture material, after a week the sutures are removed by a specialist or absorbed independently.
Recommendations of specialists
The patient should bite well with gauze swabs, which are given to him at the end of the procedure. And in a few hours they can be thrown away.
There are rules that a patient must adhere to:
- Within a month, it is necessary to lead a healthy lifestyle and not smoke cigarettes, since nicotine can provoke bleeding gums.
- If you take "Aspirin", this can also cause swelling and bleeding.
- After surgery, it is forbidden to brush your teeth or rinse your mouth. Rinse it only with a special solution. To prepare it, you need to add a teaspoon of salt or soda to a glass of water. Use only warm liquid.
- It is recommended that you rinse your mouth with Chlorhexidine every 4 hours.
- After the doctor removes the suture, only special toothbrushes with soft bristles should be used.
- In the first days after the operation, ice can be applied to the affected area to eliminate puffiness.
- You need to eat light and cool food.
- A hot drink can greatly damage and provoke the development of severe inflammation.
- It is important to monitor the water balance in the body.
- It is important not to visit the sauna and pools in the first week after surgery.
If you do not follow all the recommendations of a specialist, health problems will arise.
Possible complications
In some cases, patients experience discomfort after surgery. Discomfort may be caused by the following factors:
- For several weeks after the manipulation, the teeth may be movable. After this time, they should be strengthened.
- The full functioning of the muscles after the treatment operation will be restored after 14 days.
If you experience minor pain, do not need to sound the alarm. Using desensitizing pastes, you can get rid of the reaction to temperature exposure and a chemical irritant. After the operation, the body needs time to recover, but if discomfort and pain are present for a long time, it is important to immediately consult a dentist.
Note to patient
Quite often, dentists perform a patchwork operation for periodontitis. Patient reviews indicate that this method of therapy is the most effective, but not so pleasant. But the operation helps to preserve the teeth.
If one of the signs of gum disease appears, it is important to consult a dentist immediately - this will help prevent the development of complications. At the initial stage of the development of the disease, treatment is carried out by medication. And with advanced pathology, surgery is indispensable; under such conditions, the patient’s body recovers longer. Photos before and after patchwork for periodontitis are publicly available, but it should be remembered that the result of such treatment depends on the specific clinical picture.