What is gum surgery? Types of gum surgery, cost of gum surgery

The gums, as a part of the body that covers the teeth, can be damaged and diseased for various reasons and need treatment. Gum surgery is one of the methods known as the treatment of gum diseases and can help maintain gum health. Gum surgery is performed in different ways and requires special care. In the following, we will share with you all the important points related to gum surgery.

What is gum surgery?

Gum surgery is a process in which the dentist treats gum diseases with the help of surgery. The gums can suffer from problems due to the accumulation of plaque and bacteria in the mouth and infection, and in these cases, it needs treatment such as gum surgery. Gum surgery not only plays an important role in the treatment of infection and disease; It can also be used to improve the shape and appearance of the gums.

> *“A significant scientific fact about gum surgery is that **it aims to eliminate or reduce periodontal pockets**, which are spaces between the teeth and gums that harbor bacteria and contribute to gum disease (periodontitis).“*

> *"An important scientific fact about gum surgery is that it aims to eliminate or reduce periodontal pockets**.** These pockets are spaces between teeth and gums that harbor bacteria and contribute to gum disease (periodontitis)."* > > *Source: Related source from National Institute of Dental, Craniofacial Research (NIDCR)*

The cause of gum diseases

Different reasons can cause gum diseases, the most important of which are the following: Accumulation of plaque and bacteria: Failure to observe oral hygiene can cause accumulation of plaque and bacteria on the gums. Over time, dirt and bacteria cause tooth decay, and by accumulating at the edge of the gum, they create dental plaques that can cause gum infection. **Genetic factors:** Heredity and genetics also play an important role in gum disease. According to studies, 30% of gum diseases are caused by heredity and genetics. **Diabetes:** Another cause of gum disease is diabetes. Diabetes can cause tooth loss and damaging effects on the gums. **Stress:** Stress and anxiety can not only affect the main organs of the body; They also affect the gums and cause various infections and diseases in them. **Smoking:** Smoking can reduce the blood flow to the gums and slow down the healing of wounds. **Use of some drugs:** Some drugs such as antihistamines and some antidepressants can increase the possibility of increased plaque accumulation with dry mouth. **Hormonal changes:** Hormonal changes in women during menstruation, pregnancy and menopause can increase the sensitivity of the gums. **Specific medical conditions:** Some autoimmune diseases and systemic diseases can endanger the health of the gums. ** Vigorous and inappropriate brushing**: Vigorous brushing can cause the gums to decay and deteriorate. **Malnutrition:** Lack of proper nutrition and lack of vitamins such as vitamin C can be effective in weakening the gums and increasing the risk of inflammation.

Symptoms of the need for gum surgery

It may be a question for many people when they should apply for gum surgery. Gum diseases have specific symptoms that should be treated as soon as possible. Among these symptoms are the following: - Bad breath - Swelling, redness and sensitivity of the gums - Receding gums or making them look longer Bleeding gums while brushing - Loose teeth - Cracking or loosening of teeth - Formation of oral ulcers - Teeth becoming sensitive to hot and cold water and food - Pain when chewing food

What is the purpose of gum surgery?

Other things that can be considered as goals of gum surgery are the following: - Eliminate infections and infected tissues by removing plaques and tartar under the gum line - Reconstruction and repair of damaged tissues with gum grafting and bone regeneration - Reducing the depth of periodontal pockets between teeth and gums - Improving the beauty of gums and teeth - Prevent bone loss and tooth loss - Improving the performance and health of the mouth by reducing the symptoms of periodontal disease such as bad breath, bleeding and gum pain

What procedures are usually performed before gum surgery?

In this session, a complete oral examination and health check of the teeth, jaw and gums are also performed. If the person is ready for surgery, a time will be set for the surgery. Before gum surgery, in most cases, deep scaling of the teeth is done to remove any scale and bacteria from the teeth and gums. In another method, "route planning" is done. In this method, the dentist smoothes the surface of the tooth root to remove any debris from the root and leave fewer places for debris and bacteria to accumulate.

What are the types of gum surgery?

Among these methods are the following: ### Gum flap surgery This surgery is suitable for those who have deep caries in the pocket area of their teeth. In this method, the dentist lifts the gum from the teeth and drains the mass. After decalcification, the surgeon will clean the area and reattach the gum to the teeth and reshape the jawbone for a better result. ### Bone grafting If the bone around the root of the tooth is damaged or lost, a bone graft is performed. In this method, the damaged bone is replaced with a new bone. This new bone is replaced either from the individual's bones or from donated and laboratory bones. The purpose of this is to keep the root of the tooth in place and allow it to grow. ### Gum tissue regeneration To perform this procedure, a small piece of mesh material is placed by the surgeon between the bone and the gum tissue. This piece prevents the gum from growing in the space where the bone should be, thus allowing the bone and connective tissue to grow back. ### Gum transplant surgery In gum transplant surgery, a piece of soft tissue is removed from another part of the mouth, such as the palate or roof, and is transplanted to the gum. This work helps to compensate the lost gum tissue and restore the receding gum. There are different methods for gum grafting, including the following: - Free gum grafting - Connective tissue transplant - Pedicle grafting ### Gum removal One of the problems that may be seen in the gums is the presence of extra gum on the teeth. Gum removal, as one of the gum surgery methods, helps to remove excess gum from the teeth in order to make it easier to access the teeth and maintain their hygiene. ### Gum cosmetic surgery Gum cosmetic surgery is also known as gum lift. This method plays an important role in correcting the gummy smile design. With the help of this surgery, it is possible to correct the aesthetic condition of the gums and give the required balance to the gums. In this surgery, excess gum tissue is removed and the appearance of the teeth becomes longer and more beautiful. This method is also known as tooth crown augmentation; Because by removing the extra part of the gum, the crown of the tooth can be seen longer. ### Gum surgery for dental composite Gum surgery is a set of procedures based on which the conditions of the gums are prepared for the composite. In gum surgery for tooth composite, asymmetric correction of the gums, lengthening of the tooth crown and correction of the gummy smile can be done. ### Gum surgery for veneers In gum surgery for veneers, teeth and gums are prepared for dental veneers. In this method, parts of the gum that need to be repaired are treated. ### Tissue mimicking proteins In this gum surgery method, protein-containing gel is used to stimulate bone and tissue growth. In this method, after removing the infected tissue and cleaning the area, the protein gel is placed directly on the root of the tooth and bone, and then it is covered with a protective membrane or suture to start the healing of the gum tissue. ### Laser therapy Nowadays, apart from the traditional methods that are performed using a surgical blade, newer methods such as gum laser therapy can also be used. In this method, it is possible to access the damaged gum tissue with the use of a laser and minimally invasive, and the surgeon treats the area without any cuts or stitches.

Preparation for gum surgery

Before the gum surgery, measures are needed to prepare the person for the surgery. Among the things that should be considered before gum surgery are the following: - Not taking medicines such as aspirin and blood thinners two weeks before surgery with the doctor's opinion - Using antibiotics prescribed by the dentist before surgery - Maintaining oral and dental hygiene and using mouthwash and mouth disinfectant to clean the mouth from any virus and bacteria. Avoiding intense movements and physical exercises before surgery - Not eating foods that stick to the gums and teeth - Refrain from smoking and drinking alcohol at least 24 hours before the operation

Steps of gum surgery

The stages of gum surgery may have slight differences depending on the type of surgery. The stages of gum surgery are generally as follows: ### The first stage Before the main gum surgery, tooth cleaning and scaling is performed according to the condition of the individual's teeth, and then the surgeon numbs the area locally. ### The second stage The main gum surgery is performed at this stage and after anesthesia. This step can be done in different ways according to the type of surgery. For surgery, a cut flap is placed on the gum and the tissue is pushed aside to clean the root and underlying bone. Then the gum is put back in place and sutured. In dental crown lengthening surgery, the excess amount of gum is removed. In gum grafting, a part of the gum tissue is removed from the roof of the mouth (from the tissue bank) and stitched in the desired place. ### The third stage The third stage is the last stage of gum surgery and it is when the gum is sutured after the surgery. In some cases, special dressings are used to protect the surgical site.

What should be done for care after gum surgery?

Among the cares after gum surgery are the following: ### Bleeding control and local dressing After surgery, if sterile gauze is placed on the wound, it should be kept on the area for 30 to 60 minutes. After removing the gauze, if the bleeding continues, a moist sterile gauze can be placed on the surgical site and kept in place with gentle pressure. Actions such as spitting, strong washing and sucking with a straw should also be avoided because they stimulate bleeding. ### Reduce pain and swelling It is very important for a person to take prescribed painkillers, anti-inflammatory and antibiotic drugs at the right times and in full form after surgery. ### Proper diet On the first day after surgery, only cool and soft liquids should be consumed, and on the following days, soft foods; Like mashed potatoes, he added yogurt and boiled eggs to his diet. Hard, hot, spiced, acidic and spicy foods should be avoided because they can irritate the ulcer. ### Oral and dental hygiene The day after surgery, the mouth should be gently rinsed with diluted saline or prescribed antibacterial mouthwash. It is recommended to brush other teeth with a toothbrush; But you should avoid brushing the surgical area directly. Flossing is also not recommended until complete recovery. ### Avoiding harmful activities Smoking and alcohol should be avoided for two weeks after surgery. Also, 2 to 3 days after surgery, you should not do sports and heavy activities.

The best time to see a doctor after surgery

In this session, the surgeon closely observes the results of the operation and pulls the stitches if necessary.

What are the side effects of gum surgery?

Gum surgery, like other surgeries, can have complications. These complications are minimized if the surgery is performed by an experienced specialist and the person takes the necessary care after the treatment. Among the complications of gum surgery are the following: - Gum swelling - Gum infection - Bleeding gums Applying an ice pack can be effective to reduce inflammation and gingivitis, and the dentist usually prescribes antibiotics to prevent gum infection.

Cost of gum surgery

It is very important for people to go to the clinic of their choice to know about the price of gum surgery, so that after checking the condition of the gum, the exact price will be announced to them. - Gum swelling - Gum infection - Bleeding gums Applying an ice pack can be effective to reduce inflammation and gingivitis, and the dentist usually prescribes antibiotics to prevent gum infection.

Gum surgery is one of the dental treatment methods that requires high precision in implementation. According to its type, this surgery should be performed by experienced specialists to achieve the best results for people. One of the dentists that people can confidently go to for gum surgery is called Dr. Farin Shamshirgar. Dr. Farin Shamshirgar is a specialist in cosmetic dentistry in Zafaranieh, and with more than 10 years of experience, he can achieve the best results in the field of gum surgery. For a free consultation with Dr. Farin Shamshirgar, you can visit his clinic in Zafaranieh and treat your oral and dental problems in the best way. **final word** People's gums can be damaged and diseased for various reasons. Gum treatment is of great importance; Because it is the gums that keep the teeth in place. Methods such as gum surgery are used to treat the gums, which are different according to the individual's conditions. It is very important to perform gum surgery as soon as possible so that gum problems can be solved in the simplest possible way and the person does not need additional treatments.

What exactly is gum surgery and when is it necessary?

Gum surgery is one of the specialized treatment methods in dentistry, which is performed to treat advanced gum diseases, remove infection, correct the shape of the gums and sometimes improve the beauty of the smile. This surgery is usually recommended when non-surgical methods such as scaling and deep cleaning are not responsive or the patient has gingivitis, deep gum pockets, chronic bleeding or advanced infections. In some cases, surgery is necessary to prepare the jaw for implants or to increase the height of the gums to correct a gummy smile.

Does gum surgery hurt?

Gum surgery is usually performed under local anesthesia, so no pain is felt during the procedure. After surgery, you may feel some discomfort, swelling, or mild to moderate pain, which can be controlled with painkillers prescribed by your dentist. The intensity of the pain depends on the type of surgery, the amount of gum damage and post-operative care.

What is the care after gum surgery?

Correct care after gum surgery plays an important role in rapid recovery and prevention of infection. The most important care tips include: avoiding hard and spicy foods, using prescribed mouthwash, refraining from brushing the surgical area for several days, regularly taking prescribed medications, and avoiding smoking. It is also mandatory to visit a dentist for examination and suture removal at the appointed time.

Is gum surgery dangerous?

Gum surgery does not pose serious risks and is completely safe if performed by a professional dentist in a sterile environment. However, as with any surgery, complications such as infection, excessive bleeding, or sensitivity to the anesthetic may occur. Maintaining oral hygiene and following the doctor's instructions after surgery minimizes the possibility of any complications.