Best Periodontist Los Angeles
Surgical Treatment for Advanced Gum Disease
Osseous means ‘bone’ or ‘of the bone’ and in the case of gum disease, relates to the bone structure that secures the teeth. In advanced periodontal disease, there may be deep pockets at the base of the teeth, which harbor bacteria and erode the bone structure. This can be treated by a trained periodontist.
When other less aggressive forms of periodontal treatment, such as deep pocket treatment, have not been effective, osseous surgery is the next step. Cleaning the roots, reshaping the bone and reducing the size of the pocket are the goals of osseous surgery.
Periodontal diseases are the number one reason for tooth loss. Bacterial infections may affect the tissues surrounding teeth, leading to bone loss and progressively deeper pocketing. As pockets get deeper, there is a shift to more aggressive forms of bacteria and the situation may worsen.
Surgical intervention becomes necessary when deep pockets persist after scaling and root planning. Dr. Moshrefi, a top periodontist Los Angeles has to offer, can provide you with effective surgical treatment.
During surgery in our Los Angeles office, the anesthetized area is accessed with flap elevation and thoroughly cleaned by our periodontist. The diseased tissue is removed, roots and surrounding bone are cleaned and bone may be re-contoured to allow for proper healing and pocket elimination. A bone graft may be performed in conjunction with osseous surgery to aid in the repair of bony defects.
Recovering from osseous surgery
Our office will provide you with specific instructions, including instructions for your pain medication and preventative antibiotics. You should rest as much as possible for the first few days following surgery.
Take your medications as instructed; don’t ‘chase’ the pain. After three days, most patients are very comfortable taking Advil or Tylenol as directed. Remember to finish your antibiotic prescription. In the unlikely event that you experience severe pain or a fever, contact the office immediately.
To minimize swelling you can apply a wrapped ice pack to the affected area several times per day beginning two to three hours after your surgery. Apply it carefully using the general rule of five minutes on, five minutes off. If you have been advised to include an NSAID (anti inflammatory) tablet with your other medication and also use an ice pack, swelling should resolve very quickly.
Minimal bleeding is normal for a few hours after surgery. There will also be an increase in saliva production. If bleeding should persist, you can put gentle pressure on the area for fifteen minutes a few times. Any excessive bleeding should be reported to our office. Before you become alarmed, check that you aren’t dealing with excessive saliva tinted with a small amount of blood.
Food and drinks
Eat a diet that is comfortable to eat, contains a high level of protein and is not heavily spiced, excessively hot or cold or crunchy. Protein shakes, eggs, soft cooked vegetables are good choices until healing is well underway. Avoid alcohol on the day of surgery and if you are taking an opiate based pain medication, completely avoid alcohol.
Brushing and flossing
Normal hygiene, i.e. brushing and flossing, may be resumed as early as two days after surgery and sutures are removed at one week.
Surgical treatment will result in pocket reduction, less bleeding, and better access to clean teeth. It is a predictable method of improving the health of your teeth and gums.
The earlier the periodontal disease is addressed, the better the prognosis.
With our expertise, we can provide treatment that will reverse your dental fortunes and return optimal health back to your smile!
Treating Advanced Gum Disease
An infection that is more serious may require flap surgery. In this procedure, small cuts in the numbed gum allow it to be pulled back to expose the tooth root. Scaling and planing is then completed. Sometimes bone defects are found, caused by the infection. If so, we will recontour the bone, then suture the gums back in place for healing.
Depending upon what's needed, a patient may require soft tissue grafts and/or bone grafts in order to obtain optimum results. Gum recession is a result of periodontitis, where the gums begin to shrink and pull away from the teeth, exposing the tooth root. When needed, a soft tissue graft is done by taking a small section of tissue from the roof of the mouth or from another source, which is then attached to the area that needs reinforcement. This serves to stop the gum from receding and keep the root from being exposed.
A more severe case of periodontal disease can also start destroying bone around the tooth. Eventually it won't be able to hold the tooth any longer. The gum is cut and pulled back to expose the tooth, and scaling and planing is done. Then bone grafting material is inserted where it's needed, and the gums are sutured closed. This will provide a stronger foundation for the tooth as well as regenerate new bone.
Board-Certified Periodontists | Los Angeles
Our periodontists in Los Angeles, Dr. Abdy Moshrefi and Dr. Nazanin Daneshmand, are board-certified specialists. They have been providing outstanding results in treating gum disease for many years. As two of the best periodontists Los Angeles has to offer, they and the entire team at MD Periodontics are here to give you the healthy oral care you seek.
Why choose a board certified periodontist?
To qualify for certification by the American Board of Periodontology (ABP) is a very rigorous process and not all applicants are successful. The purpose of the certification process is to constantly increase the quality of periodontal care by maintaining strict certification and examination standards.
Unlike other medical specialties, recertification must be done every six years. This ensures all advances in the art and science of periodontology is in full use by members of the ABP.
Both Dr. Moshrefi and Dr. Daneshmand are board certified and are distinguished within the profession for outstanding contributions. Dr. Moshrefi has served as Assistant Clinical Professor at USC Dental School and frequently lectures on implant therapy.
Dr. Daneshmand is a Diplomate with the American Board of Periodontology. This distinction is only awarded to those who have made significant achievements beyond the educations requirements of certification with the ABP.
Anyone looking for among the best periodontist in Los Angeles should insist that he or she be board certified with the ABP, knowing that this certification is only given to those who are at the top of their profession.
If another doctor referred you, rest assured we work closely to coordinate all dental work with the referring doctor. If you come to us without a referral, we will work with you to be sure you are getting what you want as well as need. We want you to feel comfortable and that all your questions are answered. Our ultimate goal is to give you the best periodontal service possible, and that you will be proud to show off your smile when you have completed your treatment plan.