Surgical periodontics (periodontal microsurgery) is a modern field of dentistry that involves the use of highly precise surgical techniques to treat periodontal diseases and restore gum health. Thanks to modern protocols and technologies used at Sa-Nata, many gum conditions can be effectively treated with minimal tissue trauma and a comfortable treatment experience for the patient. At the same time, not every case can be addressed with non-surgical methods alone. If the disease is advanced, the inflammatory process can spread to large areas of the gums and penetrate deep into the tissues, affecting the structures that support the teeth. In such situations, standard conservative treatment may not be sufficient. This is when periodontal microsurgery can help, as it allows the dentist to work with affected tissues with a high degree of precision and care, creating the conditions for comprehensive treatment of periodontal problems and preserving the health of the teeth and gums.
Periodontics is a field of dentistry dedicated to the prevention, diagnosis, and treatment of diseases affecting the tissues that surround and support the teeth: the gums, periodontal ligament, root cementum, and alveolar bone. These structures provide stable support for the teeth, so their condition directly affects the health of the entire oral cavity. A periodontist helps identify pathological changes at an early stage and develop a comprehensive treatment plan to preserve natural teeth. The most common problems treated by a periodontist include:
These conditions can be caused by inadequate oral hygiene, tartar and bacterial plaque, malocclusion, smoking, hormonal changes, and other factors. It is very important not to ignore the first signs of disease, as without timely treatment, the inflammatory process can gradually lead to the destruction of the tissues that support the teeth. Periodontal treatment in Kyiv involves an individualized approach and may include professional dental cleaning, cleaning of the teeth and periodontal pockets, medication therapy, laser and microsurgical techniques, and, when necessary, restoration of lost tissues. Regular preventive checkups with a periodontist help monitor gum health, address risks in a timely manner, and maintain healthy teeth.
Microsurgical treatment of periodontitis is a modern approach to correcting pathological changes in periodontal tissues that involves precise surgical procedures performed using a dental microscope. This technology allows the dentist to work with even small areas of tissue with a high degree of precision and control at every stage of the procedure. And there is no need to visit a specialized periodontics and implantology center for this, as the dental specialists at Sa-Nata are highly skilled in all modern techniques and have extensive experience in this field.
Microsurgery is recommended in the following cases:
Gum microsurgery for periodontitis can not only address a patient’s aesthetic concerns but also stop the progression of periodontitis.
Advantages of periodontal microsurgery:
In most cases, periodontal microsurgery is performed using flap surgery. Flap surgery is a dental procedure involving minimal surgical intervention that allows deep periodontal pockets to be effectively cleaned of plaque.
As a dental clinic providing periodontal care in Kyiv, Sa-Nata is equipped with all the necessary equipment and medications to perform the surgery. During the surgical procedure, the area of gum adjacent to the affected tooth is first carefully incised to create a flap, the area is then cleaned, and the tissue is returned to its original position. The procedure is performed under local anesthesia, so the patient does not feel any pain, while rapid healing helps minimize significant discomfort.
Stages of the procedure:
Periodontal surgery also includes:
Gum recession is a process in which the root surface of a tooth becomes exposed. Causes of gum recession include periodontitis and periodontal disease, excessive stress on the teeth, and complications from orthodontic treatment. Gum recession can be treated using flap surgery or laser treatment.
How can gum recession be prevented? To do this, you should:
Open curettage is indicated for moderate periodontitis, as well as in cases where the periodontal pocket depth exceeds 5 mm, including when bone defects are present. In this case, the procedure involves more extensive surgical intervention below the gumline and is performed under local anesthesia.
Stages of open curettage:
Gum grafting or gingivoplasty is recommended when there is insufficient gum tissue around a tooth or implant, as well as in cases of severe tooth mobility. The purpose of gum surgery is to restore the quality and quantity of gum tissue. The procedure is performed under local anesthesia. In 95% or more of cases, the patient’s own tissue is used for this procedure. (Read more about this topic in a separate article).
Vestibuloplasty, or deepening of the oral vestibule, is a surgical procedure aimed at increasing the depth of the oral vestibule when it is insufficient, while also expanding the zone of attached gingiva. A normal vestibular depth is considered to be between 5 and 10 mm. A depth of less than 5 mm is considered a developmental abnormality of the muscles and mucosal tissues. This can lead to dental problems. A shallow vestibule can be either congenital or acquired. (Read more about this topic in a separate article).
Lingual frenuloplasty is a surgical procedure aimed at correcting improper attachment of the lingual frenulum (it is primarily performed in children). Specialists at the Sa-Nata network of clinics most often perform this procedure using a specialized laser, which helps reduce the risk of complications and allows the procedure to be performed quickly and painlessly.
Indications for lingual frenuloplasty:
We would like to emphasize that nothing is impossible for the skilled professionals at the Sa-Nata network of clinics! Our many years of experience, comprehensive approach, modern equipment, and, of course, our care for people and desire to help allow us to successfully perform dental procedures of any complexity!
If you’re at Sa-Nata, you’re in good hands!
Wonderful doctor Bohdan Ivanovych performed a dental cleaning carefully and thoroughly ? The recommendations were helpful, and I will definitely follow them. The administrators are attentive and polite girls who answered all my questions and helped me find a convenient appointment time ? Highly recommend.
For healthy adults, it is recommended to have a dental check-up at least once a year. If a person has even minor gum or tooth issues, the interval between visits should be shorter — in this case, visits should occur every six months.
It is recommended to have professional dental cleaning at least once every 6 months. However, certain clinical conditions may require the procedure more frequently — every 3–4 months.
Any dental procedures (except professional cleaning) are not recommended during the first and third trimesters: in the first trimester, all the baby’s organs and systems are forming, and in the third trimester, any irritants are undesirable. Dental treatment is generally safe during the second trimester (around weeks 14–20), when the baby’s systems are developing steadily.
The golden rule of pediatric dentistry is that children should visit the dentist once every 3 months, that is, 4 times a year. This way, your child can avoid major dental problems: early-stage cavities won’t reach the nerve, and treatment will be quick and completely painless.
This is sedation — a set of measures aimed at calming and relaxing the patient. The treatment itself is still performed under local anesthesia. The patient falls asleep, and the dental procedure is quick and painless for them. Additionally, sedation does not block vital reflexes such as swallowing and coughing.
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