Periodontists specialize in treating diseases and conditions affecting the gums and bone structures around teeth. When routine dental care cannot fully address gum issues such as advanced periodontal disease, periodontists use a range of targeted procedures to restore oral health and function. These gum treatments range from non-invasive procedures to surgical routines.
Osseous Surgery
Osseous surgery is performed when periodontal disease causes the bone and gum tissue to separate from the teeth. This forms deep pockets that accumulate bacteria and debris. The specialist creates small incisions in the gums and retracts the tissue to access the bone and roots. Plaque and tartar are carefully removed from the roots. After cleaning and reshaping, the gums are repositioned and sutured to reduce pocket depth. This facilitates better attachment of the gums to the underlying bone.
Frenectomy
A frenectomy removes or modifies a frenum, a tissue band that links the lips, cheeks, or tongue to the gum tissue. A prominent frenum can cause issues such as gaps between teeth, gum recession, or restricted tongue movement due to a tight lingual frenum. During the procedure, the periodontist uses a laser to release the frenum. Laser techniques can minimize bleeding and speed healing. This surgery helps correct tooth spacing problems, enhances tongue mobility, and can prevent further gum recession associated with frenum tension.
Laser Therapy
Laser therapy is one of several gum treatments used for treating gum disease and inflammation. During the procedure, a dental laser targets and removes infected or inflamed gum tissue near the tooth root. Adjacent healthy tissue is preserved and not affected. The laser energy breaks down harmful bacteria that contribute to infection.
Once the unhealthy tissue is removed, the clinician may use traditional instruments to clean plaque and tartar below the gum line. The laser can also help seal the area, supporting a smoother recovery. Laser therapy can reduce bleeding, discomfort, and swelling during and after treatment, and is an option for addressing early to moderate gum disease.
Crown Lengthening
Crown lengthening adjusts the gum and the underlying bone level to expose more of a tooth’s visible surface. This procedure is used when restorative work is needed on a tooth that has broken near the gum line. Decay extending below the gums may also be addressed through crown lengthening. By exposing more tooth structure, the periodontist creates a stable base for crowns or fillings.
Crown lengthening is also performed for cosmetic purposes, such as correcting a “gummy smile.” This is when excessive gum tissue covers the teeth. The process involves incising the gum, reshaping the tissue and bone as needed, and then stitching the gum into the new position to reveal an appropriate amount of tooth.
Receive Professional Gum Treatments
Periodontists deliver specialized treatments to manage complex gum problems. These procedures support oral health and enhance gum and tooth aesthetics by targeting the underlying causes of disease and irregularities. Working with a periodontist provides access to advanced techniques tailored to the needs of people facing gum and bone conditions. This can promote a healthier mouth and maintain the natural support structure for teeth.
