Gingival graft in Germany

Gingival graft, in short is a micro-surgery performed using specialized instruments in which a healthy tissue from other oral parts like palate are grafted with fine sutures or a specialized glue in place of lost tissue in your gums. After sometime following the treatment, the graft grows and acquires an indistinguishable appearance in comparison with the rest of your healthy gums. These graft procedures are generally performed by the periodontist, a specialized dentist in the area of gingival tissue. By performing a graft, a number of objectives are accomplished. They include:
  • Prevention of further gum recession and avoiding root exposure
  • Eliminating or decreasing tooth sensitivity
  • Cut down propensity to root caries
  • To bring a cosmetic improvement

Take Care Of Your Gum Line:


Taking care of your gum line is very essential if you want to ensure that your teeth are healthy and look beautiful as well. If your gums are receding and giving your teeth a longer appearance, it’s time to visit your dentist at the earliest. Prolonged exposure of teeth necks can lead to hypersensitivity when you eat hot or cold foods. Even if you are opting for dental treatments like implantation, the gum that surrounds the implant has to be strong enough to hold the implant intact. With a stronger and an intact gum line, you can avoid possible dental infections and can also provide your implants a natural appearance. Therefore, if your dentist recommends you to undergo a gingival graft or gum graft, do not panic. With improved dental health facilities, gingival graft has become an easy procedure these days.

Gingival Graft Procedures:


Considering your specific needs, your periodontist will be deciding to one of these three different types of gingival tissue grafts. They are:
  • Connective Tissue Grafting:
  • This is the most prevalent form of gingival grafting. This procedure involves taking out the sub-epithelial connective tissue as a graft from the palate and stitching back the palate to its original position. The tissue collected from under the palatal flap is used as a graft.
  • Free Gingival Grafting:
  • This is much similar to the first procedure described here. But, instead of the sub-epithelial tissue, the graft is directly taken from the upper layer of the palate. The graft is used to cover up the gum recession. This procedure is suitable with patients who have much thinner gums in the beginning and need more tissue in order to enlarge their gums.
  • Pedicle Grafting:
  • In this form of grafting, the graft is procured from the gum near and around the tooth that needs a repair. A flap called pedicle is made by a partial cut and pulling it over to cover up the lost gum. This flap is then sewn finely to fit into its place intact. This method is suitable with people who have a good amount of gum lining near the tooth.
Some of the patients and periodontists prefer using the graft material from a tissue bank instead of getting it from the palate. Foods that stimulate the growth of tissue and bone are recommended for regular usage when you undergo these procedures.

Recovery from Gingival Tissue Graft and Aftercare:


Gingival graft is not a painful procedure; you can go home after the procedure is done. However, the amount of pain depends upon the type of grafting you have undergone. The wound from where the graft is taken tends to heal up fast. Your dentist may give you a tranquilizer to help you unwind. You can take someone’s help to drive you home.

The post-operative care for gingival graft involves medication therapy and following specific instructions regarding your diet and physical activity. You will be suggested to take soft foods like eggs, jell-O, pasta, yoghurt, ice-cream, soft cooked vegetables, cottage cheese, etc. You must not floss or brush your teeth upon the gum line that has been just repaired. Allow sufficient time for its healing. You will be recommended to use a special mouthwash to avoid the building of plaque during the healing process. You may also be suggested to take an antibiotic to reduce any incidences of infection.

Even after the successful graft, it is essential to make sure that there is no further recession in your gum line.
  • To avoid recession of your gum line in future, you must have to resort to gentler brushing techniques.
  • Consult your doctor and get a cut to your lip frenulum if it is annoying you.
  • If you have symptoms of periodontal disease, make sure that you receive appropriate treatment in time.
  • Your genes could also be the culprits behind the problem of gum recession. Although this factor cannot be avoided altogether, there are remedies to control the condition.
Whether you are planning an implant treatment or a gingival graft, high-quality dental health care centers make dentistry in Germany an extremely safe option. If you are seeking dental treatment in Germany, we can help you select the best dental health care facility available to provide you with appropriate remedies to help you retain your gum line and jawbone intact.

Implants in Germany

In general terms, if you have lost your teeth you need dental implants. These implants are just synthetic tooth roots. However, your present medical condition will be the deciding factor whether you are fit to have ones. You generally need to be in a state of good health to get yourself a dental implant. Conditions like cancer, uncontrolled diabetes, smoking, uncontrolled periodontal infections, radiation on jaws, etc. may affect upon how the implants will get fused to your jaw bone. It is essential that you help your dentist in understanding all of your past and the present health status and tell him about the all the medications you are upon.

Before going for implants, a careful and complete assessment of your overall mouth and jaw system, within which your teeth function is done. With excellent innovations and excellent oral healthcare facilities for dentistry in Germany, a complete study of your mouth and bite is carefully performed. With the use of specialized diagnostic techniques like radiographs, 3D imaging using CT scans, etc. a preliminary computerized imaging is examined to ensure that implants can be precisely made to fit in the right position within the bone.

How Is Teeth Loss Associated With A Loss In Jawbone?


A sac-like alveolar bone covers and supports your entire teeth system. This bone needs stimulation from your teeth so that its density and regular form is maintained. With the loss of teeth, lack of stimulation leads to a loss of this alveolar bone. Within the first year of a tooth loss, there could be up to 25% loss in the width of alveolar bone. And, the overall height of this bone diminishes with time.

When more teeth are lost, there is more loss in function and thus a lesser stimulation as well. The condition leads to more functional problems, particularly in people with more teeth loss. After the alveolar bone is lost, the jawbone proper will also begin to melt away.

How Can Dental Implants Be Helpful?


Losses in bone volume following a tooth loss are made up by bone grafts. These bone grafts help maintain the essential bone volume required for a dental implant. You can also opt for surgical techniques to help re-grow the lost bone and make it fit for anchoring an implant. The primary reason for performing dental implants is to ensure the proper maintenance of your jawbone.

Dental implants, once fused with your jawbones stimulate the alveolar bone and the jawbone itself to stay healthy. Dental implant is the only way to stop the process of bone melting and help preserve your jawbone.

How Are Dental Implants Made?


Dental implants are placed in their specific position using a careful surgical procedure that involves making precision channels into your jawbone. After this, the implants are fitted into a position such that they remain in closely in contact with the bone. The implants would need two to six months to fuse well enough with the bone before any tooth restorations can be placed upon them.

Various options like single-tooth implants, fixed multiple-tooth implants and removable implants can be employed based on the patient’s dental health and need of the treatment levels. Implants are generally made with high-quality titanium and in some cases with high-performance ceramics. These are biologically safe, but there may be incidences of peri-implantitis (an inflammatory response to the bacterial growth over the implant). The expert German dental teams working across the best oral healthcare facility centers are well-versed in assessing, planning and implementing safe dental implants and help you restore your oral health as before.

Maintaining Your Dental Implants:


Implant crowns and such other prosthetic tooth replacements are made from remarkably high-quality fail-proof systems. Your dentist can remove and replace it if damage or wearing necessitates that. He can accomplish this task without affecting your implant(s) or even altering the attachment with the bone beneath.

However, dental implants need a careful and continuous maintenance. It is important that you practice good oral hygiene everyday; this includes regular brushing and flossing to keep bacterial biofilm at bay. You will need to use some special instruments to clean your dental implants so that there is no damage to the metal beneath your gum tissues. Make sure that you pay regular visits to your dental hygienist and dentist at short intervals. Your dentist will be examining your implants and make sure that the fusion is stable, and that your implant crowns, dentures or bridgework are functioning satisfactorily.

Modern dental implants have been extraordinarily successful. A large group of German dental surgeons and related specialists have been conducting research and studying clinical-trials associated with replacement of missing teeth. The modern dental implants have been in full force since the 1970s and the field has seen many innovations and improvements in designs since then. If you are seeking dental treatment in Germany, we will always be able to help you choose the best available facilities by making use of our experience and expertise earned through years of extensive medical help services.

Root resection in Germany

Roots that extend into the jawbone hold your teeth intact in their specific place. Teeth on the front have only one root whereas the teeth on the back (molar teeth) have three or even more roots. The tip of the root is called as apex; nerves and blood vessels enter the root through the canal and supply blood and essential nutrients to the pulp under the crown of your teeth. While the healthy roots give good support to your teeth, the decayed root pose problems. In this case, your dentist will prefer to remove just the unhealthy root instead of the whole tooth. In some cases, your dentist will also be taking off the part of the crown above the decayed root. This treatment is called root resection.

Root resection is not the same as root canal treatment. In a root canal procedure, the blood vessels and the nerves within the infected root are removed and the space is filled with a substance that can be seen on X-ray. In the root resection procedure, the entire root of an infected tooth is removed. To implement this procedure, there is a need to cut directly inside the tooth that contains nerves and blood vessels. Therefore, the infected root needs a root canal procedure before beginning with root resection.

Root resections were a popular choice in the past, but now your dentist has more options than he had in the past. Now a day, the decayed tooth can simply be extracted and replaced by an implant. Root resection surgery can cost you more than a tooth extraction and an implant, as the procedure also involves a root canal. Some patients may even be requiring a synthetic crown (cap) to be placed over the affected tooth. This treatment may not be as long lasting as an implant is. However, root resection is an effective treatment in cases of broken teeth, tooth decay or bone loss and where conventional endodontic procedures are not enough to save the affected tooth. Root resection is done while treating one root of a tooth having multiple roots. A study has revealed that root resection go better with periodontal problems rather than with non-periodontal problems.

Procedure:


Before beginning with root resection, the tooth must first undergo root canal treatment. You will need a local anesthesia to numb the area that is to receive a root resection. In most cases, the dentist will be making cuts in the gum and go through the jawbone to examine the roots. Then he will drill through to remove the decayed and untreatable root. In some cases, the infected part of the crown will also need a cut. The decayed root will be removed along with that part of the infected crown. After this, the area is rinsed with a sterilized saline solution. A bone graft is placed in place of the displaced root; the gum is stitched and closed. A typical temporary filling is done where the crown is removed. The dentist will recommend you to take antibiotics and some pain killers to help you relax. Antimicrobial mouth washes will help you in warding-off any possible infections.

Follow-up:


You may experience some discomfort, light bleeding and swelling for a day or two. You will be advised to avoid chewing with the operated tooth until the removal of stitches (7-10 days). Once the stitches are removed, the dentist will examine the site and check if the gums are healing well. After healing, the temporary filling is replaced with a permanent filling and a permanent crown is placed on the tooth.

As with most other types of dental surgeries, there is a small risk of infection after you face a root resection. As root resection involves both the procedures of root canal and tooth extraction, the risks associated with these procedures are also seen in root resection. The risks include:
  • An accidental damage such as breaks or cracks to the adjacent teeth
  • While treating an upper molar with root resection, there is a possibility of creating a hole in the sinus. This hole is generally healed within a few weeks. If this does not happen, another surgery will have to be done to close the hole.
If you experience severe pain, inflammation or bleeding following a root resection treatment, you will need to contact your dentist soon. If you experience severe sensitivity, a topical fluoride treatment will be helpful and in extreme cases you will need a dental restoration.

German dentists and dental surgeons have always been pioneers in conducting research with clinical trials and creating breakthrough innovations in the field of dentistry. With excellent facilities for dentistry in Germany, the specialized dental care centers involve high-quality treatment procedures to make sure that you receive prompt and safe remedies for your dental problems. We have gained an enormous experience and expertise in the field of medical assistance services by helping numerous patients who have sought dental treatment in Germany. If you are looking to receive dental treatment in Germany, we can always help you to choose the best available services as per your needs and recommendations.