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Regenerative Procedures

Periodontal disease is an extremely serious progressive condition which can lead to tooth loss if left untreated.  Periodontal disease occurs when a bacterial infection in the gum pockets causes the bone and gum tissue to recede away from the teeth.  The quality and quantity of bone and gum tissue is greatly reduced as the gum pockets continue to deepen.  Fortunately, prompt diagnosis combined with effective regenerative procedures can halt the progression of the disease and save the teeth.

There are many regenerative dental procedures available to restore health to the gums, bone and teeth.  The following are the most commonly used regenerative procedures:

Bone Regeneration

Dental implants and other restorative procedures depend on the jawbone being sufficiently strong and thick.  When periodontal disease has taken hold, the jawbone may have become too thin to successfully support an implant.  Natural bone regeneration (or bone grafting) is one of the best ways to promote growth and thicken the jawbone.

Initially, bone grafting material is obtained from elsewhere on the body or from a bone bank.  The gums are gently pulled back, and an opening is made in the jawbone where the grafting material will be packed in tightly.  A membrane is used to maintain the shape of the new bone, and tissue stimulating proteins and a platelet-rich growth factor may be applied to promote faster healing.  The surgical site will be sutured and packed with protective material.  The bone will naturally regenerate and become strong enough to eventually support an implant.

Gum Tissue Regeneration

Gum tissue regeneration is usually performed by way of gum grafting.  When gum tissue has been lost as a result of periodontal disease, the smile may appear discolored, toothy or unpleasant.  A gum graft aims to symmetrically contour the gum line, cover any exposed tooth roots and restore health to the gums.  Initially, a small strip of tissue will be removed from the roof of the mouth and placed in the middle of a split-thickness incision at the recipient site.  The surgical site will be covered with a protective membrane which promotes tissue regeneration, covered in platelet-rich growth factor and tissue stimulating proteins, and then sutured closed.  The soft tissue surrounding the teeth will naturally regenerate, producing a healthy, smile.

Pocket Reduction Surgery

The aim of pocket reduction surgery is to reduce the depth of the gum pockets and make it much harder for bacteria to invade the gum tissue.  Initially, the gum tissue is pulled back from the teeth and the subgingival area is thoroughly cleansed under local anesthesia.  Extensive scraping may be required to fully remove the plaque, debris and tartar from below the gum line.  An antimicrobial agent may then be applied to the affected area to kill any remaining bacteria, and the surgical site will be sutured closed.  Pocket reduction surgery is very effective for halting tissue loss and promoting the natural healing of the gums.

Scaling and Root Planing

The term “scaling” refers to the removal of plaque and calculus (tartar) from the supragingival region (above the gum line).  This treatment is usually conducted in the course of a routine professional cleaning, and performed under local anesthetic.  Root planing usually accompanies scaling and is performed in the subgingival region (below the gum line).  Tartar and toxins are initially removed, and then the tooth root is smoothed down to promote good healing in the gum tissue.  The planing of the tooth root provides a smooth area which prevents bacteria from recolonizing.  If these procedures do not completely eradicate the infection, surgical measures may be required.

If you have any questions about regenerative procedures or periodontal disease, please ask your dentist.

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Testimonials

"I have been seeing Dr. Butler and his staff at BridgeCreek Prosthetic Dentistry for over five
years for regular dentistry and other oral health issues. Dr. Butler's approach to dentistry has
been perfect for my needs, as he understand and treats serious problems when they arise,
but also takes a conservative approach when it is warranted, and does not perform
unnecessary treatments or interventions. This has saved me not only significant sums of
money over what other care providers recommended for my oral health needs, but has also
saved me from a lot of unnecessary procedures and the pain and inconvenience related
thereto.

I would recommend Bridgecreek Prosthetic Dentistry to anyone, no matter what level of oral
health care you need."

J. Swift

Texas A & M
Texas Health Science Center
Baylor College of Dentistry

April 25, 2013

Dr. Dennis Waguespack, DDS

For some reason I cannot explain why I wanted to write you and Baylor College of Dentistry a letter. I am not good at letter writing, so I hope you understand, I am just trying to express my good feelings and appreciation of the professional service I received over the last year or so.

I have been attending the Baylor College of Dentistry for twenty years and been very pleased with all the services. About two years ago, I reached an important decision concerning the reconstruction of my entire mouth. After some careful and professional consulting with Dr. Nagy, we decided to proceed with a complete restoration of all my mouth.

I was very lucky to be picked / assigned to you.

I just wanted you and Baylor to know how pleased I am with all the extensive work you have performed on me for over a year. I now have totally functional teeth, as well as better aesthetics than anytime in my life. I am proud to smile and show all of my new teeth.

Dr. Waguespack, I wish you the very best in your new practice in Denver. I am so very pleased with your professionalism standards, perfect work, and your leadership with my issues. I would highly recommend you to anyone needing dentistry attention.


Regards

Edwin Stanaland

Edwin Stanaland

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