REGENERATION is a present concept where the tissues that are lost due to periodontal disease are reconstructed to a certain extent using newer and advanced techniques.
Various methods of regeneration are:
When plaque and calculus are not removed the bacteria in plaque produce toxins (or poisons) that can destroy the supporting tissues and bone around the teeth. As the diseases progress, the gum around the tooth becomes loose and separates away from the tooth resulting in deep areas called pockets. As these pockets deepen, more gum tissue and bone are destroyed forming deep bone defects.
Are bone substitutes (powders/ gels/ sponges) etc., which are placed in the diseased areas to enhance new bone formation with application of regenerated techniques.
Various Bone Graft materials available in hospital are: Osteogen, Biogran, Perioglas, Fisiograft ( gel /sponge).
Is an advanced technique which uses a collagen membrane which acts as a barrier which allows only those tissues that are required for healing in the surgical site and eliminating the unwanted tissues.
Under local anesthesia a flap ( the gum ) is raised away from the tooth and debrided thoroughly. If necessary a bone graft material is placed into the defect and a membrane is placed over the defect. The gum is sutured back in its original position. This membrane is usually resorbable ( dissolves on its own ). You are instructed to come back for suture removal after a period of 7-10 days.
Guided tissue regeneration (GTR) is a surgical procedure that specifically aims to regenerate the periodontal tissues when the disease is advanced and could overcome some of the limitations of conventional therapy.