The ideal outcome in the treatment of periodontal disease is to return the tissues to their original state, as they were before the infection started. While we cannot do this with all cases, today more and more patients can be restored, at least partially, with periodontal regenerative surgery. The wheel below highlights all the components important to case selection.
Periodontal regenerative surgery depends on guiding the proper tissue to heal the periodontal lesions. Gum tissue heals very quickly, and after surgery migrates down into the bone pocket quickly. Unfortunately, this does not allow time for the bone to refill the pocket, so the defect persists. With guided tissue regeneration, the gum tissue is excluded from the bone defect with a resorbable membrane, allowing time for the bone to fill back in. This technique has been available for over 25 years, and in certain areas is extremely predictable.
Severe bone loss around teeth where periodontal disease has gone untreated.
After treatment, the body begins to actively regenerate healthy bone and tissue.
Restoration of normal healthy teeth and gums.
Often, a combination approach (resective and regeneration) may provide the best results for the patient. The periodontist must decide in each case whether the chances of improvement warrant the added expense of periodontal regeneration. However, restoring bone and the periodontal complex is the gold standard, and periodontal regeneration is the treatment of choice if the situation allows for predictable healing.