Gum Treatment
Gentle, Effective Gum Treatment to Restore Your Oral Health
From $200 to $400 Medisave CHAS
Prices are indicative and based on normal case complexity. A consultation is required for a definitive quote.
Periodontics
Periodontics offers a range of treatments that help prevent and treat diseases affecting the supporting structures of our teeth. Regular dental check-ups and good oral hygiene practices are crucial in preventing and managing periodontal issues such as gum disease and more.
What Are Some Periodontal Issues?
Gingivitis
This is the early stage of gum disease and is characterized by inflammation of the gums. Symptoms may include redness, swelling, and bleeding during brushing or flossing.
Periodontitis
If gingivitis is left untreated, it can progress to periodontitis. This is a more severe form of gum disease that involves inflammation and infection of the supporting structures of the teeth, including the bone. It can lead to pocket formation between the teeth and gums, gum recession, and even tooth loss.
Gum Recession
Receding gums expose the roots of the teeth, making them more susceptible to sensitivity and decay. Gum recession can be caused by periodontal disease, aggressive tooth brushing, or other factors.
Periodontal Abscess
This is a localized collection of pus within the gums or supporting structures of the teeth. It can be painful and may cause swelling.
Gingival Hyperplasia
This condition involves an overgrowth of gum tissue, leading to an enlarged appearance of the gums. It can be caused by certain medications, systemic diseases, or poor oral hygiene.
Mobility of Teeth
In advanced stages of periodontal disease, the bone supporting the teeth may be compromised, leading to tooth mobility. This can eventually result in tooth loss.
Plaque and Tartar Buildup
The accumulation of plaque and tartar on teeth can contribute to gum disease. Tartar (calculus) is a hardened form of dental plaque that can only be removed by a dental professional.
How Do I Know If I Have Periodontal Issues?
You may notice the following signs:
- Bleeding when you brush or floss
- Red or swollen gums
- Receding gum line
- Shift in the alignment of teeth
- Gums feel more tender, especially when eating or chewing
- New spaces developing between your teeth
- Pus discharge
- Persistent bad breath
What Are Some Periodontal Treatments?
Open Flap Debridement
With severe periodontitis, plaque and calculus get trapped deep below the pockets between the roots’ surface and your gums. This can eventually cause gum disease and loss of bone structure if left untreated.
In open flap debridement surgery, the gums are pulled away from the teeth to expose the infected root surfaces. The root surfaces are then cleaned, smoothened, and disinfected. The gums are stitched back into their original position and allowed to heal.
Root Planing
Root planing is a non-surgical deep cleaning that involves thorough removal of plaque, bacterial toxins, and tartar deposits from your teeth and root surfaces. Local anaesthetic will be given to ensure a comfortable experience as the deepest parts of the pockets around your teeth are cleaned.
All rough areas on your roots’ surfaces are smoothened out to prevent debris from collecting there. Depending on the condition of your gums and teeth, more than one appointment may be required. After each session, your gums may feel sore and sensitive to hot and cold; this can be alleviated with products suitable for sensitive teeth.
Crown Lengthening
Crown lengthening is a dental procedure designed to expose more of a tooth's structure by reshaping the gum and, if necessary, bone tissue surrounding it.
- Functional: To expose more tooth structure for dental restorations such as crowns.
- Aesthetic: To enhance the appearance of a smile by adjusting the gum line.
The procedure is typically performed by a periodontist or oral surgeon.
Root Coverage
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What Can I Do to Keep My Gums Healthy?
Healthy gums begin with healthy habits at home. You can:
- Brush your teeth and gums twice a day with a soft toothbrush.
- Floss at least once a day.
- Replace your toothbrush every 3 months to prevent bacterial build-up and ensure the bristles remain effective.
Sometimes, gum disease may not present with noticeable symptoms. During regular dental check-ups, your dentist will examine your gums thoroughly for any signs of gum disease. To ensure your gums are healthy, visit your nearest Advanced Dental clinic in Singapore for a check-up.
What Do I Need to Know About Gum Surgery?
Strong teeth are built on strong gums. Periodontal disease infects the gums, causing inflammation, redness, swelling, and loss of bone around the surrounding teeth. There are several types of gum surgery, depending on the severity of your gum disease and the damage done.
Types of Gum Surgery
Gingival Flap Surgery
Gums are separated from the teeth for a deep cleaning, then stitched back into place around the teeth. Bone reshaping is sometimes required during the surgery.
Gingivectomy
Excess and overgrown gum tissue is removed to improve aesthetics and to make it easier to keep the surface of the teeth clean.
Gingivoplasty
Healthy gum tissue is reshaped for a more appealing aesthetic, sometimes in combination with a gum graft.
Gum Graft
Tissue is taken from the roof of the mouth and stitched into place on either side of a tooth that is exposed due to receding gums. This helps even the gum line and reduces sensitivity.
Gum Regeneration
Gum tissue is folded back and bacteria are removed. The surgeon inserts bone grafts, membranes, or tissue-stimulating proteins to help the gum tissues regenerate around the teeth.
Pain-Free Dentistry
Many people associate dental procedures with pain, which can cause them to avoid going to the dentist. At Advanced Dental, various anaesthetic options are available to provide a pain-free experience during treatment.
How Do I Know If I Have Gum Disease?
Healthy gums should be pink and firm. If you have gum disease, you may notice:
- Bleeding when you brush or floss
- Receding gum line
- Permanent teeth becoming shakier
- Gums feeling more tender, especially when eating or chewing
- New spaces developing between your teeth
- Gums that are red and swollen
Frequently asked questions
How can I prevent gum disease?
Good oral hygiene practices are crucial in preventing gum disease. This includes brushing your teeth twice a day, flossing daily, using mouthwash, and visiting your dentist regularly for check-ups and professional cleanings. Additionally, avoiding smoking and maintaining a healthy lifestyle contribute to gum health.
Why is crown lengthening necessary?
Crown lengthening may be necessary for several reasons, including improving the aesthetics of a smile, providing more tooth structure for the placement of dental restorations or crowns.
Can gum treatment improve my oral health?
Yes, gum treatment is essential for improving and maintaining oral health. By effectively treating gum disease, it helps to eliminate infection, reduce inflammation, prevent tooth loss, and promote healthier gums and supporting structures.
Are there risks or complications associated with crown lengthening?
While complications are rare, there may be a risk of infection, bleeding, or temporary tooth sensitivity. Dentists take precautions and provide postoperative care instructions to minimise these risks.
Will I need surgery for gum treatment?
Not all cases of gum disease require surgery. In the early stages, non-surgical approaches such as scaling and root planing (deep cleaning) may be sufficient. However, advanced cases or those that do not respond to non-surgical treatment may require surgical intervention.
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What are the benefits of root planing for gum health?
Root planing helps eliminate bacterial deposits, reduce inflammation, and promote the healing of the gum tissue. It can prevent the progression of gum disease and improve overall oral health.
Is crown lengthening a painful procedure?
Crown lengthening is typically done under local anesthesia, ensuring that the patient is comfortable and does not feel pain during the procedure. Some discomfort may be experienced during the recovery period.
How long does a root planing procedure take?
The duration varies based on the extent of the treatment needed. It can take one or more sessions to complete root planing, with each session focusing on specific areas of the mouth.
Is gum treatment painful?
Gum treatment is typically performed under local anesthesia to ensure a comfortable experience. Some mild discomfort or sensitivity may be experienced during or after the treatment, but this can be managed with over-the-counter pain medications or as advised by your dentist.
When is open flap debridement recommended by a dentist?
Dentists recommend open flap debridement when non-surgical methods, such as scaling and root planing, are insufficient to treat advanced periodontal disease. It is often indicated for pockets that are difficult to access with non-surgical techniques.
What causes gum disease?
Gum disease is primarily caused by the buildup of plaque, a sticky film of bacteria that forms on the teeth and gums. Poor oral hygiene, smoking, certain medical conditions, hormonal changes, and genetic factors can contribute to gum disease.
What are the signs of gum disease?
Common signs of gum disease include red, swollen, or tender gums, bleeding gums (especially during brushing or flossing), persistent bad breath, receding gums, loose teeth, and changes in the bite. It's important to seek professional evaluation if you notice any of these symptoms.
How is root planing different from regular dental cleanings?
While regular cleanings focus on the surfaces of the teeth above the gumline, root planing targets the tooth roots below the gumline. It is a more extensive cleaning procedure designed to address early stages of gum disease.
Is root planing a painful procedure?
The procedure is typically done under local anesthesia to ensure patient comfort. Patients may experience some discomfort or sensitivity after the anesthesia wears off, but over-the-counter pain relievers can manage this.
Are there risks or complications associated with root coverage procedures?
Complications are rare, but there may be a risk of infection, bleeding, or temporary tooth sensitivity. Dentists take precautions and provide postoperative care instructions to minimize these risks.
Is dentin sealing a painful procedure?
Dentin sealing is a minimally invasive and generally painless procedure. Local anaesthesia is typically not required. Patients may experience mild discomfort, if any, during or after the procedure.
My wound is still bleeding after my gum surgery procedure. Do i need to see a dentist immediately?
It is common to have slight bleeding from the surgical site for 1-2 days after surgery. Replace the gauze on the bleeding area as needed every 30-45 minutes and bite on the gauze firmly. Keeping your head elevated with pillows can also help to control bleeding. However, if bleeding continues or increases, please call our clinic immediately.
Can gum disease affect overall health?
Yes, gum disease has been linked to various systemic health conditions, including heart disease, diabetes, respiratory infections, and pregnancy complications. Maintaining healthy gums is important not only for oral health but also for overall well-being.
Why is root coverage necessary?
Root coverage is necessary to address gum recession, which can result from factors such as periodontal disease, aggressive tooth brushing, or genetic predisposition. Exposed tooth roots can lead to sensitivity and compromise the aesthetics of a smile.
How long does the recovery take after a root coverage procedure?
Recovery times vary depending on the specific procedure performed. Patients can typically resume normal activities within a few days to a week. Postoperative care instructions are provided to promote optimal healing.
How long do the results of root coverage last?
The longevity of root coverage results can vary, but the effects are generally long-lasting. Proper oral hygiene practices and regular dental check-ups are essential for maintaining the results over time.
What are the common procedures for root coverage?
Common root coverage procedures include gum grafting, where tissue is taken from the patient's palate or another source and placed over the exposed roots, and newer techniques like the use of allograft materials or guided tissue regeneration.
What is the price for root planing (deep cleaning)?
The price for Root Planing (Deep Cleaning) ranges from $200 to $350 (general dentist) and $400 to $600 (specialist) per quadrant. This treatment involves an injection and may require 2 to 4 sessions, depending on complexity. Prices are before GST and consultation fees. A consultation is recommended for a professional assessment.
What is root coverage in dentistry?
Root coverage refers to dental procedures aimed at covering and protecting exposed tooth roots. This is commonly done to address issues like gum recession, improve aesthetics, and reduce tooth sensitivity.
How long does gum treatment take?
The duration of gum treatment can vary depending on the severity of gum disease and the specific procedures involved. In some cases, treatment can be completed in a single dental visit, while others may require multiple appointments over several weeks or months.
Can crown lengthening be performed for any tooth?
Crown lengthening can be performed on any tooth if necessary for restorative purposes or to address specific dental issues. A detailed dental examination is necessary.
Can root coverage improve the aesthetics of a smile?
Yes, root coverage procedures are often performed to enhance the aesthetics of a smile by restoring a more even gumline and covering exposed tooth roots.
Can gum disease be cured?
While gum disease cannot be completely cured, it can be effectively controlled and managed through professional treatment and proper oral hygiene practices. Early detection and intervention are crucial in preventing the progression of gum disease.
Can root planing be done in a single appointment?
Depending on the severity of the gum disease and the number of areas requiring treatment, root planing may be completed in a single appointment or divided into multiple sessions for optimal care.
Where can I find a list of treatments and subsidies covered by CHAS?
Refer to this link for a list of dental subsidies under CHAS: https://www.chas.sg/Documents/Form%20and%20Other%20Materials/Dental%20subsidy%20table_Mar2021.pdf The table explains the claim limit for each treatment.
Is root coverage suitable for everyone with gum recession?
While root coverage procedures are effective for many individuals with gum recession, the suitability of the procedure depends on factors such as the extent of recession, overall oral health, and the individual's goals. A consultation with a dentist is necessary for proper evaluation.
How long does it take to recover from crown lengthening?
Recovery times vary, but patients can usually resume normal activities within a few days. Postoperative care instructions provided by the dentist help promote optimal healing.
What is open flap debridement in dentistry?
Open flap debridement is a surgical procedure used in periodontal therapy to treat advanced gum disease. It involves lifting the gum tissue to access and clean deep-rooted deposits of plaque and calculus.
Is there a recovery period after root planing?
There is typically minimal downtime after root planing. Patients may experience mild discomfort and sensitivity for a short period, but they can usually resume normal activities immediately.
Are there any side effects to gum treatment or surgery?
Before the procedure, you will be given an anaesthetic to ensure your comfort. This anaesthetic typically leaves your lips, teeth and tongue feeling numb after the appointment. For this reason, you should avoid chewing for 2 hours following the surgery, or until the numbness has completely worn off. In some cases, you may also experience numbness on one side of the face, and it will take about 3-4 hours to regain your muscles control. You may experience pain, swelling, or discomfort for several days, which can be treated with painkillers. You will also be given antibiotics to reduce any risk of infection. If symptoms of pain or discomfort persist or worsen, please contact the clinic immediately.
What can I eat and what should I avoid doing after root planing and gum surgery?
After your treatment, avoid hot liquids and foods. Soft food and cool liquids should be eaten on the day of surgery. You may return to a normal diet 24 hours after the procedure, but please avoid hard foods for a week as these could irritate the wound. Please also refrain from smoking as it will slow down the healing process.
Can I participate in sports or any physical activities after a gum surgery procedure?
We recommend that you avoid physical exertion for the first 2 days after your surgery, as your body will need rest in order for the surgical site to heal quickly and smoothly.
How long does the effect of crown lengthening last?
The effects of crown lengthening are generally permanent. Once the excess gum tissue and, if necessary, bone are removed, the new tooth exposure remains stable.
What is crown lengthening in dentistry?
Crown lengthening is a surgical procedure that involves the removal of gum tissue and, in some cases, bone, to expose more of a tooth's structure. This is often done to address issues like a "gummy smile" or to facilitate restorative dental procedures like crowning.
How is crown lengthening performed?
The procedure involves making incisions in the gum tissue and, if needed, removing a portion of the underlying bone. This exposes more of the tooth, creating a longer crown.
What is root planing in dentistry?
Root planing is a non-surgical periodontal therapy aimed at treating gum disease. It involves the thorough cleaning of the tooth roots to remove plaque, tartar, and bacterial toxins from below the gumline.
Am I allowed to smoke after a gum surgery procedure?
Please refrain from smoking as it will slow down the healing process.
What is open flap debridement?
For severe gum diseases, open flap debridement is a surgical procedure to remove plaque and calculus buildup in deep gum recesses. The gum is folded away from the teeth to expose the root surfaces. If bone or gum tissue has been destroyed, bone or tissue grafts may also be recommended to promote growth.
What is deep cleaning (scaling and root planing)?
Deep cleaning involves scaling and root planing. Scaling scrapes off plaque and calculus from the teeth's surfaces, and root planing cleans the root surface. More than one appointment may be required. Your gums may feel sore and sensitive afterward, which can be alleviated with products for sensitive teeth.
Is open flap debridement a painful procedure?
The procedure is performed under local anesthesia, so patients should not feel pain during the surgery. Some discomfort may be experienced during the recovery period, which can be managed with prescribed medications.
How often is open flap debridement needed for treating gum disease?
The frequency of open flap debridement depends on the severity of the gum disease and the individual's response to treatment. In some cases, a single procedure may be sufficient, while others may require additional treatments.
What is gum treatment?
Gum treatment refers to the procedures and techniques used to treat gum disease or other gum-related conditions. It may involve deep cleaning (scaling and root planing), gum surgery, antibiotic therapy, or other interventions to restore gum health.
Can I continue to brush my teeth after a gum surgery procedure?
On the day of surgery, rinse gently with the antiseptic mouth rinse prescribed. You may brush your teeth normally but avoid the area that was treated.
Are there any side effects of root planing?
Common side effects include mild discomfort, sensitivity, and temporary changes in taste. These effects are usually temporary and can be managed with proper postoperative care.
What does the open flap debridement procedure involve?
During open flap debridement, the dentist or periodontist lifts the gums away from the teeth to access the roots and clean the surfaces thoroughly. After cleaning, the gums are repositioned and sutured in place.
How much does gum contouring cost?
The price of gum contouring ranges from $250 to $1500. Gum contouring with bone ranges from $650 to $2500. The exact cost depends on the number of teeth and the complexity of the procedure.
When is root planing recommended by a dentist?
Dentists recommend root planing when patients have signs of gum disease, including periodontal pockets, inflammation, and bleeding gums. It is often part of the treatment for mild to moderate cases of periodontitis.
How often should root planing be performed?
The frequency of root planing depends on the severity of the gum disease and the individual's response to treatment. Some patients may only need it once, while others may require more frequent maintenance.
Can crown lengthening improve a "gummy smile"?
Yes, crown lengthening is often performed to address a "gummy smile" by exposing more of the natural tooth structure and creating a more balanced and aesthetically pleasing smile.
Can scaling and polishing treat gum disease?
Scaling and polishing are effective in preventing and managing early stages of gum disease (gingivitis). Advanced cases of gum disease may require additional periodontal treatments.
Can crown lengthening be combined with other dental procedures?
Yes, crown lengthening can be combined with other dental treatments, such as dental crowns, veneers, or even orthodontic procedures, to achieve comprehensive aesthetic and functional results
My gums are bleeding after scaling and polishing. Is this normal?
It is normal to experience slight bleeding during/after your scaling and polishing. The bleeding will usually stop after a while.
What should I do if my dentures are causing pain or blisters on my gums?
If the denture is causing pain, please call our clinic to make an appointment with your dentist. If your dentist is not able to see you by the next two days, you may stop wearing your denture for a while to reduce pain and discomfort. However, if possible, it will be helpful if you wear the denture for at least 1 to 2 days before your appointment, so that your dentist can observe any areas of redness caused by the denture.
Can scaling and polishing cure gum disease?
Scaling and polishing are essential components of gum disease treatment. While they cannot cure advanced gum disease, they are effective in removing plaque and tartar buildup, which helps control and manage the condition. Advanced cases of gum disease may require additional treatment modalities.
Can scaling and polishing be done for children?
Yes, scaling and polishing are safe for children and are often part of routine dental care to maintain good oral health from an early age.