There are two kinds of gum surgery, traditional surgery and laser surgery.
Regular or traditional periodontal surgery involves the use of a scalpel to cut and push back the gums to access the tooth root, root cleaning, bone shaping, and then stitching the gums back together at a lower level. The gums may be cut down to reduce the height of the pocket.
Scalpel and suture surgery carries risks. Dental surgeons must inform the patient of possible risks such as the necessity to remove so-called “hopeless” teeth, post-operative pain, infections, and the exposure of the tooth root surfaces, which can lead to sensitivity to cold, hot, spicy foods or liquids. The dentist who performs conventional surgery must also prepare the patient for the higher risk for cavities on the roots of teeth now exposed as a result of the treatment.
Laser Gum Surgery
Similar to the benefits seen in arthroscopic surgeries, periodontal laser therapies are less invasive, less painful, and offer faster recovery. Laser can kills the germs over a large area of the infected root, tissues, and bone. It does this with laser light tuned to the harmful bacteria shining through the contaminated areas like a flashlight shines through the back of your hand—killing germs as the laser beam penetrates and sees only the bad germs and infected tissue.
To perform the laser treatment, the dentist inserts a fiber, the thinness of three human hairs, into the infected pocket to kill germs and infected tissue. Next, calculus is removed with an ultrasonic root cleaner instead of using hand tools for scraping. Finally, laser energy is used to warm the stem cell containing blood in the pocket. This laser warming makes the soft gum pocket tissues “sticky” and creates a seal of the tissues against the tooth root. This jello-like seal protects the pocket from germs and plaque from getting into the now cleaned and disinfected pocket to begin the healing process.
In addition to killing the bacteria and infection, laser protocol also stimulates stem cells in the tissues to form new connective tissues, collagen and bone. Your body’s healing process can then regenerate the previously lost native structures–ligaments and bone–around the tooth.
Laser Gum Recontouring
When someone asks why her teeth are so short and her smile showing too much gingiva (gums). So we introduce her to gingivectomy (gum contouring), specifically laser gingivectomy, to reshape the gingiva margins to expose more tooth structure while minimizing pain and speed up healing.
We utilize laser to trim away roughly about 2-2.3mm gingiva and recontour to bring out the emergence profile so that the length is longer than width to satisfy the golden proportion. Smile is more pleasant with less gum showing and balanced proportion from one tooth to the next. Laser gingivectomy is a perfect way to alter the teeth appearance and smile while keeping pain and morbidity minimal with less bleeding or no bleeding at all.