Beverly Hills Periodontal Institute

Periodontal Regeneration

The periodontal regeneration procedure can reverse some of the damage caused by periodontal disease. It can also restore the gums if you have other dental problems. It does so by regenerating lost bone and tissue. We use periodontal surgery for bone regeneration.  First, we have to access the area of bone loss. Then we have to do a careful cleaning of the root surfaces of the teeth. This cleaning is to remove the bacterial deposits that have caused bone loss. Then we choose the proper regenerative procedure to regrow the lost bone.

About 80% of the human population suffers from some form of periodontal disease. Some problems need only a simple fix. Others are major and can result in the exposure of bones and root. Some conditions can cause loss of teeth.

Over the years, researchers have developed innovative methods and products. Dentists now have several tools for correcting these structural deficiencies. You no longer have to fear the symptoms brought about as a result of periodontal diseases. On this page, we’ll give you some insight into one of the innovative treatment procedures. We’ll also show you why we’re the ideal clinic to trust with curing this degenerative disease. First, let’s skim over the underlying problem.

WHAT ARE PERIODONTAL DISEASES?


Periodontal disease is also known as gum disease. It is a set of inflammatory conditions affecting the tissues surrounding the teeth. In its early stage, dental professionals refer to it as gingivitis. During this stage, the gums become swollen, red, and may bleed. It becomes severe when the gums can pull away from the tooth. You can lose bone, your teeth can fall out, and you can suffer from bad breath. When gingivitis becomes very serious, dentists call it periodontal disease.

Bacteria of the mouth generally cause periodontal disease. If you smoke, have diabetes, or HIV/AIDS, you are at higher risk of contracting this disease.

Now you know what periodontal disease is about. Are you worried about the bones around the teeth growing back after falling out? Do you think treatment is possible?

PERIODONTAL REGENERATION

Let’s give it a concise yet salient definition. Periodontal regeneration is the rejuvenation of lost periodontium. These are the tissues built to provide the needed support for your teeth. Periodontal regeneration encapsulates a few processes which include;

  • The formation of new alveolar bone
  • New cementum
  • A new periodontal ligament.

The general aim of periodontal regeneration therapy is:

  • The primary and secondary prevention of diseases of the periodontal area. It does so by keeping check of infections and any form of inflammation
  • The routine maintenance and enhancement of all the involved supporting structures and tissues. It supports the health, function, comfort, and aesthetics of these tissues. These include gingivae, cementum, periodontal ligament, and alveolar bone.

As stated earlier, periodontal disease can lead to tooth loss if it is not treated. The loss results from the destruction of the attachment apparatus and tooth-supporting structures. Periodontal regeneration aims to achieve tooth recovery. Complete restoration of the tooth structure may seem to be an unrealistic goal. It is possible in many situations. Still, the biological events, factors, and cells underlying successful periodontal regeneration present complications.

Dentists have access to many periodontal regeneration techniques. The two most popular are dental implants and guided tissue & bone regeneration. Depending on the situation, we can also use bone grafts, membranes, or tissue-stimulating proteins. These bio-materials support the natural ability of your body to regrow bone and tissue. The use of reprogrammed and stem cells is a recent advancement, which includes trans-differentiated cells. They also include the favored method of induced Pluripotent Stem Cells (iPSCs). It also includes trans-differentiated cells. These methods represent the vanguard in periodontal regeneration. We will discuss the advancements in periodontal regeneration later on.

GUIDED BONE & TISSUE REGENERATION:

This term refers to a dental surgical procedure. It uses barrier membranes to channel the development of new bone and gingival tissue. It does so at sites with insufficient volumes or dimension of bone or gingiva. There must be enough bone and tissue for the rejuvenation to work. Guided bone regeneration refers to bone regenerative procedures or augmentation of the ridge. Guided tissue regeneration is the regeneration of periodontal attachments.

Dentists use the acronym PASS for the four stages of regeneration of bones and tissue.

  1. Primary closure of the wound to promote uninterrupted healing
  2. Angiogenesis to provide adequate blood supply and mesenchymal cells that are not differentiated
  3. Space creation and maintenance to create space for bone in growth
  4. Stability of the wound. It’s essential that the tissue remains stable to induce the formation of blood clots. This condition also allows for undisturbed healing.

ENDOSSEUS IMPLANT:

An endosseous implant is a surgical element that interfaces with the bone of the jaw or skull. Dentists use it to support a dental prosthesis.

The bedrock for new dental implants is Osseointegration. In Osseointegration, materials such as titanium form an inseparable connection with the bone. Your surgeon may tell you about undergoing a bone graft for dental implants. He may recommend the graft if he believes that your jaw bone is too soft to keep the implant in its current state. Failure of the jaw to support the implant may cause the surgery to fail. It is also a dangerous procedure.

CAN THE BONE AROUND THE TEETH GROW BACK?

Well, it is safe to say that this is very tricky, and it requires a very comprehensive understanding. Most studies have focused on how adequate dental care prevent gum disease in the first place.

Still, some studies have backed up the fact that the bones around the teeth can be regrown. Researchers have also proved that you can grow back the bone around your teeth and have already experimented with this process on lab rats. They have also introduced it to some certified periodontists. For now, it is only possible through artificial means. Regrowth usually involves surgical interventions.

Let’s go back to the basics. The dentist may extract your tooth, or it may fall out. After this loss occurs, the bone around the fallen tooth will start to impair. This happens because the bone is no longer in use, i.e., it is now dormant and almost rendered redundant.

Constant usage keeps the bones around the teeth in shape. You maintain healthy teeth because of chewing motion (funny but true). When that is gone, the bone around the teeth starts to degenerate. If you end up losing the bones, you can restore them by making use of a bone graft.

The bone graft is a substitute for the missing bone, which provides the support your body needs to regenerate the lost bone. This is not a projected theory. Your new grown bone will end up replacing the bone graft implants.

Your certified periodontist must check the extent to which you will need bone grafts. In doing so, he will consider factors such as the extent of bone deterioration. The periodontist will leave some parts of the gum hollow or empty, e.g., the black triangles between the teeth. These parts are always left ungrafted.

In some cases, periodontists use ordinary restorative dentistry materials to level up the ungrafted parts. This decision is at the option of the periodontist. What if you don’t have enough bone to synchronize well with the implants? Don’t worry. Several groundbreaking techniques are now available to make sure everything works out well. There are various bone grafting procedures. These include Guided Bone Regeneration [GBR], Block Grafts, Sinus Grafts, and Sinus push.

Dentists can adopt another procedure to grow the bones around your teeth. They refer to his method as the Laser [LANAP] Regeneration. Have you heard your periodontist talking about a laser procedure? He/she is referring to PerioLase Laser Assisted New Attachment Procedure [LANAP]. It is the only dental laser which has the authorization of the FDA.

Dentists use LANAP to restore lost gums. The latest findings have shown that they can also use it to regrow bones around the teeth.

RECENT ADVANCES IN PERIODONTAL REGENERATION

Almost everything in the world today is experiencing a revolution. Recent research shows that periodontal regeneration is no exception. Scientists recently discovered that oral care impacts the general health of an individual. People must make oral care a priority at all times to maintain health equilibrium. You must get rid of oral infections. Or, at least, prevent them because they are also significant to the general health.

Dentists are taking a new look at periodontal diseases. They’re looking at how people contract these diseases. What makes one susceptible to them? How does one prevent them? And of course, how should dentists treat them when the issue arises? This preventable disease affects a considerable percentage of the world’s population. Researchers have devised methods for early intervention in handling it. They are improving upon these methods as each day passes.

Over the last decade, periodontal regeneration has made tremendous advancements. Periodontists can use surgical or non-surgical methods to treat gum disease. These advances have changed how periodontists understand periodontal diseases. They have also given periodontists new prospects for tackling this regeneration.

Many dentists dream of a practical yet subtle way of tackling periodontal regeneration. The goal seemed elusive until the advances came upon them. The main concern is how to control the microorganisms that cause periodontal disease. Periodontists also look for a solution to the inflammation caused to the soft tissue. They need to tackle regeneration of the support to the alveolar. The alveolar is the bony ridge containing the sockets of the upper teeth. The advances in periodontal regeneration include:

  • Probiotics
  • Ozone therapy
  • Periodontal vaccines
  • Microsurgery
  • Lasers
  • Water lace
  • Stem cells
  • Tissue engineering
  • Gene therapy
  • Nano-technology
  • Photodynamic therapy
  • RNA interference
  • Perioprotect
  • Bone One Session Treatment (BOST)
  • Tri immune phasic therapy (TIP)

Probiotics in Periodontal Regeneration

The WHO defines probiotics as microorganisms with medical benefits. When used in a correct manner and in the right amount, they establish a health benefit in or on the host. Periodontal regeneration makes use of probiotics because of the influence on hosts.

Probiotics operate by reducing oral pH. The lower pH levels will, in turn, be unfavorable to the oral microorganisms. Hence, they will not be able to form the dental plaque that causes periodontal diseases. Also, these organisms produce anti-oxidants that are useful in preventing dental plaque formation. They neutralize the free electrons required for any form of mineral formation.

Stem Stems in Periodontal Regeneration

Stem cells and reprogrammed cells are promising sources for periodontal tissue regeneration. These include induced Pluripotent Stem Cells (iPSCs) and trans-differentiated cells.

The human body contains stem cells from the time the embryo develops. The body can make the proper use of these stem cells whenever needed. Stem cells in the brain, bone marrow, etc.

More research is needed for the safe and practical application of these cells. Researchers also need to look at other tissue engineering elements such as scaffolds.

WHY SHOULD YOU TRUST YOUR PERIODONTAL REGENERATION TO BEVERLY HILLS PERIODONTAL INSTITUTE?

As you have seen, you have many regenerative procedure options at your disposal. These procedures can help enhance support for your teeth and can also restore your bone to a healthy level. Periodontist Dr. Miles Madison is on the cutting edge of regenerative procedures. Call now for a consultation, and let’s discuss the best options for your unique needs.
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Dental Reviews & Testimonials

Over 35+ ★★★★★ Star Reviews

Very rarely have I experience such care and compassion from a doctor/periodontist. I appreciate that Doctor Madison took his time with me, given that I was a nervous patient. He made sure that I was completely comfortable before he started my procedure. Because of Doctor Madison I have confidence in continuing and maintaining my dental work, something that I have been putting off for years. I am so happy with the major improvement on my teeth and I am so grateful to Doctor Madison. I highly recommend him.
Mahtab Hakim
a year ago
I am writing this review for Dr. Madison as I feel obliged to, given the outstanding care he has provided my family. My son, daughter and my father have all seen Dr. Madison over the past year and the more times our family has seen Dr. Madison, the more impressed I am with him. We are very grateful for the exceptional care, the great bedside manner and the attention to detail that Dr. Madison provides. For my father, he was able to catch a serious infection in his tooth that his long-time dentist missed.
Romy Nourafchan
Dr. Madison is the BEST in the business. His staff is excellent and responsive, and Dr. Madison is extremely knowledgeable, reasonable, gentle, and thorough. The last two dentists I've seen have said that Dr. Madison is their no. 1 choice for a periodontist in Los Angeles.
Vassi Iliadis
Dr. Madison is the best dentist I have ever had. I have had to have an implant. He and his staff made me feel comfortable and relayed my fears. The office manager and the rest of the staff treat me politely and explain the whole procedure. I could not recommend them more to anyone who wants excellence in their dental care. Keep up the great work!
Charles Feldman

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