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Oral Health Made Simple: Your Prescription For Knowledge
 PREVENT PROBLEMS
Small BoxAll About Cavities
Small BoxBrushing and Flossing
Small BoxFluoride
Small BoxMouth-Healthy Eating
Small BoxSealants
Small BoxTaking Care Of Your Teeth
Small BoxTobacco
Small BoxYour Dental Visit
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 CONDITIONS
Small BoxBad Breath
Small BoxCavities
Small BoxCold Sores
Small BoxDry Mouth
Small BoxImpacted Tooth
Small BoxSensitive Teeth
Small BoxTMJ
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 TREATMENTS
Small BoxCrowns
Small BoxDentures
Small BoxFillings: The Basics
Small BoxGum Surgery
Small BoxImplants
Small BoxRoot Canal Treatment
Small BoxScaling and Root Planing
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 GENERAL TOPICS
Small BoxControlling Pain
Small BoxCosmetic Dentistry
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Small BoxKids And Teens
Small BoxOral Health and Your Body
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Step 1 Prevent ProblemsSimplestepsPrevent Problems
Step 2 Understand ConditionsSimplestepsUnderstand Conditions
Step 3 Explore TreatmentsSimplestepsExplore Treatments

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Bone Grafts (Periodontal Regenerative Surgery)

space placeholder.space placeholder
space placeholder.What Is It?.
space placeholder.What It's Used For.
space placeholder.Preparation.
space placeholder.How It's Done.
space placeholder.Follow-Up.
space placeholder.Risks.
space placeholder.When To Call a Professional.
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space placeholder.What Is It?
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A bone graft (regenerative surgery) is a procedure that is used to recreate hard and soft supporting tissues lost due to gum disease.

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space placeholder.What It's Used For
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Regenerative surgery is a treatment for the gum disease called periodontitis. People with periodontitis lose gum coverage and bone support around their teeth. Regenerative surgery regrows these lost tissues.

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space placeholder.Preparation
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You need to undergo initial periodontal therapy (scaling and root planing) before your surgical appointment. You also must have a good level of oral hygiene. A local anesthetic is used to numb the area for surgery.

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space placeholder.How It's Done
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The goal of regenerative surgery is to coax the body into rebuilding the structures that attach a tooth to the jaw, including bone. The periodontist will separate the gums from your teeth to gain access to the roots and surrounding bone. The roots will be thoroughly cleaned. The holes (defects) in the bone are filled in with a graft material and covered with a physical barrier.

Bone grafting materials commonly used include bits of a patient's own bone, cadaver bone, cow bone and synthetic glasses. The patient's own bone is preferable. The barriers, used to prevent soft tissue from growing into the bony defect, are made from human skin, cow skin or synthetic materials.

The gums are then repositioned over the treated site and secured in place with stitches. During the next six to nine months, your body fills in the periodontal defect with new hard and soft tissue, effectively reattaching the tooth to your jaw.

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space placeholder.Follow-Up
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Pain medications may be prescribed to ease discomfort after surgery.

It is very important for you to keep your mouth as clean as possible while the surgical site is healing. This means you should brush and floss the rest of your mouth normally. If the surgical site is not covered by a periodontal pack, you can use a toothbrush to gently remove plaque from the teeth. Antimicrobial mouth rinses containing chlorhexidine are commonly prescribed after periodontal surgery. Although these rinses do not remove plaque from the teeth, they kill bacteria and help your mouth heal.

You may also have some swelling after surgery. This can be minimized by applying an ice pack to the outside of your face in the treated area. Antibiotics usually are prescribed to prevent an infection and these should be taken as instructed. Your periodontist will want to reexamine the area in 7 to 10 days.

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space placeholder.Risks
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After the surgery, you may have some bleeding and swelling. There is a risk that you could develop an infection.

Your gums in the area that was treated are more likely to recede over time. The teeth that were treated may become more sensitive to hot and cold and may develop cavities in the roots.

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space placeholder.When To Call a Professional
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Your periodontist will monitor you closely after surgery and will examine you frequently during the first few months. Always call your periodontist if you have excessive bleeding that does not stop. In addition, call if the surgical area swells up and the pain gets worse one week after the procedure. It may be a sign of developing infection that must be taken care of promptly.

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