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Guided Tissue Regeneration

The goal of regenerative surgery is to create an environment where the body rebuilds structures lost due to the disease process that attach a tooth to the jaw, including the bone. This therapy is recommended when the pattern of bone loss is more vertical in nature, creating deep crevices within the bone surrounding teeth. After administering anesthetic, the periodontist pushes back the gums from the affected tooth and thoroughly cleans the pocket out. Next, instead of smoothing out the defects in the diseased bone, the defects (or holes) are filled with a graft material and then covered with a membrane (like a fancy band-aid). The gums are then re-positioned over the affected site and sutured. Over the next six months to one year, your body will fill in the periodontal defect with new bone and gum tissue, effectively increasing the support for that tooth and improving its lifespan. Typically antibiotics are prescribed for this treatment and over-the-counter pain medication is sufficient for any post-operative discomfort. GTR pic 1 Case Study 1 This case is of 14 year-old female patient with localized aggressive periodontitis, a rapidly destructive form of periodontitis that causes severe bone loss around the front teeth (incisors) and first molars. See initial photographs, radiographs (“x-rays”), and measurements taken at this patient’s first appointment with Dr. Weiner. Also notice how just looking at the patients gums, you may not guess that disease is present.