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  1. A new caries prevention and care cost calculator is introduced in the paper, revealing direct treatment costs of US$357 billion yearly, which represents 4.9% of global health expenditure. Productivity losses due to caries, severe periodontitis, and severe tooth loss amount to an estimated $188 billion annually.

    • Overview
    • Who’s a good candidate?
    • Preparation
    • Procedure
    • Recovery
    • Cost
    • Outlook

    Overview

    If you have a serious gum infection, known as periodontal disease, your dentist might recommend surgery. This procedure can:

    •remove bacteria from beneath your gums

    •make it easier to clean your teeth

    •reshape the bones that support your teeth

    •prevent future gum damage

    People with severe or advanced disease around their gums and the tissues that support their teeth are usually candidates for periodontal surgery.

    If you have gum disease, your symptoms might include:

    •gums that are swollen, red, or bleeding

    •deep pockets that form between your gums and teeth

    •loose teeth

    •pain when chewing

    A couple of weeks before your procedure, you may need to stop taking certain medications, such as aspirin (Bayer, Bufferin), pain relievers, and blood thinners. Most dentists advise not smoking or drinking alcohol at least 24 hours before the procedure.

    Your doctor might give you an antibiotic to take before your procedure to lower your chances of developing an infection.

    You should also arrange for someone to take you home after your procedure is finished. The anesthesia, sedation, or other medications you’ll receive during the procedure might affect your reaction times. That means it may not be safe for you to drive afterward.

    Follow your doctor’s specific instructions on how to prepare for your surgery.

    Flap surgery

    With this common procedure, surgeons make small cuts in your gum and lift a section of tissue back. Then, they remove tartar and bacteria from your tooth and from under your gums. The gums are sutured back, so the tissue fits firmly around your teeth. Once you heal, it will be easier to clean areas on your teeth and gums.

    Bone grafting

    If gum disease has damaged the bone surrounding your tooth root, your dentist might have to replace it with a graft. The bone graft can be made from small parts of your own bone, a synthetic bone, or donated bone. This procedure helps prevent tooth loss and may help promote natural bone regrowth.

    Guided tissue regeneration

    This technique involves placing a small piece of material between your bone and gum tissue to allow bone to regrow.

    Your recovery depends on how severe your disease is, your overall health, and the type of procedure you had. Follow your dentist’s instructions carefully.

    Typically, you can expect to have some minor bleeding and discomfort after any kind of dental surgery. You should be able to resume many normal activities about a day after your procedure.

    Smoking can interfere with how your body heals after surgery. Try to avoid this habit for as long as possible after your periodontal procedure. Here are some tips to help you avoid cigarettes.

    Your dentist might ask you to use a special mouth rinse or take an antibiotic after your surgery. You might not be able to brush or floss in certain areas of your mouth until they’ve healed.

    Many doctors recommend eating soft foods for a week or two after the procedure. Some examples of suitable foods include:

    •Jell-O

    The cost of periodontal surgery varies greatly depending on the type of procedure and the severity of your disease. Gum disease treatments may cost between $500 and $10,000.

    Many insurances companies will cover at least part of the cost of periodontal surgery. Talk to your doctor if you can’t afford the procedure. Sometimes, your dentist’s office staff can negotiate better payment options with insurance companies or set up a payment plan with you. It’s also important to remember that prolonging treatment can lead to more complex and expensive therapies in the future.

    Maintaining healthy gums is important for your overall wellness. Having periodontal surgery can lower your chances of tooth loss and further gum damage. You may also be less likely to develop other health problems, such as:

    •diabetes

    •heart disease

    •cancer

    •osteoporosis

    Talk to your dentist to see if this procedure could be beneficial.

  2. Feb 12, 2024 · The cost of pulling a tooth also varies. A simple extraction costs about $300 per tooth, while removing a wisdom tooth surgically can cost between $1,000 and $3,000. The price depends on factors like the tooth's location, the dentist's experience, the local cost of living, and how complicated the extraction is.

  3. A panel of experts convened by the American Dental Association Council on Scientific Affairs presents an evidence-based clinical practice guideline on nonsurgical treatment of patients with chronic periodontitis by means of scaling and root planing (SRP) with or without adjuncts.

    • Christopher J. Smiley, Sharon L. Tracy, Elliot Abt, Bryan S. Michalowicz, Mike T. John, John Gunsoll...
    • 2015
  4. costs were used to estimate the burden. Based on our past work on periodontal diseases, the results of our “caries prevention and care cost calculator”, and insights gathered from the experts, we analysed the overall gaps in the oral health care space and identified opportunities to provide holistic care with a focus on disease prevention.

  5. Sep 30, 2024 · Bone and tissue grafts. If your periodontal disease has caused a loss of bone or gum tissue, your dentist may recommend bone or tissue grafts in addition to surgical pocket reduction. This will ...

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  7. Jul 13, 2022 · Periodontal diseases are complex infectious diseases with several etiologic and contributory factors. 1 For the prevention and treatment of periodontal disease, the clinician should focus on accurate diagnosis, reduction or elimination of causative agents, risk management, and correction of the harmful effects of the disease. 2 Diagnosis is the recognition of the presence of a disease. 3 ...

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