Periodontal Bone Regeneration in Pittsburgh
Periodontal Disease and Bone Loss
Periodontitis is an inflammatory gum disease that affects the tissues that surround and support the teeth. Over time, periodontitis results in the loss of the alveolar bone that contains tooth sockets. If left untreated, periodontitis can cause loosening and loss of teeth.
Gum disease and the resulting loss of bone to support the teeth is the number one reason that adults over 35 lose their teeth.
Dr. Bakuri and Dr. Azarnoush are highly trained and experienced in the prevention of periodontal disease and the non-surgical treatment of it. Where bone loss has occurred, they have the skills and knowledge to provide the treatment you need.
Missing Teeth and Bone Loss
There are many factors that can lead to the loss of a tooth or teeth; these include trauma to the area, decay, periodontal disease, infected root canals and tooth fractures. In some cases, permanent teeth do not develop to replace primary teeth that are lost naturally as we age.
While bone is sometimes thought of as hard and static, it is, in fact, continually changing and reforming, and to continue to do so requires a stimulus. When teeth are missing, the jawbone resorbs (melts away) due to the lack of stimulation normally provided by contact of the teeth and moving of ligaments, i.e. chewing and biting.
There is a 25% decrease of bone during the first year of tooth loss, and the process continues unless teeth are replaced by dental implants.
Rebuilding Lost Bone
There are various options available for rebuilding bone, and we choose the appropriate treatment, or combination of treatments, for each individual patient to provide lasting, quality results.
If there is inadequate bone to support surrounding teeth and future dental implants, bone graft materials are used to rebuild bone so that there is sufficient quantity and quality of bone to provide support.
Bone grafting is a frequent component of periodontal surgical procedures. When needed, we can add material to regenerate bone that has been lost.
The material used for these procedures can be your own bone, bone from a tissue bank, bovine bone or synthetic materials. Grafting bone can add years of life to a compromised tooth or even completely reverse the damage.
Furcations are the area below the gum where the tooth root “forks,” or branches out. Furcation invasions are bone loss caused by periodontal disease, and we may use Emdogain gel as part of your treatment.
This revolutionary product utilizes a protein to stimulate regrowth of gum tissue, ligament and bone that have been lost due to moderate-to-severe periodontitis. Regaining the structural support provided by these hard and soft tissues helps save your tooth.
Gem 21 is a state-of-the-art approach to rebuilding bone and tissue that combines an active growth factor (PDGF) with a synthetic bone substitute. PDGF (plasma-derived growth factor) is a protein that plays a significant role in blood vessel formation and is used in periodontal surgery to treat bone loss.
Guided Tissue Regeneration
Guided tissue regeneration is a process of placing a membrane to act as a barrier between tissues that heal more quickly (gums and ligaments) and bone. This procedure allows time for the bone to regenerate without the encroachment of the faster healing tissues.