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Gum Treatment and Surgery

Woman getting her gum pocket depth measured with periodontal probe, held by dental hygienist, examining progression of periodontal disease. Dental hygiene, periodontal disease, prevention concept.

Gum Treatment and Surgery 

If there is a buildup of plaque and calculus in your teeth, bacteria can be trapped, which may result in gum diseases. For mild cases, improving your oral hygiene routine can help to alleviate the condition. However, if the condition is severe, your doctor may suggest gum treatment or even gum surgery.


Scaling & Root Planing

Chronic gum infection (periodontitis) causes a pocket to form between the roots’ surface and the gums. Plaque and calculus get stuck inside these pockets, causing further infection and gum loss. Scaling and root planing is a non-surgical form of deep cleaning that involves thorough scaling of all plaque, bacterial toxins and tartar deposits from your teeth and root surfaces. Local anaesthetic needs to be given in order to clean out the deepest parts of the pockets. Following this, root planing is done to smoothen all rough areas on your roots’ surfaces to prevent debris from collecting there.

Treatment Charges
Root Planing
$150 – $325 (Per quadrant)
 
If you have any further questions regarding the treatment, please feel free to call 8684 1000 to speak to our patient care associate. Alternatively, you may fill in our online enquiry form here

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Incision & Drainage

A gum abscess occurs when the space between the teeth and the gums are infected, resulting in pus collecting there and causing swelling. Incision and drainage is a common procedure to treat dental infections and to drain pus from the gums. In some cases where the tooth may be responsible for the infection, an extraction might be performed in conjunction with the incision and drainage.

Treatment Charges
A consultation with our dentist is necessary to determine the treatment required.

If you have any further questions regarding the treatment, please feel free to call 8684 1000 to speak to our patient care associate. Alternatively, you may fill in our online enquiry form here

Book an Appointment

Open Flap Debridement

With advanced periodontitis, plaque and calculus get trapped deep below the pockets between the roots’ surface and gums, where it can eventually cause a host of problems including gum disease or loss of the bone structure if left untreated. Similar to scaling and root planing, an open flap debridement surgery allows the dentist to reach deeper below the roots’ surface to eliminate harmful plaque and calculus (tartar). The gums will be pulled away from the teeth, to expose the infected root surfaces. The surfaces are then cleaned, smoothened, and disinfected. The gums are then replaced and sutured back in their original position and allowed to heal.

Treatment Charges
A consultation with our dentist is necessary to determine the treatment required.

If you have any further questions regarding the treatment, please feel free to call 8684 1000 to speak to our patient care associate. Alternatively, you may fill in our online enquiry form here

Book an Appointment

Frequently Asked Questions

1. What is deep cleaning and what does it involve?

Deep cleaning involves scaling and root planing. Scaling allows plaque and calculus above the gum-line to be scraped off your teeth using ultrasonic tools. Root planing, which involves scaling the surface of the root, will likewise dislodge unwanted materials that allow for plaque and calculus development.

Depending on the condition of your gum and teeth, more than 1 appointment may be required to complete the treatment. After each session, your gum may feel sore and sensitive to both cold substances. This can be alleviated with oral products that are suitable for sensitive teeth.

2. What are the side effects of anesthetic after Scaling & Root Planing/Incision & Drainage/Open Flap Debridement?

Before the procedure, you were given an anesthetic to ensure your comfort. This anesthetic typically leaves your lips, teeth and tongue feeling numb after the appointment. For this reason, you should avoid chewing for 2 hours following the surgery, or until the numbness has completely worn off. In some cases, you may also experience numbness on one side of the face, and it will take about 3 hours to regain your muscles control.

3. Must I complete the course of antibiotics medicine after my Scaling & Root Planing/Incision & Drainage/Open Flap Debridement procedure?

If you have been given a course of antibiotics to take after your treatment, please ensure that you complete the course.

4. How long will the pain or swelling last after the Scaling & Root Planing/Incision & Drainage/Open Flap Debridement procedure?

You may experience pain, swelling, or discomfort for several days, which can be treated with painkillers. There is also a risk of an infection following the treatment, which can be treated with antibiotics. Should the symptoms persist or worsen, please contact the clinic immediately. If the symptoms worsen on the second day with severe pain and fever occurring concurrently, please contact our clinic immediately.

5. My wound is still bleeding after the Scaling & Root Planing/Incision & Drainage/Open Flap Debridement procedure, do I need to see a dentist immediately?

It is common to have blood oozing from the surgical site for 1-2 days after surgery. Replace the gauze on the bleeding area as needed every 30-45 minutes and bite on the gauze firmly. Keeping your head elevated with pillows can also help to control bleeding. However, if bleeding continues or increases, please call our clinic immediately.

6. I have just undergone an incision and drainage procedure, is there anything that I should be aware of?

A small rubber tube may have been placed to keep the area open and promote drainage of the infection. This will usually be left in place for 1 to 2 days. Do not touch, remove, or replace the small rubber tube. If the rubber tube gets dislodged, please contact our clinic immediately.

7. What can I eat and what should I avoid doing after an incision and drainage procedure?

Avoid hot liquids and foods. Soft food and cool liquids should be eaten on the day of surgery. You may return to a normal diet 24 hours after the procedure, but please avoid hard foods for a week as these could irritate the wound.

8. Can I continue to brush my teeth after an Incision & Drainage procedure?

On the day of surgery, rinse gently with warm salt water for 3-4 times. You may brush your teeth 24 hours after surgery, but please be gentle to avoid hurting the wound.

9. Am I allowed to smoke after an Incision & Drainage procedure?

Please refrain from smoking as it will affect the healing process.

10. Can I participate in sports or any physical activities after an Incision & Drainage procedure?

Avoid physical exertion for the first 2 days.