Is gingival curettage surgery painful?

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Gum pocket curettage is a popular method to treat diseases related to the periodontal gum area. Diseases around the teeth are likely to cause the gum pockets to become inflamed and deeper. So what is gingival curettage surgery? Is gingival curettage surgery painful?

1. What is pocket profit?

Gums are the soft tissue that covers the inside of the mouth, which covers and seals the teeth. Most gum tissue is attached to the skeleton below the lower jaw to protect them from the friction of food. This area is susceptible to damage due to the accumulation of bacteria, which creates plaque on the tooth walls.
According to structure, gums are divided into 2 parts: free gums and sticky gums. The free gingiva is the part of the gum that hugs the neck of the tooth, creating a gum groove when together with the tooth neck, it forms a gap about 1mm deep. The sticky gingiva is the part of the gum that attaches to the root of the tooth and the outer surface of the alveolar bone.
The gingival pocket is formed in the gingival and tooth crevices because the free gums and teeth form a shallow groove. When food particles fall into this groove for a long time, it forms tartar, causing the gum pocket to become inflamed with pus. Due to a lot of tartar, the gap between the teeth and gums widens and gradually deepens.

2. How dangerous is gingivitis?

If the patient lets the inflammation of the gum pocket become too deep without early treatment, it can easily leave complications such as:
Sensitive teeth, weak enamel that makes teeth sensitive, leading to worn ankles Breath Odor Inflammation of the ligaments in the gums, potentially breaking the ligaments, causing the gums to separate from the roots of the teeth, creating the phenomenon of loose teeth. The roots of the teeth are worn down, stabbing under the gums, creating a painful feeling. Long-lasting gingivitis will lead to pulpitis and more dangerous complications.

3. How is the surgery to cure the gum pocket?

When suffering from gingivitis or inflammation of the periodontal areas such as: Osteoarthritis, tendonitis, alveolar osteomyelitis, ... we can treat it by scraping the gum pocket.
Cases of gingivitis due to periodontal surgery, periodontal abscess, need to reduce inflammation in the gum pocket not too deep can also apply this surgery. This method helps to clean the inflamed soft tissue on the outer wall of the gum pocket or the tartar, bacteria inside the gum pocket.
For patients with too thin gingival pocket, it is not possible to perform gingival curettage. This method is also contraindicated for patients with very deep pockets, especially in the molar region, patients with acute gingivitis or patients with enlarged gums due to Phenytoin.
In fact, when performing any surgery, it will more or less bring a feeling of pain and discomfort. But when performing gingival curettage, the dentist will have his or her own measures to minimize pain for the patient, so the patient usually feels only a little discomfort when performing the local anesthetic step.
The first step is to examine the patient's general condition, take a film to determine the molar structure, and review other diseases to make a treatment plan.
Can be divided into two types of surgery with different degrees:
Mild gingivitis: If the patient's gum pocket is not too deep, the dentist only needs to scrape off tartar, remove plaque, and clean. infected area. Severe gingivitis: When the gum pocket becomes more inflamed, the gum pocket is deeper than 5mm, the tooth bone is severely damaged, there are signs of disappearance, the subbone pocket is also inflamed, the treatment steps will be more complicated. To clean the pus pocket and adjust the periodontal tissues, the dentist must surgically dredge the pus cavity. The dentist must be experienced and highly qualified to be able to completely remove the infection. The dentist needs to remove the gum from the bone to remove the infected tissue and then use hydrogen peroxide or 0.9% saline to clean the gum pocket. Finally, the aesthetic part is beneficial. After surgery, the dentist still has to monitor the patient's recovery. If after a few days there are complications such as: Bleeding in the gum area, it is necessary to pump, clean the gum pocket and then apply a surgical bandage. When the gum pocket becomes infected, the patient will need to combine treatment with antibiotics or anti-inflammatory drugs.
After a period of time after surgery, if the condition of the gums shows no signs of improvement, the dentist will base on the actual condition to re-examine and conduct more intensive treatment.

Gum pocket curettage is a very effective minor surgery in the treatment of gingivitis; But if the gum pocket is too large, the higher the chance of bone loss, the more difficult it is to treat, and there is a risk of not being able to cure it. Therefore, in order to avoid gingivitis from becoming too serious, it is necessary to go to the dentist regularly and get tartar every 6 months.
Department of Dentistry - Maxillofacial - Facial, Vinmec International General Hospital is one of the major and important sub-disciplines of the clinical block. Is a specialty in charge of intensive and aesthetic pathological treatment of the entire tooth structure (teeth, bone, pulp,...), jaw (palatine, jawline, jaw joint, ...) and face (frontal bone, cheekbone, temporal bone,...).
At the same time, Vinmec also owns the leading modern dental equipment system in the country; gathers a team of good doctors in the field of dentistry, dedicated and thoughtful in examining and treating thousands of cases of periodontitis successfully; All dental services are performed according to strict infection control standards, ensuring health safety, aesthetics, minimizing sensitivity and maximum hygiene for customers.

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