Gum treatment in Vietnam

Root Planing & Deep Cleaning

Overview

Taking care of your teeth does not involve brushing and flossing only, but also involves professional cleaning at the dentist. Root planing and deep cleaning (also known as gum cleaning or root scaling) is the process whereby plaque and tartar deposited below and along the gum line are removed. 

Plaque is a thin biofilm of bacteria that grows between the area of the teeth surface and gums, and form tartar which can cause tooth decay or periodontal disease, and most importantly, aesthetic problems if it’s not removed regularly.

When do you need it?

Several signs indicate you need gum treatment – root planing and deep cleaning

  • Visible Gum recession: when your gum line shrinking so you might notice the old gum line when checking your gum in the mirror, it might be the sign that you need root planing. Of course, it could also be the consequence of brushing teeth too hard
  • Bleeding Gums: might be caused by plaque-forming under the gumline and irritate the gum tissues
  • Pockets Around Teeth: In healthy teeth, gums should be tightly attached to the teeth to strengthen the teeth roots. If you have deep pockets around teeth, that means bacteria are growing around your teeth that need to be removed
  • Persistent Bad Breath: can be caused by bacteria growing number inside your mouth and the pockets are just the perfect place for bacteria to develop
  • Red and Swollen Gums: It means the bacteria are irritating the gum tissues. If that happens, there’s a high chance you’ve got gingivitis – the early stage of gum disease

For the most correct diagnosis, you should go to the dentist

The dentist or dental hygienist will use an instrument to measure the area around your teeth to see if you have any pockets and treat it with the proper dental device and instruments. Gingivitis might also result in bone loss, which turns it to periodontal disease. To diagnose this, you need to take an x-ray. Therefore it’s important that you have regular dental checkups with your dentist to prevent further development of periodontal disease in the early stages.

Cost of root planning and deep cleaning in Vietnam

Check out this link to learn more about the price of root planing and periodontal packages in Vietnam.

Procedure

During the root planing and deep cleaning process, the dentist or dental hygienist will use local anesthesia to numb the treated gum area. Then the dentist uses the ultrasonic scaler to slightly remove the tartar and plaque above and below the gum line, tooth by tooth. This might cause little discomfort and your gum might bleed a little while scaling which is a normal outcome. But don’t worry, scaling and deep cleaning is safe and doesn’t harm the tooth surface in any way.  

Recovery

After the cleaning procedure, your gums will begin to heal themselves and reform the tight seal around your teeth within six to eight weeks. 

Aftercare instructions

Your teeth might be more sensitive for a couple of weeks after the deep cleaning process so make sure you follow the appropriate diet to boost the healing process:

  • Have medications as directed by your dentist
  • If mild bleeding occurs, hold cold saltwater in the mouth until it warms to body temperature
  • Avoid sticky, hard, spicy, highly seasoned, or acidic foods
  • Restrict smoking
  • Limit alcoholic drinks
  • Have soft foods such as soups, pasta, scrambled eggs, mashed potatoes, soft fruits, yogurt, cooked rice
  • Always stay hydrated

Gingivectomy surgery

Overview

Gingivectomy is the dental procedure of removing a small part of gum (also called gingiva) in order to treat gum disease or to lengthen the visible enamel for a better look.

Gums affected by the periodontal disease don’t reattach to teeth on their own. When pockets develop, gum surgery is often necessary to remove diseased gum tissue, reduce pockets and slow down the progression of gum disease.

When do you need it?

  • Crown lengthening

This cosmetic treatment is for patients who have a gummy smile and want to correct it, to bring out a more confident look. Dental surgeons perform crown lengthening by recontouring gum tissue, and sometimes bone, to expose more of a tooth’s surface for a crown. 

  • For gum recession

Gum disease can often lead to the need for a gingivectomy. Gingivitis can create “pockets” in the spaces between the teeth and the gums. Bacteria make these pockets home and irritate your gums further.

Cost of gingivectomy in Vietnam

Learn more about the cost of gingivectomy as well as periodontic packages in Vietnam in this link

Procedure

  • Before the gingivectomy procedure, scaling and root planing is often used to remove bacteria and tartar from below the gum line.
  • Then the dentist injects a local anesthetic into the gums
  • Dental instruments like a scalpel or dental laser will be used to remove gum tissue. The laser causes less invasive treatment, minimized bleeding and faster healing time, but it might be a little risky for the gum due to the heat that it produces. On the other hand, the scalpel causes less risk of harming soft tissue but takes a longer time to heal.
  • After the procedure, the dentist will be placed a surgical dressing over the gums to protect them on their healing process.

Recovery

You should be able to go home right after the procedure.

You may feel pain and your gums will probably bleed for a few days. 

Gum surgery can introduce harmful bacteria into the bloodstream. Gum tissue is also at risk of infection. You may need to take antibiotics before and after surgery if you have a condition that puts you at high risk for a severe infection or if infections are particularly dangerous for you.

Aftercare instructions

  • Replace any bandages or dressings if bleeding happens
  • Apply a cold compress to your cheeks to ease the pain 
  • Take antibiotics to prevent gum infections according to the dentist’s direction
  • Brush and floss twice per day
  • avoid smoking
  • Cut back on foods containing a lot of sugar

Gingival Graft

Overview

Gingival graft (also called gum graft), is a periodontal surgical procedure in which the gum tissue is grafted. The aim may be to cover exposed root surfaces or to correct the effect of gum recession. Gum recession is the process in which the soft tissues surrounding the teeth pull away from the teeth, exposing tooth root. It is not only the problem of aesthetics but also weakens jaw bone surrounding the teeth and eventually affects teeth function. 

So gingival graft appears as a solution for better aesthetic and functional smile!

How painful is that?

Well, it depends on the type of gum graft performed. 

If no tissue is removed from your palate, you should have little to no discomfort at all.

However, if tissue is removed from your palate, you feel uncomfortable for a few days after the procedure

Types of gum graft:

Subepithelial connective tissue grafts (or SECT grafts) is a procedure in which, a flap of skin is cut at the roof of your mouth (palate) and tissue from under the flap, called subepithelial connective tissue, is removed and then stitched to the gum tissue surrounding the exposed root

Free gingival grafts  increase or put back the protective gum tissue (keratinized, attached gingiva) around a tooth that either wasn’t there, to begin with, or was lost due to receding gums

Pedicle (lateral) grafts: a graft is elevated from donor site which remains attached at its base for nourishment and is transferred to an adjacent site in the isolated denuded root

Recovery

How long does it take for a gum graft to heal?

Surprisingly fast!

Your gum should be fully healed in one to two weeks after the procedure. Unlike bone, which takes several months to heal, soft tissue develops much faster. 

During this time, you’ll need to have checkups with your periodontist to make sure you’re healing properly and the graft is successful. 

Aftercare instructions

  • Apply ice packs during the first 12 hours after surgery
  • NO drinking of alcoholic beverages for the first 48 hours after surgery
  • Avoid hot fluids (tea, coffee, hot soup)
  • avoid chewing on food
  • Have soft foods such as pudding, Jell-O, yogurt, applesauce, scrambled eggs, mashed bananas, and overcooked pasta and liquid supplements
  • Drink plenty of fluids and do not use straws
  • Avoid smoking during the first 48 hours following your surgery
  • For the next 5 days after surgery, it is not advisable to participate in sporting activities

Cost of gingival graft in Vietnam

Learn more about the cost of gingival graft as well as periodontic packages in Vietnam in this link.