Guided Tissue Regeneration

Periodontist in St. Louis, Missouri

Periodontal disease, left untreated, can lead to significant bone loss around the teeth, compromising both the aesthetics and function of your smile. Guided tissue regeneration (GTR) is an advanced periodontal procedure aimed at “regrowing” the lost bone and supporting tissues around teeth affected by periodontal disease. At Schlueter Periodontics & Implants, Dr. Scott Schlueter and Dr. Trinity Boszko are highly skilled in performing this sophisticated procedure to restore oral health and improve quality of life for their patients.

Guided Tissue Regeneration

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Understanding Guided Tissue Regeneration

Guided tissue regeneration is a surgical procedure that encourages the growth of new bone and gum tissue in areas where periodontal disease has caused destruction. By using biocompatible materials and specialized techniques, GTR helps to regenerate the supporting structures of the teeth, preventing further tooth loss and enhancing the stability of the remaining teeth.

Why You Might Need Guided Tissue Regeneration

Periodontal disease can lead to the formation of deep pockets around the teeth, harboring bacteria that contribute to bone and tissue loss. Signs that you might need guided tissue regeneration include:

  • Deep Periodontal Pockets: Significant pocket depth measured during a periodontal examination.
  • Bone Loss: X-rays showing bone loss around the teeth, indicating advanced periodontal disease.
  • Loose Teeth: Teeth that have become mobile due to the loss of supporting bone.
  • Gum Recession: Significant recession of the gums exposing the roots of the teeth.
  • Failed Initial Treatment: Persistent periodontal issues despite non-surgical treatments like scaling and root planing.

The Guided Tissue Regeneration Procedure

The goal of GTR is to restore the supporting structures of the teeth by stimulating new bone and tissue growth. Here’s what you can expect during the procedure:

    1. Consultation and Diagnosis: During your initial consultation, Dr. Schlueter and Dr. Boszko will perform a comprehensive periodontal examination, including measuring the depth of your gum pockets and taking X-rays to assess bone loss. This helps determine if GTR is the best treatment option for you.
    2. Preparation: Before the procedure, we will discuss your medical history, any medications you are taking, and your sedation preferences to ensure your comfort and safety. Sedation options, such as nitrous oxide, oral sedation, or intravenous conscious sedation, may be offered.

Surgical Procedure:

    1. Incision and Flap Creation: Small incisions are made in the gums to create a flap, which is then lifted to expose the roots of the teeth and the underlying bone.
    2. Cleaning and Scaling: The exposed roots are thoroughly cleaned to remove plaque, tartar, and bacteria. This may involve scaling and root planing to smooth the root surfaces and make it harder for bacteria to reattach.
    3. Membrane Placement: A biocompatible membrane is placed between the gum tissue and the bone. This membrane acts as a barrier, preventing the gum tissue from growing into the area where new bone should form.
    4. Bone Graft (if necessary): In some cases, a bone graft may be placed to further stimulate new bone growth.
    5. Flap Repositioning: The gum tissue is then repositioned and sutured back into place.
    6. Recovery and Aftercare: After the procedure, you may experience some swelling and discomfort, which can be managed with prescribed medications. Detailed post-operative care instructions will be provided to ensure optimal healing. Follow-up appointments will be scheduled to monitor your progress and remove sutures if necessary.

Benefits of Guided Tissue Regeneration

  • Regenerates Lost Bone and Tissue: Helps restore the natural support structures of the teeth, improving oral health and stability.
  • Prevents Further Tooth Loss: By regenerating bone and tissue, GTR helps to secure loose teeth and prevent future tooth loss.
  • Enhances Aesthetics: Restores a more natural gum line and appearance, improving the overall look of your smile.
  • Promotes Long-Term Oral Health: Reduces the risk of further periodontal issues by rebuilding the structures that support the teeth.

Contact Us

If you have been diagnosed with periodontal disease and have experienced bone loss around your teeth, guided tissue regeneration at Schlueter Periodontics & Implants may be the solution you need to restore your oral health. Our team is here to guide you through every step of the process, from initial consultation to post-operative care. Contact us today to schedule a consultation and take the first step toward achieving healthier gums and a more confident smile.

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