Guided Bone & Tissue Regeneration
Gum disease has traditionally been treated by eliminating the gum pockets by trimming away the infected gum tissue and by re-contouring the uneven bone tissue. Although this is still an effective way of treating gum disease, new and more sophisticated procedures are used routinely today. One of these advancements is Guided Bone Regeneration, also referred to as Guided Tissue Regeneration. This procedure is used to stabilize endangered teeth or to prepare the jaw for dental implants by growing supportive bone rather than just trim away tissue from the pocket. Drs. Mandel, Keiser, and Joseph specialize in Regenerative Periodontics. To help aid in the quantity and quality of regenerated bone, we employ the use of growth factors. There are several different types of growth factors available. The kind of growth factor chosen to help in your plan will be decided by the type of regeneration help you need.
As periodontal disease progresses, pockets of degenerated bone develop in the jaw. These pockets can promote the growth of bacteria and the spread of infection. To address these pockets, Drs. Keiser, Mandel or Joseph may recommend tissue regeneration. During this surgical procedure, the pockets are cleaned thoroughly, and a membrane is installed between the soft tissue and the pocket in the bone. Most of these membranes are bio-absorbable and are dissolved naturally by the body. The membrane covers the pocket so that fast-growing soft tissue is blocked, and slower-growing bone can begin to grow, or “regenerate” itself. The growth factors we offer are chosen because of the extensive research and evidence available.
- Platelet-rich plasma (Abbreviation: PRP) is blood plasma that has been enriched with platelets. As a concentrated source of autologous platelets, PRP contains (and releases through degranulation) several different growth factors and other cytokines that stimulate healing of bone and soft tissue.
- Emdogain enamel matrix derivative (EMD)
- GEM 21 Growth-factor Enhanced Matrix
The effectiveness of the procedure generally depends on the patient’s willingness to follow a strict postoperative diet and careful oral care. Drs. Keiser, Mandel or Joseph will help you determine if bone regeneration surgery is right for you.