Periodontal Surgery Choices in Milton Keynes:We offer a full range of Periodontal Surgery Options:
GingivectomyGingivectomy is the surgical removal of gingiva (i.e., gum tissue).
GingivoplastyGingivoplasty is the surgical reshaping of gum tissue around the teeth.
Pocket Reduction ProceduresGum tissue is folded back so that bacteria and damaged bone can be removed. The tissue is then secured back in place.
Regenerative Periodontal ProceduresMembranes, bone grafts and proteins that stimulate tissue growth are used to regrow healthy bone and gum tissue.
Crown LengtheningRemoving excess gum tissue and/or bone to expose more of a tooth. This can also be used to correct a “gummy smile.”
Soft Tissue GraftsUsed to cover roots or grow new gum tissue where tissue has receded. These techniques are typically combined with non-surgical treatments to restore your gums to health.
GingivectomyGingivectomy is the surgical removal of gingiva (i.e., gum tissue). A Gingivectomy is necessary when the gums have pulled away from the teeth creating deep pockets. The pockets make it hard to clean away plaque and calculus. Gingivectomy is usually done before gum disease has damaged the bone supporting the teeth. The procedure involves removing and reshaping loose, diseased gum tissue to get rid of pockets between the teeth and gums. By removing the pocket walls, Gingivectomy provides visibility and accessibility to remove calculus and thoroughly smooth the tooth roots. This creates a favourable environment for gingival healing and restoration of the gingival contour. Although Gingivectomy was initially developed to treat periodontal disease, it is now a common Cosmetic Surgery, also. It is used to remove overgrown gum tissue and improve the appearance of the gums.
GingivoplastyGingivoplasty is the surgical reshaping of gum tissue around the teeth. It is often is done simply to make gums look better. They may have an unusual shape or may not be formed normally. The causes can include a person's genes, disease or trauma. Gingivoplasty reshapes the gums to make them look more natural. It often is done alone, but can be done during or after a Gingivectomy. Gingivoplasty also can be done along with a gum graft. This type of surgery adds tissue to the gum line.
18-Year-Old PatientBefore: Excessive Gum Tissue and Swollen Papillae (gum tissue between teeth)
After: Excess Gum Tissue Removed Through Gingivoplasty Using Electrosurgery
16-Year-Old PatientBefore: Excessive Gum Tissue
After: Excessive Gum Tissue Removed Through Gingivoplasty Using Electrosurgery
Periodontal Pocket Reduction ProceduresYour bone and gum tissue should fit snugly around your teeth like a turtleneck around your neck. When you have periodontal disease, this supporting tissue and bone is destroyed, forming "pockets" around the teeth. Over time, these pockets become deeper, providing a larger space for bacteria to live. As bacteria develop around the teeth, they can accumulate and advance under the gum tissue. These deep pockets collect even more bacteria, resulting in further bone and tissue loss. Eventually, if too much bone is lost, the teeth will need to be extracted. Your periodontist has measured the depth of your pocket(s). A periodontal pocket reduction procedure has been recommended because you have pockets that are too deep to clean with daily at-home oral hygiene and a professional care routine.
During this procedure, your periodontist folds back the gum tissue and removes the disease-causing bacteria before securing the tissue into place. In some cases, irregular surfaces of the damaged bone are smoothed to limit areas where disease-causing bacteria can hide. This allows the gum tissue to better reattach to healthy bone. Reducing pocket depth and eliminating existing bacteria are important to prevent damage caused by the progression of periodontal disease and to help you maintain a healthy smile. Eliminating bacteria alone may not be sufficient to prevent disease recurrence. Deeper pockets are more difficult for you and your dental care professional to clean, so it's important for you to reduce them. Reduced pockets and a combination of daily oral hygiene and professional maintenance care increase your chances of keeping your natural teeth – and decrease the chance of serious health problems associated with periodontal disease.
Regenerative Periodontal ProceduresProcedures that regenerate lost bone and tissue supporting your teeth can reverse some of the damage caused by periodontal disease. Your dentist may recommend a regenerative procedure when the bone supporting your teeth has been destroyed due to periodontal disease. These procedures can reverse some of the damage by regenerating lost bone and tissue. During this procedure, Your dentist folds back the gum tissue and removes the disease-causing bacteria. Membranes (filters), bone grafts or tissue-stimulating proteins can be used to encourage your body's natural ability to regenerate bone and tissue. Eliminating existing bacteria and regenerating bone and tissue helps to reduce pocket depth and repair damage caused by the progression of periodontal disease. With a combination of daily oral hygiene and professional maintenance care, you'll increase the chances of keeping your natural teeth – and decrease the chances of other health problems associated with periodontal disease.
Crown LengtheningCrown lengthening is a procedure that re-contours the gum and often the underlying bone surrounding one or more teeth so that an adequate amount of healthy tooth is exposed.
Before, During and After Crown LengtheningThis procedure is prescribed by your general dentist in order to fit a proper crown or filling. Crown lengthening provides the necessary space between the supporting bone and the new restoration, preventing it from damaging your gum tissues and bone. This procedure can also be used to improve a “gummy” smile where the teeth appear short because of excessive gum tissue. Select areas of gum tissue can be removed to expose more of your natural tooth and improve the look of your smile. Click to View/Download our Crown Lengthening Leaflet
Soft Tissue Graft SurgeryExposed tooth roots are the result of gum recession. Gum graft surgery will repair the defect and help to prevent additional recession and bone loss.
Before and After Gum Graft SurgeryGum grafts can be used to cover roots or develop gum tissue where absent due to excessive gingival recession.
Before and After Gum Graft SurgeryDuring gum graft surgery, The dentist takes gum tissue from your palate or another donor source to cover the exposed root.
Before and After Gum Graft SurgeryThis can be done for one tooth or several teeth to even your gum line and reduce sensitivity.
What are the benefits of gum graft surgery?A gum graft can reduce further recession and bone loss. In some cases, it can cover exposed roots to protect them from decay. This may reduce tooth sensitivity and improve esthetics of your smile. Whether you have a gum graft to improve function or esthetics, patients often receive the benefits of both: a beautiful new smile and improved periodontal health. These are the keys to smiling, eating and speaking with comfort and confidence.
Our Periodontal Diseases Treatment Team in Milton Keynes5 years ago we decided to offer a 7 day service with appointments from 7.30am to 7.30pm. Our Periodontal Treatments team now has 4 dentists offering Periodontal Treatments.
We decided to offer our own Periodontist service at The Hub Dental Practice as our patients were tired of the long waits to see a Specialist at the local Specialist Practices, and the then limited choice of appointment times they could have.
If you have a problem, nobody wants to wait weeks to see somebody, especially when you are in pain and/or discomfort.
Dr Giovanni Marras, Practice Limited to PeriodonticsGDC registration: 253205
Practice Limited to Periodontics
Dr Giovanni Marras offers a full range of Periodontal treatments, and is available on both Saturdays and Sundays Giovanni's expertise covers all aspects of periodontal care and management, and gum surgeries, He is an extremely approachable clinician.
Giovanni has extensive experience in treating advanced gum disease in the UK, Isle of Mann and Italy, his experience includes all the major surgical procedures.
Employment HistoryDentist June 2015 to Present
Tracey Bell Dental
Castletown, Douglas (Isle of Man) !
Periodontal Disease Treatment Experience• Wide experience in the Treatment of Aggressive Periodontitis;
• Wide experience in Microbiological tests when needed;
• Wide experience in the Performing Non Surgical Periodontal Therapy;
•Wide experience in the Re-evaluating and deciding the need of Surgical Therapies;
• Wide experience performing Resective Therapy;
• Wide experience performing Regenerative Therapy;
• Wide experience performing Conservative Therapy;
• Wide experience performing Gingivectomy;
• Wide experience performing, assessing and treating Endo-Perio Lesions;
• Wide experience performing crown lengthening procedures;
EDUCATIONBachelor (Honours) Degree in Dentistry. University of Sassari Grade: 1st.
Graduation thesis: Implant restoration of edentulous jaws with 3D software planning, guided surgery, immediate loading and CAD/CAM full-arch frameworks. A prospective case series study.
Periodontal Examination with Dr Giovanni Marras
Click for more information about Examination with Dr Giovanni Marras
Periodontal Surgery and Treatments with Dr Giovanni Marras
Click for more information about Periodontal Surgery and Treatments with Dr Giovanni Marras
To make an appointment please ring 01908 690326 or email us on Giovanni@MKDentalcare.com
Click to Download Periodontal Referral Pack
Dr Monica Cueva Moya, Practice with Special Interest in Periodontics.GDC registration: 218518
Dentist with Special Interest in Periodontics
Dr Monica Cueva Moya offers a full range of Periodontal treatments, and is available 5 days a week. Monica has been with us almost since we opened the practice and is a very experienced dentist. She has built us a large following of patients who love her gentle but thorough approach, as well as an eye for detail.
Monica is currently doing her Master degree in Periodontology at the dental school in London
Periodontal Examination with Dr Monica Cueva Moya
Click for more information about Examination with Dr Monica Cueva Moya
Periodontal Surgery and Treatments with Dr Monica Cueva Moya
Click for more information about Periodontal Surgery and Treatments with Dr Monica Cueva Moya
To make an appointment please ring 01908 690326 or email us on Monica@MKDentalcare.com
Click to Download Periodontal Referral Pack
Dr Ezgi Cilingir, Practice Limited to PeriodonticsGDC registration: 262933
Practice Limited to Periodontics
Employment HistoryDr Ezgi Cilingir is a very Professional Experienced dentist who has extensive knowledge of periodontology, restorative dentistry, dental surgical procedures and state-of-the art techniques. She has worked both as a general dentist/periodontist with both local and international patients for 10 years in some of the best and busiest private hospitals, practices and university clinics.
Qualifications and DegreesPhD, Periodontology (2004-2010) Thesis Topic: Er:YAG lasers versus ultrasonic and hand instruments in periodontal therapy: clinical parameters, intracrevicular micro-organism and leukocyte counts. Istanbul University, Istanbul, Turkey
PublicationsMalali (Cilingir) E., Kadir T. and Noyan U. (2012) Er:YAG lasers versus ultrasonic and hand instruments in periodontal therapy: clinical parameters, intracrevicular micro-organism and leukocyte counts, Photomedicine and Laser Surgery, 30(9):543-50. doi: 10.1089/pho.2011.3202
Oktay S., Basar I., Emekli-Alturfan E., Malali (Cilingir) E., Elemek E., Ayan F., Koldas L., Noyan U. and Emekli N. (2011) Serum and saliva sialic acid in peri-odontitis patients with and without cardiovascular disease, Pathophysiol Haemost Thromb. 2010;37(2-4):67-71. doi: 10.1159/000321377
Emekli-Alturfan E., Basar I., Malali (Cilingir) E., Elemek E., Oktay S., Ayan F., Emekli N. and Noyan U. (2011) Plasma tissue factor levels and salivary tissue factor activities of periodontitis patients with and without cardiovascular disease, Patho-physiol Haemost Thromb. 2010;37(2-4):77-81. doi: 10.1159/000323418
Malali (Cilingir) E., Basar I., Emekli-Alturfan E., Elemek E., Oktay S., Ayan F., Emekli N. and Noyan U. (2010) Levels of C-reactive protein and protein C in pe-riodontitis patients with and without cardiovascular disease, Pathophysiol Haemost Thromb. 2010;37(1):49-54. doi: 10.1159/000318189
Periodontal Examination with Dr Ezgi Cilingir
Click for more information about Examination with Dr Ezgi Cilingir
Periodontal Surgery and Treatments with Dr Ezgi Cilingir
Click for more information about Periodontal Surgery and Treatments with Dr Ezgi Cilingir
To make an appointment please ring 01908 690326 or email us on Ezgi@MKDentalcare.com
Click to Download Periodontal Referral Pack
Consultation for PeriodonticsThis is with either
Dr Monica Cueva Moya who has a Special Interest in Periodontics or
Dr Giovanni Marras whose practice is limited to Periodontics or
Dr Ezgi Cilingir whose practice is limited to Periodontics and Dental Implants or
Patients will have a full examination which normally takes 1 hour.
It involves a Full charting of the mouth and associated structures.
You will have a six point pocket charting done of all the teeth and this will give the dentist a very good assessment of the actual damage already done and the likely prognosis for treatments.
New xrays (chargeable) will usually be taken to assess the bone levels and extent of the disease.
At the end you will get a written treatment plan which will be discussed with you and which you can take a way..
Cost: £95.00 with Giovanni and Monica (1 Hour)
Cost: £155.00 with Ezgi (1 Hour)
Some Patients need a shorter examination related to a specific problem such as a frenectomy which normally takes 30 minutes.
Cost: £75.00 with Ezgi (30 minutes)
Periodontal Surgery Consent formsClick to Download our Crown Lengthening Consent Form
Click to Download our Flap Surgery Consent Form
Click to Download our Gingivectomy Consent Form
Click to Download our Mucogingival Surgery Consent Form
Click to Download our Peri-Implantitis Surgery Consent Form
Click to Download our Regenerative and Reconstructive Therapy Consent Form
Click to Download our Root Resection Consent Form