Periodontal - Periodontal Queens 

Dr. Terranova discusses Plasma Rich Platelet Technology and the use of Stem Cells in Periodontal Reconstruction


Periodontal disease was first treated back in the 1950’s and has undergone significant changes in the modality of treatment in the last 4-5 years. During the 1950’s the main focus of treating periodontal disease was to eliminate the ‘pyorrhea’ that was found in the patient’s mouth. Pyorrhea was the ‘laymans’ term for bleeding gums.

Since then various treatments have been proposed for treating adult periodontal disease and are used effectively. These include scaling and root planing and pocket elimination which has been the very foundation of treating periodontal disease. Getting rid of the periodontal pocket and making the tooth surface more accessible for the patient to clean.

Within the last 20 years however the methodology has changed. Instead of eliminating the periodontal pocket and cutting the gum tissue away, people have been more focused on rebuilding the periodontal apparatus in the mouth than the previous method of removing diseased gum tissue and enlarging the tooth surfaces.

Therefore 'periodontal reconstructive surgery' is the rebuilding of the patient’s periodontium ( the specialized tissues that both surround and support the teeth). This entails surgically opening the gums to expose the diseased root surfaces and the bone, then cleaning the inside of the soft tissue flap and reconstructing the ‘boney’ environment around the diseased teeth.

In doing this we are undertaking a process now termed ‘periodontal regeneration’. Periodontal regeneration has been shown to a limited degree. We are now proposing to rebuild the bone structure around the teeth and then consequently place the gum tissue at it’s natural position in the mouth therefore re-establishing a periodontal situation that is disease free and appears natural.

By doing this we take bone graft and membrane for guided tissue regeneration and we supplement this with Plasma Rich Platelets derived from the patient in conjunction with the patient’s own mesenchymal stem cells. PRP technology is a highly effective technique used in bone and soft tissue regeneration that yields quicker results and also reduces the discomfort due to improved and faster healing.

This process of using PRP and Stem Cells allows for:

Better healing
Accelerated healing

The process uses bone graft material from patient or from tissue bank, we then use freeze dried skin or Alloderm. The platelets and stem cells are taken from the patient and are processed on a Medtronic machine and they used the same day in conjuction with the bone graft and the freeze dried skin. In this way the patient’s entire periodontal well being is rebuilt as we slowly supply the patient with a disease free periodontium.

Advantages of this technique after the procedure is that:
The process involves minimum post-op discomfort to the patient
There is increased bone around the teeth.
There is more stability around the teeth.
A more natural environment is created that the patient can clean and maintain.

If you are worried about periodontal disease or have been told by your dentist that you need to be referred to a periodontist and you would like to have a consultation with Dr. Victor Terranova, then please call us on 718- 626-1050.

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Just as with one missing tooth, several missing teeth can be easily treated with dental implants. Implant supported teeth are permanently fixed in the mouth, unlike removable appliances like dentures. They don’t slip or click, and there is no worry about them moving or falling out when speaking, eating, or participating in activities. And because dental implants are placed directly into the bone, they help preserve the jawbone and prevent bone deterioration. If the implants will be placed next to natural teeth, the natural teeth and surrounding gums must be in good health. If you don't have enough bone to place and support the dental implants, the supporting bone can be built up using bone augmentation or grafting before the actual implant procedure begins.

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