Gingival retraction: indications for the procedure and methods

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Gingival retraction: indications for the procedure and methods
Gingival retraction: indications for the procedure and methods

Video: Gingival retraction: indications for the procedure and methods

Video: Gingival retraction: indications for the procedure and methods
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He althy teeth are necessary not only for a beautiful smile, but also for the normal functioning of the stomach. They need not only to be treated, but also bleached, and in some cases, prosthetics. Naturally, before each of these procedures, the oral cavity must be prepared. For this, gum retraction is used.

What is the procedure?

gum retraction
gum retraction

This is a specific retraction of soft tissues from the teeth using certain techniques. Gingival retraction is a temporary phenomenon. The procedure is carried out according to the testimony of the doctor. After the treatment is completed, the tissues return to their place.

However, not everyone can use this method. To resort to retraction or not, the doctor decides. The average cost of the procedure is 200 rubles. However, it is important to consider what methods of gum treatment exist.

Indications for use

gum retraction is
gum retraction is

Gingival retraction is a common phenomenon in orthopedics. The procedure is not complicated, but, as already mentioned, not all patients are allowed. It is shown in such cases:

  • If it is necessary to protect the gum from trauma during dental treatment, as well as gum fluid.
  • For moreeffective removal of plaque and tartar from enamel.
  • If necessary, treatment of cervical tooth pathologies (caries).
  • When too much soft tissue overgrowth.
  • For prosthetics (when taking an impression). This method allows you to make the design more accurate and accurate.
  • If necessary, eliminate gum bleeding.

In principle, this procedure is not needed anywhere else.

Surgical method

It is used infrequently. It is necessary to eliminate an excessive amount of soft tissue in case of its abnormal growth. This intervention is performed using local anesthesia.

Surgeons use either a laser or a dental scalpel to work. The first method is less traumatic and safer.

Chemical method

gum retraction is in orthopedics
gum retraction is in orthopedics

This gum retraction is considered safe and effective. For the procedure, special pastes, gels or liquid solutions are used, which are applied with a brush.

The product must be applied to the soft tissue itself. Further, it penetrates between the teeth and the gum, pushing it a little. Once the chemical has worn off, the soft tissues return to their original position.

However, this processing method has some drawbacks. For example, gels only last 5 minutes, so you won’t be able to use them for treatment - too little time. Therefore, such methods are more often used to take an impression for a prosthesis.

In addition, the composition of the pastes, whichgum retraction is performed, adrenaline may be included. This drug is quite strong and is not recommended for dental use for those patients who suffer from heart disease, hypertension.

In addition, some preparations can stain dental tissues in a different color, so this method is undesirable for aesthetic dentistry.

Mechanical method

gum retraction with thread maximum time
gum retraction with thread maximum time

This gum retraction is performed using metal staples or a special thread. It can be knitted (in the form of a tube), cotton and antiallergic (without impregnation).

This method is the most common, however, it also has some disadvantages:

  • Possible soft tissue injury.
  • Entering thread elements into the restoration process.
  • Not very good protection of the marginal gingiva during the preparation of crowns for prosthesis installation.

Features of using the retraction thread

gum retraction with thread maximum time
gum retraction with thread maximum time

Retraction of the gums with a thread is performed according to the following scheme:

  1. To begin with, the doctor must measure the depth of the periodontal sulcus. This will make it possible to calculate how deep the thread will have to be installed.
  2. Next, the necessary place must be treated with an anesthetic.
  3. Now the thread must be wetted with a special solution, which has the qualities necessary in each particular case: hemostatic, analgesic, antiseptic.
  4. Setting the threadto the specified depth.
  5. Carrying out all necessary medical measures.
  6. Thread elimination.

Retraction of the gums with a thread (the maximum time of use is limited to the time of the treatment procedures) is carried out in several ways:

  • In one thread. This method is minimally traumatic. However, it can only be used if the gums are completely he althy. This procedure makes it possible to move soft tissues by 0.5 mm.
  • In two strands. This method is used if a deeper effect is needed. The doctor uses a pair of threads with different thicknesses. This method is resorted to, even if the gums are inflamed. It is most often used in orthopedics.

What drugs are used and what to do after the procedure?

gum retraction with thread reviews
gum retraction with thread reviews

Retraction of the gums with a thread (reviews about the procedure can be found different, but almost everyone agrees that this procedure, although not very pleasant, but quite tolerable) is most often performed using medications and chemicals:

  1. "Epinephrine". This drug constricts blood vessels, which makes it possible to reduce their volume. Threads impregnated with such a product should not be used by people with a sick heart.
  2. Ferrous sulfate. This substance has hemostatic and vasoconstrictive properties. However, it is not used to treat anterior teeth, as it has the ability to stain hard tissue.
  3. Aluminum sulfate. This tool giveswater-repellent and astringent effect.
  4. Aluminum chloride. It is most often used if the gums are damaged or inflamed.
  5. Double aluminum sulfate. It is used if it is necessary for the thread to have an astringent, hemostatic and vasoconstrictive effect.
  6. Zinc chloride. This substance also has a strong astringent effect.

If a dry thread is used, then to facilitate the work, the dentist can put such medicines in the gum sinus: Expasyl, Retrac, "Retragel".

After the procedure, a he althy gum may become inflamed. To prevent this from happening, she needs special care. For example, you can use the anti-inflammatory therapeutic gels "Metrogil Denta", "Kamistad", "Dental".

Folk remedies will not be superfluous for the prevention of complications. For example, it is permissible to rinse the mouth with decoctions of chamomile, oak bark, calendula. Healing toothpastes have a good effect. During the recovery period, you should not eat too cold or very hot food. This will bring unnecessary discomfort.

If the patient has serious complications, the doctor may prescribe antibiotics. As for the reviews, on their basis we can draw the following conclusion: the procedure is not very pleasant, but it helps to avoid many problems and speeds up the treatment process. Stay he althy!

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