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Periodontal Surgery Choices
In Cambridge:

We offer a full range of Periodontal Surgery Options:

Gingivectomy

Gingivectomy is the surgical removal of gingiva (i.e., gum tissue).

Gingivoplasty

Gingivoplasty is the surgical reshaping of gum tissue around the teeth.

Pocket Reduction Procedures

Gum tissue is folded back so that bacteria and damaged bone can be removed. The tissue is then secured back in place.

Regenerative Periodontal Procedures

Membranes, bone grafts and proteins that stimulate tissue growth are used to regrow healthy bone and gum tissue.

Crown Lengthening

Removing excess gum tissue and/or bone to expose more of a tooth. This can also be used to correct a “gummy smile.”

Soft Tissue Grafts

Used 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.

Gingivectomy

Gingivectomy 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.

Gingivoplasty

Gingivoplasty 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 Patient

Before: Excessive Gum Tissue and Swollen Papillae (gum tissue between teeth)



After: Excess Gum Tissue Removed Through Gingivoplasty Using Electrosurgery

16-Year-Old Patient

Before: Excessive Gum Tissue



After: Excessive Gum Tissue Removed Through Gingivoplasty Using Electrosurgery

Periodontal Pocket Reduction Procedures

Your 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 Procedures

Procedures 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 Lengthening

Crown 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 Lengthening

This 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 Surgery

Exposed 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 Surgery

Gum grafts can be used to cover roots or develop gum tissue where absent due to excessive gingival recession.

Before and After Gum Graft Surgery

During 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 Surgery

This 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 Cambridge

Dr Aaron Lopez, Specialist Periodontist

GDC registration: 190495
Lic Odont Oviedo 2008,
M.Sc in Periodontology Specialist Periodontist




Dr Aaron Lopez offers a full range of Periodontal treatments as well as simple and complex Implant Treatments

Aaron's expertise covers all aspects of periodontal care and management, and gum surgeries, He is a very friendly clinician and has years of experience in both teaching dental students and fellow professionals.

Aaron has extensive experience in treating advanced gum disease in the UK, Sweden and Spain, his experience includes all the major surgical procedures.

Employment History

Clinica Dental Opera. Work focused on aesthetic treatments. Oviedo, Spain. June 2008 - November 2009
Clinica San Lorenzo working as a general dentist. Gijon, Spain. September 2009 – August 2010
Clinica Dental Cuervo. Endodontic treatment exclusively. Oviedo, Spain. October 2009 - December 2009
Bond Street Dental Care working as a general dental practitioner (GDP). Wakefield, UK. September 2010 – August 2012
Specialist Clinic in Periodontology. Sahlgrenska Academy. Gothenburg, Sweden. January 2013 – January 2016
Clinica Dolores Garcia. Lugo. Spain. Periodontist. January 2016 - up to date

Education

Bachelor of Dental Surgery. Oviedo University. Spain. September 2003 - June 2008
Diploma in advanced Endodontic treatments. Santiago de Compostela University. Spain. 2008 - 2009
Diploma in Advanced Periodontology. Complutense University. Madrid. Spain. 2012
M.Sc in Periodontology. Gothenburg University. Sweden. January 2013 - January 2016

Membership of Professional Bodies

Member of the General Dental Council (number: 190495). Included in the Specialist list of periodontics
Member of the Swedish Dental Association. Included in the Specialist list of periodontics
Member of Medical Protection Society (number: 468687)
Member of the Spanish Dental Association (number: 27001219)
Member of the Scandinavian Society of Periodontology
Member of the Spanish Society of Periodontology
Member of the European Society of Periodontology

Awards

2013. Sveriges Allmänna Utrikeshandelsförening. Stockholm. Sweden Scholarship of the Swedish-Spanish Foundation for the Promotion of Education and Studies.
2014. Sveriges Allmänna Utrikeshandelsförening. Stockholm. Sweden

Periodontal Examination with Dr Aaron Lopez
Click for more information about Examination with Dr Aaron Lopez
Periodontal Surgery and Treatments with Dr Aaron Lopez
Click for more information about Periodontal Surgery and Treatments with Dr Aaron Lopez
To make an appointment please ring 01223 363277 or email us on aaron@cambridgedentalcare.co.uk
Click to Download Periodontal Referral Pack

Dr Giovanni Marras, Practice Limited to Periodontics

GDC 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 History

Dentist 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;

EDUCATION

Bachelor (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
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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 01223 363277 or email us on Giovanni@cambridgedentalcare.co.uk
Click to Download Periodontal Referral Pack

Dr Ezgi Cilingir, Practice Limited to Periodontics and Dental Implants

GDC registration: 262933
Practice Limited to Periodontics




Employment History

Dr 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 Degrees

PhD, 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

Publications

Malali (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
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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 01223 363277 or email us on Ezgi@cambridgedentalcare.co.uk
Click to Download Periodontal Referral Pack