Since the early 1990′s, Dr. Feuerman and Dr. Castellucci have been able to predictably regenerate bone around natural teeth and on edentulous jaw ridges in association with implant reconstruction. This periodontal surgical procedure regenerates jaw bone and surrounding tissue. This procedure is often performed to protect your existing teeth and the tissues that keep them in place from bacterial plaque. The gingival tissue is folded back to remove the disease-causing bacteria. Membranes, bone grafts or tissue-stimulating proteins can be used to encourage the body’s natural ability to regenerate bone and tissue.
Biologic Principles of Treatment
The concept of treatment is simple. A biocompatible membrane, placed between the gum and bone, acts as a barrier. This barrier prevents downgrowth of the gum into the underlying bone as it heals. Typically, a bone graft is placed into the underlying bony irregularities, under the membrane, to help the body grow new bone. Some membranes are made of collagen-based materials which are designed to dissolve away, or resorb, after several weeks of healing have passed. Other membranes are made of materials such as Teflon, which also has several medical applications. These membranes are non-resorbable, and must be removed at a later date. Dr. Feuerman and Dr. Castellucci will use their surgical expertise and judgment to determine which membrane is best for your specific needs.
Plasma Rich in Growth Factors (PRGF)
Periodontal Associates is the first office in Massachusetts, and one of the first offices in the USA, to use PRGF. Plasma Rich in Growth Factors is used to enhance and maximize bone regeneration, as well as healing from a variety of surgical procedures. It is well known that there are many naturally occurring blood proteins which serve to speed up and maximize wound healing. PRGF is created in our office by taking a small amount of the patient’s own blood and centrifuging it according to a precise protocol. The growth factors are concentrated and PRGF is mixed with graft materials, or used by itself, to promote faster healing for patients! Please feel free to discuss PRGF with one of our doctors.