Retraction of the gums - what does the dentist not always tell?

In order to make the correct and most accurate impression during prosthetics or dental treatment, doctors perform various manipulations in the oral cavity. The most important of them is the retraction of the gum, it allows the doctor to open temporary access to the zone of the ledge in the neck area.

Whether it is necessary to do or make a retraction of a gum or gingiva?

This dental procedure is a delaying of the cervix by lowering the level of the mucous membrane. Due to this, some part of the root is exposed. Retraction of the gingival margin is often made for the manufacture of ceramic veneers or crowns and the production of double-layered impressions. CAM-technologies scan plaster models, the accuracy of which depends on the correct fit of the prosthesis and the patient's sensations.

This set of procedures is aimed at widening the furrow in the horizontal and vertical sides. This helps reduce fluid secretion, prevent or stop bleeding, reduce injuries in the oral cavity. Retraction of the gum is performed in such cases:

• when filling carious cavities;
• when preparing defects in the teeth;
• with bleaching .

Remedies for gingival retraction

There are the following methods of gum retraction:

1. Mechanical. It represents the opening of the dentogingival pocket (groove) with the help of various instruments: knitted rings, caps or cotton threads.
2. Medicamentous (chemical). In this case, a liquid is used for gum retraction, which is adrenaline and bezadrenaline. Some drugs can cause systemic reactions in the human body.
3. Surgical. It consists in excision of a coagulating electrosurgical needle with a free edge of the gum on its inner surface.
4. Combined. In this method, the various aforementioned methods are combined. The most common of these is mechanochemical retraction. In this case, liquid impregnated threads are used.

Retraction of the gum with threads and rings

When going to the dentist, many patients wonder what the retraction of the gum is (Ultrapak). This procedure involves the use of special items that are injected under the mucous membrane. This method can cause pain and lasts a long time, and there are a number of restrictions for manipulation.

Before the beginning of the retraction, the dentist performs an examination of the oral cavity, while constantly monitoring the depth of the invasion of the gum. The doctor should remember that the mucosa is very vulnerable and sensitive, so the place of attachment of the tooth and tissue is easily damaged. This leads to recession and periodontal disease. This method is not suitable for prosthetics of the entire jaw.

Chemical graft retraction

There are a variety of ways to retract the gums, but to determine which one is right for you, only a doctor can. He should find out:

• what the patient is allergic to;
• how he suffers anesthesia;
• what diseases he has.

The chemical method (with the use of drugs based on adrenaline) often provokes such side effects as:

• increase in blood pressure
• disturbance of rhythms in the heart;
• increased heart rate.

If you suffer from cardiovascular diseases (hypertension, ischemia, etc.), then warn the doctor in advance. In this case, he will use medications that do not include adrenaline. Preparations are prepared on the basis of a solution of zinc chloride and tannic acid. Modern medications, although sparing, can disrupt the integrity of the mucous membrane and are not always fully restored.

Remedies for gum retraction

The most optimal are the preparations prepared on the basis of kaolin and aluminum oxide. They include different haemostatic components and polymers. They come in the form of gel and paste. Medicines are released in special cartridges (similar to a syringe), which allow you to accurately apply the product and reduce the risk of damage to the oral cavity to a minimum.

Gel for retraction of the gum has analgesic and hemostatic properties, and the desired effect can be obtained in 2-3 minutes. After that, the dentist has about 5 minutes left to manage the necessary manipulations. The most effective drugs are:

• Expasyl;
• Gingi Track;
• Magic Foam Cord.

Is it painful to do a gum retraction?

Before the procedure begins, the doctors give the patients an anesthetic injection (anesthesia), which will remove all the unpleasant sensations. After retraction of the gums, you will need to comply with these rules:

1. After manipulation, you can not eat and drink hot drinks for 6-8 hours.
2. After each meal, you will need to rinse the oral cavity with Furacilin or a decoction of herbs.
3. Teeth should be cleaned only with a soft brush.
4. Use medicinal herbs on herbs.
5. Do not attend a few days swimming pools and saunas.
6. With painful sensations and puffiness, you need to use gels such as Dental and Sokoseril .