Periodontology

Periodontal treatment helps to prevent or stop the evolution of periodontal disease and enables patients to restore a beautiful and healthy smile.

 

What is periodontal disease and why does is appear?

 

Periodontal (gum) disease has countless causes of which the most important include: dental plaque, supra- and subgingival dental calculus, fillings and crowns carried out incorrectly, incorrect orthodontic treatments and occlusion (bite) disorders. Besides the listed factors, lifestyle choices can cause periodontal diseases, especially smoking. In most cases, periodontal disease evolves slowly with gingival bleeding and unpleasant smelling breath, eventually leading to periodontal pockets or dental mobility, if left untreated. 

 

Periodontal disease treatment

 

Chronic gingivitis – an early stage of periodontal disease – can be controlled with good oral hygiene and appropriate assistance from the dental team. Sometimes, a simple but thorough scaling can solve the problem, but improvement of the at-home oral hygiene routine is essential for maintaining healthy gums in the long-term. In more advanced stages of the disease, subgingival cleaning, in which any tartar situated extremely deep under the gums (inaccessible for the ordinary brushing or scaling technics) is removed and the infected surfaces of the roots are cleaned (special curettes are used to remove the tartar).

Where periodontal pockets are present, there can sometimes be bone loss, and this can require bone grafting in an attempt to recover the lost bone. If the periodontal disease is very advanced, the extraction of the teeth and insertion of implants may be recommended to prevent further resorption of the bone. However, the periodontal disease must be treated before the implant can be placed.

If the patient follows the dentist’s advice carefully with rigorous cleaning, periodic check-ups for scalings, treatment of the bite if necessary and smoking cessation, prognosis of the periodontal disease could be good.