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Gum treatment – Periodontics
Periodontal disease is a condition that affects periodontal tissues and results from gum inflammation that has been left untreated for too long.
It is mainly caused by the accumulation of soft and hard plaque along the teeth, and smoking.
“A sign of improper/poor oral hygiene”
Reasons for the emergence of the disease
Periodontal disease is a sign of improper or poor oral hygiene, which causes the accumulated soft plaque (bacteria/bits of food stuck between the teeth) to mineralise on teeth. This creates tartar, one of the main causes behind the disease’s progression. Another significant factor is smoking, which decreases the gum’s ability to heal, thus accelerating the advancement of the disease.
What are the factors that influence the development of the disease?
- Genetic predisposition
- Smoking
- Poor oral hygiene
- Incorrect conservative and prosthetic treatment of teeth
- Age
- Nutrition
- Individual’s overall health
- Medications
What are the symptoms?
- Gum bleeding
- Halitosis
- Loose teeth
- Teeth falling out
- Change of bite
- Repositioning of one or several teeth
- Gum receding and consequent stinging of the exposed dental roots
Stages of the disease
The disease manifests itself in several stages, starting with gingivitis and ending with advanced chronic periodontal disease.
At an early stage (gingivitis), the gum is inflamed, reddened and swollen. If gingivitis is not treated in time, inflammation can spread to the surrounding tissues. As the years progress, the stabilising tissues around the teeth begin to deteriorate, resulting in the teeth becoming loose and eventually falling out.
“Periodontal disease is mainly caused by tartar and smoking.”
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Before
After
Treatment of periodontitis
After an in-depth discussion, clinical examination of the teeth and periodontal tissues, probing to determine the depth of periodontal pockets and examining x-rays, the stage of periodontitis is determined, followed by outlining a suitable treatment plan.
Non-surgical treatment method:
- Professional teeth cleaning:
The treatment begins by thoroughly removing the tartar and instructing the patient on proper oral hygiene. - Periodontal scaling and root planing:
Tartar removal is followed by periodontal scaling and root planing to remove tartar from the deeper parts of periodontal pockets, and smooth the root surface to decrease the possibility of tartar reappearing.
Surgical treatment method:
- Flap surgery:
This method helps reduce the size of the space between the gum and the tooth, thereby decreasing the areas where harmful bacteria and plaque can grow. - Guided tissue regeneration:
Performed when the bone supporting your teeth has been destroyed, this procedure stimulates bone and gum tissue growth.
In most cases, the two non-surgical methods are sufficient to treat periodontal disease. With some patients, however, surgical treatment methods are necessary.