Periodontology

Gingivitis is gum inflammation and periodontitis is chronic inflammation of the teeth retaining apparatus with tightening (lysing) of the structures that support the tooth, including the bone, which could result in teeth becoming loose or even falling off.

Gum inflammation (gingivitis) and teeth retaining apparatus (periodontitis) inflammation are among the most common diseases. Periodontitis can be found in people aged 40-50, even though the first symptoms appear much earlier.

How does periodontitis develop

Gums’ inflammation is caused by bacterial deposits (plaque) onto teeth. If the plaque layer keeps piling up and if we do not undertake timely treatment, then periodontitis develops. Between the gum and the tooth root a pocket is formed that could easily hold (retain) more bacteria. As a result of chronic infection bone lysing (meltdown) starts.

How to recognize gingivitis from periodontitis

The healthy gum is pale pink, it fully fills in the area between the teeth and does not bleed when being drilled. If inflammation is not stopped, it turns into periodontitis that in addition to bleeding could have the following symptoms:

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Unpleasant smell;

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Gum withdrawal;

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"Teeth elongation" and teeth loosening (during the advanced stages);

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Pain experienced during pressure.

Important: Periodontitis could develop without the abovementioned symptoms.

Periodontitis and general condition of the organism

In the case of adults periodontitis is the main reason for tooth loss. The latest research shows that untreated periodontitis increases the risk of cardiac diseases, dyslipidemia and diabetes. Periodontitis during pregnancy could cause preterm birth and giving birth to a child with low weight.

There is a reverse interrelation between the human general condition, for example uncontrollable diabetes could result in periodontitis progression and dissemination.

Prophylactics

Thanks to our qualification, experience and cutting-edge equipment we could treat periodontitis efficiently and preserve the remaining teeth as much as possible.

Recognition of periodontitis

It is essential to perform regular prophylactic examinations because the earlier we discover periodontitis, the easier it would be to treat it.

Treatment plan

After the preparatory phase that includes professional clean-up of tartar and teeth polishing, we perform а complete oral disinfection. The objective is to decrease the amount of microbial that is along the teeth surfaces, in the interdental areas and along the mucous membrane. It is achieved thanks to the complete disinfection of the oral cavity and the inaccessible places within 24 hours.

Therapy

The main treatment objective is to eliminate the bacterial bio-film from the periodontal pockets in order to stop the inflammatory process and loss of the teeth retaining apparatus.

That is why during the first stage we undertake intensive teeth clean-up. This way we achieve mechanical elimination of the bacterial bio-film. Root surfaces of all teeth should be cleaned within one 24-hour period. This procedure is performed under local anaesthesia.

In order to achieve better disinfection, we could locally place antiseptic inserts within the periodontal pockets. In the extremely severe cases we even have to prescribe an antibiotic.

Therapy results

After such therapy we usually observe healing of the tissues that surround the teeth. Gum becomes pink and does not bleed so easily.

Eight weeks after the initial phase all teeth should be cleaned up professionally once again. Additionally, we should take periodontal status, and usually we establish a reduction of the periodontal pockets. If necessary we may have to repeat the clean-up procedure.

Maintenance therapy

The long-term effect (success) of the treatment depends exclusively on the patient’s collaboration and the regular cares taken by the attending doctor. This is part of the maintenance therapy.