Periodontology

The most common diseases of the periodontal tissues are inflammatory processes: gingivitis (lesion of the superficial areas in which bleeding occurs) and periodontitis (pronounced widespread inflammation with the appearance of tooth mobility).

Gum bleeding is considered to be the first sign of periodontitis. The basic insidiousness of this disease is that it may not deliver painful sensations and proceed in the initial stages almost imperceptibly to the naked eye of a person. In the initial stage of periodontal disease, only the gums (gingivitis) are involved in the inflammatory process. Failure to initiate periodontal drug treatment and remove dental calculus  (SRP therapy) causes the destruction of the tooth-fixing tissues. Neglect of the disease causes more serious problems which can lead to tooth loss.

The main causes of periodontitis

Periodontitis does not appear in humans instantly, but develops gradually. The main cause of the disease is poor oral hygiene. The better you care for your teeth and gums, the more likely it is that you will not need gum treatment: they will remain healthy. Visit the dental office once every six months for the purpose of professional oral hygiene. Even daily double brushing does not guarantee the absence of tartar in hard-to-reach areas. It also happens that the calculus can be formed during long-term administration of drugs. If left untreated, it causes gingivitis and periodontitis.

Smoking is a common cause

Another common cause of the disease is smoking: the components of tobacco smoke are destroying blood vessels. The mucous membrane of the oral cavity is characterized by a higher degree of permeability than the skin. The nicotine contained in cigarettes promotes the accumulation and active reproduction of pathogenic bacteria. That is why smokers are more likely to have dental biofilm formation.

Fact! People who smoke one or more packs of cigarettes a day are 6 times more likely to develop periodontitis and other dental diseases – gingivitis, stomatitis.

Also, the cause of the disease may be lack of vitamins. Due to deficiency of vitamins in the body, periodontitis can develop. To protect yourself from the disease, you need to include foods containing vitamin A, B and C, as well as calcium in your daily diet.

Often periodontitis appears as a result of malnutrition. The low amount of fresh fruits, vegetables, foods containing calcium in the diet causes the internal organs to not receive the required amount of vitamins and minerals. Therefore, the bone tissue of the teeth begins to undergo exhaustion.

Symptoms of the disease

The first stage of periodontitis does not cause discomfort, but a person can already see bleeding from the gums and feel a slight pain in the gums. It is important not to ignore these manifestations, but to visit the dental office immediately.

Among the main symptoms of periodontitis:

The gum bleeding;

Eating discomfort;

Food jam under the gums;

Increased sensitivity and mobility of the teeth (in the advanced stages when bone loss is observed)

Swelling and redness of gums;

Bad breath.

If you notice at least one of these symptoms, you should seek immediate medical attention and effective treatment for gingivitis (periodontitis).

 

More about the stages of the disease:

1. The patient does not complain of pain. In rare cases, hot / cold food versions may be observed. The first stage of development of periodontitis is treated most easily and quickly.
2. When the disease reaches this stage of development, the patient‘s neck areas of the teeth may be exposed (4 to 6 mm)due to gum recession. Eating can be accompanied by acute pain.

III. The most severe stage of the disease. The patient has a pronounced mobility of teeth, and chewing food causes acute pain. There is destruction of bone tissue around the teeth.

 

Features of treatment of the disease

In each case, treatment depends on the degree of neglect of the disease. The most effective method of non-surgical treatment of periodontitis is SRP (Scaling and Root Planing) therapy, which eliminates the calculus above and below the gumline. Systemic antibiotics can also be prescribed for the treatment of the disease. For patients suffering from the manifestation of an aggressive form of periodontitis, antibiotic administration may be prescribed with SRP therapy. But most importantly – after starting treatment, it is necessary to normalize the daily hygiene of the oral cavity ( brushing of the teeth twice per daywith the use of appropriate (recommended by the dentist) paste and brushes, interdental aids, rinse solutions) and to carry out the obligatory professional cleaning of teeth once every six months.

 

Treatment of gingivitis

Gingivitis is an inflammatory process that relates to periodontal tissues and the mucous membrane of the gums. Treatment of gingivitis is prescribed depending on the form of the disease: it can be acute or chronic.

The most common causes of the disease:

• ignoring the rules of hygiene;
• caries;
• incorrect fillings with overhanging edges;
• the impact of drugs;
• smoking.

Treatment of the disease is carried out only after the doctor diagnoses the causes of its occurrence. In general, the treatment algorithm is similar to the treatment of periodontitis. Like other periodontal diseases, gingivitis cannot be treated on its own. Improper measures can cause deterioration. Moreover, you do not need to buy medicine to treat gums, following the recommendations of pharmacists in the pharmacy or the opinion of friends. Trust your health with a professional.

Treatment of gingivitis and periodontitis in our clinic is carried out with the possibility of involving all the necessary specialists: therapist, orthodontist and surgeon. The very same treatment is done with the world’s best  Hu-Friedy instruments.

Multidisciplinary treatment of gingivitis and other diseases is carried out in an individual approach to the preparation of the treatment plan and the choice of drugs. By contacting our clinic, you will know more about the treatment plan during your initial medical examination. To accurately diagnose periodontal tissue diseases, a visual examination, measurement of pockets around each tooth (probing), and radiological examination are performed. It is through pictures and probing that we can diagnose the extent of bone destruction and estimate the depth of periodontal pockets. Then, the ultrasound and therapeutic treatment is initiated . If the patient has a complex stage of the disease, antibiotics may be prescribed.

 

Why patients choose us?

• Proper diagnosis with the mandatory measurement of the depth of periodontal pockets and the drawing of a periodontal map at all stages of treatment;
• Possibility of involvement of all specialists necessary for treatment within one clinic;
• Our priority is to preserve the teeth, not replace them with dental implants;
• We work with the world’s best tools for the treatment and diagnosis of periodontitis;
• We implement individual approach to drug selection;
• Monitoring effectiveness of the treatment and home oral care correction.

 

What if I don’t treat periodontal disease?

In the long term, periodontitis leads to the loss of bone around the teeth with a high probability of teeth loss in the nearest future.

Diseases are easier to prevent than cure. Prevention of periodontitis or gingivitis means the correct daily oral hygiene. But if there is already a problem, do not delay the gum treatment until later. Make an appointment with a periodontist.

Periodontal treatment differs in depth and number of necessary procedures, often accompanied by antibiotics and surgical flap surgery. The sooner the patient goes to the doctor, the easier it will be to cure the disease.

In our clinic, the treatment of periodontal tissue diseases is carried out in accordance with European protocols. Depending on the severity of the disease, an individual treatment plan is drawn up, and preparations for the treatment of periodontitis are prescribed.