Periodontology

Periodontics is a department of dentistry that deals with the diagnosis and treatment of periodontal diseases, commonly referred to as periodontitis. The teeth are the structures responsible for maintaining the teeth in the alveolus. These include: gingiva, periodontal ligaments and alveolar bone bones.

Periodontics is a field that comes with help in cases of the following ailments:
• Hypersensitivity to temperature changes
• formation of a gap between the teeth
• moving the teeth
• dental nostrils
• elongation of the crown of the teeth
• teeth tingling
• unpleasant odor from the mouth
• Redness, swelling or bleeding of the gums
Healthy gums never bleed, even with daily brushing !!!

The causes of periodontal disease can be divided into:
GENERAL:
• Vitamin deficiencies
• Smoking tobacco
• stress
• Hormonal disorders
• Improper nutrition
• Diabetes
LOCAL:
• bacterial plaque
• Clenching and gnashing of teeth
• Incorrect fillings, eg overhangs
• Old, tightening prosthesis
• Leaking crowns and bridges
Bacterial plaque forming on all surfaces of the teeth, gingival mucosa and prosthetic restorations In the oral cavity, most often causes gingivitis and exacerbation of existing, chronic inflammatory conditions. Non-removable plaque decomposes over time, leading to plaque build-up. Gingivitis is a condition when the disease involves the gum, causing it to be swollen, reddened and bleeding easily – especially when cleaning the teeth.

Periodontitis, colloquially referred to earlier, is a disease process in which, apart from gingivitis, lesions also include periodontal ligaments and bone, causing it to slowly disappear. Periodontal pockets are formed where food residues persist, causing inflammation of the periodontium, leading to lowering of the gums and root exudation. At the first periodical visit, the doctor conducts a patient interview, a clinical examination and, if necessary, has more detailed follow-up studies: X-ray and blood glucose with glucose smear and glucose levels. The treatment plan is always individual and tailored to each patient, based on intelligence and research

In the OrtoDent Center, using specialist periodontal treatment, we offer you the following treatments:
1) supragingival scaling – this is the procedure for removing hard dental plaque (tartar) that accumulates on the surface of the crown of the tooth, using ultrasonic devices called scales. The latest generation of scalable scissors in our clinic, which allows for quick and effective cleaning of the dental surfaces, are completely safe for the patient. Scaling is usually a painless procedure, only in case of inflammation of tissues surrounding the tooth, pain may occur – local anesthesia is given. Each scaling is finished by polishing all the cleaned surfaces. This prevents recurrence of plaque and gives the patient a pleasant feeling of smooth teeth. After professional cleaning of teeth, it is advisable to use fluoride varnishes. This is to: – protect the teeth from caries; – prevention of dental hypersensitivity.

2) Subgingival scaling-SG-SKALING DUAL The procedure is used in the presence of subgingival stone deposits. It is usually performed together with scaling supragingival scaling. Both ultrasound scanners and hand tools are used here. Curettes. In sensitive patients, anesthetics are used. The final element of the treatment is to smooth the surface of the root and apply fluoride varnish.

3) closed curettage – involves a very precise removal of tartar from the pocket and granules from the root, the presence of which causes inflammation. As a result, the disease subsides, the wounds heal, and the weakened epithelial layer begins to rebuild. The closed epilepsy is performed in those patients who, in fact, already have periodontal pockets, but their depth does not exceed 5 millimeters. This treatment is performed under local anesthesia);

4) Open curettage (used for deeper periodontal pockets, it is a more invasive procedure and involves the intestinal opening and gum removal.) This allows the dentist to gain free access to the root of the tooth and to the surrounding bone. In some cases, if bone loss results from inflammation, it is complemented by a bone marrow deficiency.

5) periodontal microsurgical treatments – allow you to correct Exposed cervical nostrils, too long or short crowns, eliminate bone loss after removal of the tooth or correction of irregular gingival lines:
• Gingival recession coverage
• Procedures for elongation of the clinical crown
• Grafts
• Regeneration of bone defects
• Plastic surgery – liquidation of “gingival smile” -gummy smile
• Consultation on periodontology
Of course, all these treatments are performed painlessly under anesthesia

To be successful in the treatment of gum disease is very important. “Recall” is a systematic follow-up visit to maintain and monitor the improvement achieved and prevent the return of inflammation. During this phase, every 4-6 months we check the bleeding and gingivitis, every 6-12 months the depth of the gingival pocket, the occlusal conditions and caries cavity every 2-3 years we recommend radiological control asking for a pantomographic picture. Six months to one year is a time that needs new gum attachment fibers to be more resistant to bacterial infections. During healing, the frequency of hygienisation visits is determined individually as it depends on the progress and rate of tooth formation.