Periodontics is a discipline dealing with periodontal disease. Periodontal disease is as widespread as decay. Its most frequent cause is bacteria that creates plaque and tartar on root surfaces. Periodontological treatments are suggested for patients having periodontal pockets deeper than 3-4 mms or having gum recession. In case the reason of the disease cannot be eliminated in a conservative way, the so-called open and closed curette surgeries shouldbe performed. Surgeries may be combined further with osteo-substitution or placement of membrane barrier.
Inflammation of the gums (gingivitis/periodontitis) is the most frequent disorder in a permanent set of teeth. It can lead to looseness of the teeth, tooth migration and even to loss of teeth.
In the meantime it has been ascertained that the bacteria which cause periodontitis also cause possible damage to the coronary vessel (heart attack), or the brain (stroke) . The development of diabetes can also be negatively influenced. Periodontitis can trigger a premature birth. Heavy smokers are particularly at risk.
Inflammation of the periodontium is often painless and remains unnoticed for a long time. It is, however, always accompanied by bleeding of the gums and the formation of gingival pockets caused by bacteria which attach themselves to the root surfaces over and under the gums. These can then no longer be removed with a tooth brush. We treat periodontitis in accordance with a gentle treatment concept which has been tried and tested in the field of parodontology.
The aim of the treatment is to stop the disease and recover lost tissue.
1. Professional cleaning (initial treatment)
2. Closed curettage
3. Open curettage
4. Periodontal bone and tissue build-up
Deeper gingival (gum) pockets are treated by means of closed curettage with a light local anaesthesia. The pocket subsequently closes and the inflammation recedes. In many cases the use of closed curettage can stop the parodontosis and make any further treatment, such as open curettage, unnecessary.
If there are deeper gingival and intrabony pockets, the root and bone areas are cleaned using open curettage.
Open curettage is often combined with an augmentation procedure (tissue and bone graft) for periodontal regeneration.
This procedure involves placing bone cell forming proteins on the cleaned bone areas and protecting this with dental foil. The bone and consequently the gum tissue regenerate.
For this to be successful it is important to ensure good oral hygiene combined with regular preventive care.
The intervention is performed in dental office under local anaesthesia and sterile conditions , and takes 1-1,5 hours. Final treatment of surgical region is carried out by using sealers, however, in certain occasions, a periodontal pack may be placed on mucosa (this may be removed by patient easily 6-12 hours subsequent to treatment). Antibiotics or painkiller may be prescribed. No pain is felt during surgery, since it is carried out under anaesthesia, however, ultra sound and hand curettage may be perceived as raspy irritation due to cleaning of surfaces of bones..