Periodontics and Periodontal Disease Treatment or Surgery

Within DENT ESTET clinics, dental hygienists along with specialists are involved in dental hygiene procedures and professional dental brushing and scaling respectively.

  • gum diseases are caused by bacterial plaque (the sticky substance that forms on teeth),
  • bacteria colonies existing in the plaque combine with carbohydrates resulting from starch and form an acid that subsequently attacks tooth enamel and leads to cavities,
    due to poor oral hygiene, plaque can build up
  • n teeth, also called tartar, which forms through mineralization of plaque – serving as matrix (“sponge”) for salts found in saliva.

Gum Diseases: bleeding or recession

Gum inflammations occurring as body reaction to microbial aggressions appear as gum bleeding leading to gum diseases which, if not treated in due time, go deeper and lead to periodontal conditions:

  • with purulent drainage around the teeth
  • the emergence of inflammations at the level of periodontal pockets
  • dental loosening and pathological teeth migration.

Because gingivitis is not characterized by pain, most patients do not initiate early treatment of these diseases, and thus parodonthopathies occur. Therefore, periodontal disease progress can go unnoticed for several months or even years.

Along with an effective oral hygiene and an appropriate diet, one of the most efficient methods for the prevention of these conditions is professional dental hygiene and regular scaling.

Scaling:

  • dental procedure consisting of the removal of tartar build-ups on teeth surface and under the gums
  • scaling reduces coarse tartar build-ups helping bacteria build-up and ingrowth – a toxin source and an environment favourable for other dental problems
  • only if it is performed regularly, this procedure reduces and even eliminates the risk of gum diseases (the procedure is recommended at every 6 months).

Only if it is performed regularly, this procedure reduces and even eliminates the risk of gum diseases – the procedure is recommended at every 6 months.

Root planing:

Root planing procedure consists of the removal of altered cement, i.e. the thorough, deep cleaning of root surfaces as well as the removal of adherent deposits under the gums:

  • if the tartar build-up is located in the cervical area, on the free gingival margin
  • and/or if there are spaces where the probe can be inserted more than 4 millimetre deep
  • root planing is performed under local anaesthesia by means of curettes or ultrasound instruments.

In moderate periodontal diseases, this method can even stabilize the periodontal condition.

Root planing with gum flap:

  • extremely rigorous cleaning of periodontal pockets
  • this procedure is indicated to clinical cases where periodontal pockets are deeply impaired by plaque and by necrotic cement build-up
  • this surgical intervention is performed under local anaesthesia; thus, all discomfort occurring during the procedure is eliminated
  • the gum is superseded by an incision in order to allow root planing through direct access to the affected area as well as the optimization of their view.

When plaque and tartar build up appear as extremely deep adhesions – at the base of periodontal pockets, it is possible to lose bone tissue – most times the patient does not experience pain.

An effective root planing procedure performed by a specialist can reduce the number of subsequent surgical interventions required.

Statistics draw our attention to the fact that 90% of the adults suffer from various stages of periodontal/gum disease, as this is considered the main cause of loosing teeth.

When parodonthopathies occur:

  • the gum becomes dislocated from the teeth, creating deep spacing that favour bacterial growth
  • through gum recession (a phenomenon also present in other severe dental conditions), teeth are exposed – thus creating the unpleasant appearance of long teeth
  • teeth looseness depends on the impairment degree of bone tissue – most times extraction is required.

Gum Surgery

If you are diagnosed with severe gum recession, in order to protect your teeth healthy, a gum graft (gum surgery) may be needed. This surgical intervention helps you improve your smile appearance.

Gum surgery types

Tooth removal – the extraction of the tooth will be performed if the tooth is severely damaged. The procedure can present a certain risk, depending on the complexity of the problem.
Gingivectomy – it helps removing and reshaping the tissue, removing the pockets formed between teeth and gums.
Flap procedure – this procedure helps cleaning the toth’s root and also helps repairing the damaged bone.
Being a gradual problem, unnoticed by the patient until it reaches a severe stage, the gum recession is a dental disease that affects the tissue surrounding the tooth by pulling away from it and exposing the tooth root. The gum recession can damage the supporting bone of the tooth.

Statistics draw our attention to the fact that 90% of the adults suffer from various stages of periodontal/gum disease, as this is considered the main cause of losing teeth.