Treating periodontal disease

Our staff specializing in treating periodontal disease includes:

Treating periodontal disease (PERIODONTOLOGY) is an area of dentistry which includes preventive measures and treating the diseases of periodontium and oral cavity mucous membranes. Periodontium is a group of tissues which surround and stabilize teeth. What is more, periodontium protects teeth from inflammation of an infected periodontal pocket or root canal. Periodontal disease is a common name of periodontium inflammation, a chronic disease, in which our gums are attacked by bacteria which may lead to serious teeth changes. It is a disease in which periodontium tissues are infected, which leads to inflammation. As a result, tissues which support teeth are damaged, resulting in weaker tooth stabilization and, in the worst case, in losing a tooth.

What are the factors causing periodontal disease?

  • incorrect oral cavity hygiene
  • residue, calculus
  • wrong diet (deficiency of necessary vitamins and minerals)
  • smoking
  • alcohol abuse
  • occlusion defects leading to changes in periodontium

The development of periodontal disease is strongly affected by other accompanying diseases, e.g.:

  • diabetes
  • disorders of metabolism
  • problems with a cardiovascular system
  • compromised organism’s immunity

We have to remember that periodontal disease starts usually without any symptoms. However, it is important to pay attention to such signs as teeth oversensitivity to extreme temperatures, bad breath, changes of taste – an unpleasant aftertaste, a slight pain and gum bleeding, especially when brushing your teeth, inflammation, gum redness, gum reduction, excessive accumulation of dental plaque, increased teeth mobility.

In order to treat periodontal disease, patients should be instructed about maintaining proper hygiene of oral cavity and removing irritating factors. At an early stage of periodontal disease, it is recommended to regularly remove calculus (as per doctor’s or hygienist’s recommendations), as well as to use toothpaste and mouthwash  intended for sensitive teeth, individually chosen by a doctor or a hygienist. Sometimes it is necessary to introduce pharmacological treatment (with antibiotics).

In case of an advanced stage of periodontal disease and a significant bone damage, an immediate surgical intervention is needed. Procedures performed to treat serious periodontal disease include curettage, gingivectomy, and more advanced flap procedures. Apart from procedures involving roots and periodontal pockets, surgical gum and bone corrections are also performed and agents which allow for the regeneration of a lost bone and periodontium tissues are used.

Curettage is a procedure which involves a very precise removal of calculus from teeth pockets, a substance accumulated as a result of imprecise hygiene of oral cavity. Accumulating calculus enters into fissures between gums and teeth, which increases the gap and may lead to inflammation. Curettage can be performed in two manners – as closed and open curettage, depending on how deep the pockets with calculus are.

Closed curettage is performed when pockets are not very deep (up to ca. 5 mm). Supragingival deposits are removed, with no need to uncover the root surgically. Open curettage includes a surgical procedure of root uncovering.

Both procedures – open and closed curettage – are performed with local anaesthesia.

Gingivectomy, also called gingivoplasty (plastic surgery of gums), is a procedure performed when gums are not symmetrical, overlap teeth, or are of a wrong shape. This procedure involves the removal of excessive gum tissue or shaping gums to their suitable shape. This procedure is performed with local anaesthesia.

Flap procedures are performed when periodontal disease is extremely advanced and it is necessary to remove tissue affected by inflammation. Such a procedure aims at surgical uncovering of gums in the area affected by inflammation, with the purpose of uncovering roots and alveolar process bones. This facilitates access to the focus of inflammation. If, during the procedure, we find out that there is a significant bone loss, it is possible to control bone regeneration by filling it with proper bone-replacing materials. Flap procedures are performed with local anaesthesia, and after they are finished, the operated place is stitched up.