A healthy and beautiful smile means healthy gums too. If you are experiencing discomfort when brushing your teeth, unpleasant breath, bleeding gums or exposed tooth necks, then a periodontist consultation is required. These symptoms may seem like plaque, however, they are often the only symptoms of an emerging periodontal disease. Only regular check-ups as well as monitoring and treatment by a periodontist can prevent the rapid escalation of symptoms to such as: loosening and displacement of teeth or their complete loss.
Periodontics is concerned with the diagnosis and treatment of periodontium, gum and bone diseases, as well as with the plasticity of the soft and hard tissues. Periodontics treatment include:
Treatment of the periodontics (surgical and non-surgical)
Covering the teeth recession
Clinical crown lengthening
Open and closed curettage (the treatment of teeth pockets that occur due to the build-up of tartar, food debris etc)
The plasticity of the bum and mucous membrane
The controlled regeneration of the bone (concerned with the application of bone forming material in the area of bone deficit)
This stage is performed by a qualified dental hygienist. The aim is to eliminate the inflammatory condition and to heal the false deep pockets. This happens by the minimisation of pathogenic bacteria. Firstly, the removal of calculus takes place (scaling), next the tooth surfaces are polished and protected with special fluoride solution. A regular appointments with dental hygienist (a minimum of once per year) allows to maintain an appropriate oral hygiene.
This stage of periodontitis treatment is usually preceded by a consultation visit, during which the periodontist measures periodontal pockets and develops a plan for further treatment. A full treatment plan is also prepared during this visit. This stage in periodontics includes primarily procedures called closed curettage, which are aimed at eliminating subgingival deposits and granulation tissue.
This is the phase during which additional surgical procedures are performed, such as open curettage, flap procedures, regenerative procedures, etc.
However, this applies to strictly defined cases.
Since periodontal diseases are irreversible conditions, it is necessary to remain under the constant care of a periodontist and dental hygienist. This phase includes follow-up visits where the doctor assesses the level of hygiene and treatment results. In this way, you can avoid more serious periodontal complications for many years.
In cases of significant recession of the gum (the vanishing of the gum, the release of tooth neck), the return to completely healthy condition may be very time consuming or even impossible. In such cases, the surgical restoration of the gum may be required. The procedure is concerned with obtaining the gum tissue from the near area, which is then stitched to the released gum covering the visible tooth root up to the tooth neck. The procedure represents the type of autograft, therefore the chances of the procedure being unsuccessful is very minimal. The procedure is performed in the local anaesthetic by the periodontist specialist and takes place in a dental surgery. The recession covering by the adjacent lobe is a procedure that guarantees the complete return of functionality and restoration the aesthetics on the gum.
Teeth splinting is one of the last stages of treatment, aiming to immobilize teeth that are moving due to periodontitis or due to loosen teeth as a result of mechanical damages. The procedure can be performed as a temporary or permanent solution.
The periodontium diseases can result in teeth loosening, which is very uncomfortable for the patient, affecting the chewing ability. If the methods of stopping the development of such problems are not effective or if the problems are very advanced, the dentist may recommend the procedure of teeth splinting.
The clinical lengthening of the crown is a microsurgical procedure, which is performed under a local anaestheic in cases of when the tooth is broken under the gum line, or if the tooth has a very significant caries that damaged the tooth under the gum line. Not that long ago, such occurrences meant only one verdict - 'The tooth needs to be extracted!'
During the procedure, the specialist reveals the line of a healthy tooth tissue in a way that it is no longer hidden under the gum line, slightly reducing the bone changing the position of the gum. The procedure is absolutely pain free, and stitches can be removed after 7 days. After the healing period, the tooth can be restored. The type of restoration is chosen by the specialist ensuring that the tooth is secure and resistant to reappearing breakage. The best option of restoration is the prosthetic tooth crown and the fiberglass insert as a means of strengthening the tooth.
Unfortunately, the cases of tooth vertical breakage along the tooth root, deep horizontal breakage of the tooth root or root caries are an indication for tooth extraction. All procedures of filling or prosthetic crown without the prior procedure of clinical crown lengthening are doomed to failure. There is no technical possibility of performing an appropriate filling or prosthetic crown in a moist environment below the gum, as in such environment the dental materials are not binding appropriately.
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