Periodontitis is a prevalent disease.
Signs for periodontitis include:
- bleeding gums
- pain while brushing the teeth
- loosening of the teeth
The underlying cause of periodontitis is an infection of the gingiva and the deep gingival pockets. This infection promotes the degradation of the bone surrounding the tooth, leading to loss of stability and eventual loss of the tooth. Along with cavities that degrade the teeth, periodontitis is one of the leading causes of tooth loss in adults.
Periodontitis has a number of causes.
Firstly, inadequate oral hygiene can lead to a superficial infection of the gums. If this remains untreated, the infection will spread deeper until it reaches the gingival pockets. The toothbrush cannot reach the gingival pockets, therefore once here the bacteria can grow. The development of plaque causes further infection.
Additional factors can worsen the situation: smoking, stress, a general weakening of immune function.
The continuous immune response made by the body to this infection has an impact on the health of the patient.
The goal of periodontal therapy is to break this vicious circle:
Poor oral hygiene and smoking — infection of the gingival pockets —bone loss —tooth loss
Professional teeth cleaning and the removal of plaque from the deep gingival pockets can eliminate bacteria and avoid further infection.
The course of periodontal treatment:
Firstly, the exact state of the gingiva is assessed, to ascertain whether treatment is possible.
Next, the patient receives guided instructions on how best to keep the teeth and gums clean and hygienic. Optimal oral hygiene is a prerequisite for the lasting success of periodontal treatment.
In one or two sessions, the gingival pockets are thoroughly cleaned. Special rinsing solutions help to eliminate bacteria.
Finally, we perform laser treatment to eradicate any remaining bacteria and activate the self-healing powers of the body.
- Surgical intervention is necessary when deep gingival pockets become exposed and cannot be cleaned by conventional methods.
- The gums are opened and the teeth and roots are cleaned. The bones are also modified to make cleaning easier in the future.
- In some cases, the bones and teeth can be reconstructed using a special augmentation material.
Treatment with antibiotics may be necessary if the gingival pockets are badly infected.
Periodontal treatment is considered successful if the gingival pockets are free of infection and no longer bleed. “Healthy gums do not bleed!” Elimination of the infection can stabilize loosened teeth and stability can be maintained by regular clinical check-ups.