Slide Periodontal treatment

Periodontics

Periodontics is a dentist speciality of gums disease study (gingivitis and periodontitis).

Gingivitis is an infectious disease manifested by bleeding gums. It is reversible, does not lead to bone loss. It can be mild, moderate or severe depending on the inflammation degree.

Periodontitis or “pyorrhea” is a chronic disease with infectious origin, which results in bone lost that supports the teeth and, consequently, in long or medium term, missing teeth if the treatment is not performed on time.

Symptoms

  • Gums bleeding (when brushing, eating or even spontaneously).
  • Bad breath (halitosis).
  • Bad taste in the mouth.
  • Dental sensitivity (especially with cold things).
  • Inflamed gums.
  • Loose teeth.
  • Gums Retraction: exposure the roots or long teeth.

Gum problems DO NOT HURT in most cases, patient can be aware if one of these symptoms appear

Sometimes, these symptoms are camouflaged by tobacco, which causes vasoconstriction and hide inflammation signs. Therefore, if you smoke, we advise you to do a periodontal study to rule out any gum problem before is too late.

Periodontal treatment

It consists of several sessions of scraping and root planing to decontaminate the root of the tooth. Previously, X-rays and a detailed study of each tooth must be carried out with an electronic probe (Florida Probe) that informs us of the degree of inflammation, recession, mobility and other important data to assess the response to treatment and based on that, establish guidelines for determined actions and an individualized forecast. Likewise, it is essential to instruct the patient in brushing techniques and interdental hygiene.

Once the scrapings are finished, a microbiological analysis is done to determine if there is any more aggressive bacteria that has caused the inflammation and bone loss. This will help us to know whether to use antibiotics or not, and what specific antibiotic is necessary.

At the end of this 1st phase, a periodontal evaluation will have to be carried out again to assess the response to treatment and the need or not to perform surgery.

We can also carry out a genetic analysis to assess the predisposition to suffer from the disease. This will help us to foresee possible complications and make certain decisions for the future.

Periodontal Decontamination

It is the first phase of periodontal treatment. It is focused on eradicating the main cause of gum problems: BACTERIA. It is necessary mechanical treatment (scaling and root planing), and in some cases also chemical (antibiotics).

Periodontal disease is caused by an imbalance between the bacteria that coexist in our mouth and our defenses. Either they increase the bacteria or they lower the defenses. This imbalance favors the growth of pathogenic species that are more aggressive to our gingiva, and which do not disappear just by scraping. Therefore, to make sure that the treatment is effective, we make a sample with paper tips that are inserted into the gum (no painful procedure). This is sent to the laboratory to determine the presence and proportion of periodontal pathogens. Depending on the result we see if you have to take antibiotics and which specific.

Gingiva grafts

The grafts can be made on teeth, on implants or in areas that are missing pieces to recover the volume lost after an extraction.

They can be made for different purposes:

  • Coating of exposed dental roots (can occur by aggressive brushing, malposition of teeth, piercings …)
  • Inserted gingiva enlargement (in zones with traction of “frenillos” or bottom of short vestibule).
  • Increased thickness in areas where a tooth is missing to improve hygiene and aesthetics.
  • Increased gum volume on dental implants.

It is a microsurgical technique, very meticulous, but with spectacular results in many cases. For the success of the treatment, it is imperative that the patient does not smoke, since the tobacco compromises the vascularization of the graft.

Periodontal Regeneration

In some cases, we can regenerate the lost bone, where vertical defects are present. Depending on the morphology of the defect we can use proteins derived from the enamel matrix, or regeneration with collagen membranes.

It is a microsurgical technique, very meticulous, but with spectacular results in many cases. For the success of the treatment it is imperative that the patient does not smoke, since the tobacco compromises the vascularization of the graft.

FAQs Periodontitis / Gingivitis

How is gingivitis detected?

Usually, we detect gingivitis when our gums are irritated, visibly reddened, and if we bleed frequently when brushing, flossing or even eating. When it is getting serious, the gums bleed even alone. Normally is accompanied by bad breath and gum retraction.

How does gingivitis differ from periodontitis?

When gingivitis is not treated, it becomes periodontitis, which leads to loss of the bone that supports the teeth. Periodontitis requires more rigorous and long term treatment.

Why do I have gingivitis?

Gingivitis is not always because of poor oral hygiene. It can also occur in people with diseases such as diabetes, hypertension, or immunosuppression circumstances. On the other hand, sometimes women during pregnancy can also suffer it as a result of hormonal changes. In addition, we might brush 3 times a day but we do not do it correctly, or we do not floss, and that can lead to gingivitis.

Is gingivitis contagious?

t is not usually, however, there is always a risk that the bacteria can be transmitted through saliva, especially in stable couples. It has been shown that continued contact with a patient with gum problems can cause us to suffer it as well.

Can Periodontitis be cured?

When gingivitis is not treated, it becomes periodontitis, which leads to loss of the bone that supports the teeth. Periodontitis requires more rigorous and long term treatment.

How do I prevent gingivitis?

The main way to prevent it is to have constant oral hygiene. Ideally, brush your teeth after each meal and floss once a day to ensure that no food remains between your teeth. It is good to know that electric brushes are shown to remove more plaque than manual ones, which is a great help in keeping our gums healthy.

As for the professional section, it is recommended to visit the dentist between 1 and 2 times a year, to assess the general condition of the mouth.

What is the connection between periodontitis and tobacco?

There is a clear relationship between tobacco and periodontitis. Tobacco causes a decrease in the natural defenses of the mouth and this causes bacteria to penetrate the gums more easily.

Which are the periodontitis symptoms?

Symptomatology is very similar to gingivitis. The main symptom of periodontitis is bleeding and inflammation of the gums, bad breath, sensitivity increased and even dental pieces movement.

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