Periodontology

The poor condition of the patient (general conditions, medication, genetic predisposition, etc.), smoking, insufficient water intake and the lack of constant and rigorous oral hygiene are favorable factors for the appearance of periodontal diseases, the mineralization of bacterial plaque and the formation of tartar.

Because gingivitis is not symptomatically manifested by pain, most patients do not seek treatment for periodontal diseases in the early phase, but only when they notice gingival bleeding, inflammation, halena (bad breath), taste sensation unpleasant, gum tension, tooth mobility or purulent collections.

The evolution of periodontal disease can go unnoticed for months or even years. Statistics warn us that 90% of adults have periodontal/gingival disease in various stages, this being considered an important cause of tooth loss, therefore the periodic control of all patients every 6 months is very important.

In the EXCEDENT CLINIC, we initially carry out dental hygiene, through descaling, professional tooth brushing, air-flow with sodium bicarbonate and laser cleaning. The treatment of periodontitis then continues with the following clinical stages:

1. Removal of factors favoring the retention of food residues: wide or incorrect prosthetic work, unfinished fillings, marginal caries, etc.
2. Education for good oral hygiene: we teach the patient how and what to use for an effective removal of periodontopathogenic bacteria: dental floss, mouthwash, interdental brushes, oral douche.
3. Subgingival descaling with special handles. Black subgingival tartar keeps numerous bacteria on its rough surface!
4. Laser bacterial decontamination, a painless and quick procedure, will reduce inflammation and is mandatory before periodontometry, to avoid cross-contamination of periodontal pockets.
5. Periodontometry: the painless clinical method by which the depth of periodontal pockets, gingival retraction and tooth mobility are measured. These data are written in the periodontal file to establish the optimal method of treatment.
6. Subgingival curettage of periodontal pockets

The periodontal pocket is a space formed between the tooth and the gum, which fills with bacteria, diseased bone, tartar or pus. They maintain a permanent inflammation that progressively melts the bone around the root.

Subgingival curettage cleans the pathological, infected contents of the periodontal pockets. The intervention is painless, under local anesthesia, only on the affected tooth. By removing the infected tissue, the periodontal pocket will be reduced, the inflammation will subside and the progression of the periodontal disease will be under control.

1. Treatment of periodontitis with laser. The Biolase laser is necessary to eliminate pathogenic bacteria from deep areas with very difficult access. The laser intervention is completely painless and is performed at the end of the subgingival curettage under local anesthesia, in the same session.
2. Surgical interventions for the treatment of advanced periodontitis. In very deep periodontal pockets, better visibility and access is necessary. Periodontal flap surgery allows periodontal regeneration by applying specific solutions (Perisolv, HybenX, etc.), protective membranes, bone grafts, enamel matrix proteins (Emdogain), etc..
3. Immobilization of periodontal teeth with computerized splints. The PMMA splint redistributes forces on several teeth and protects diseased teeth. Immobilization stops the migration tendency of periodontal teeth and the breaking of periodontal ligaments.
4. Dental implants for replacing missing teeth. Dental bridges and mobile acrylic prostheses are contraindicated in periodontitis, because they increase masticatory loads on some remaining pillar teeth with already reduced bone implantation.
5. Plasmolifting – the method of processing by centrifugation of the patient’s blood with the help of a unique set of vacuumed biotechnological test tubes. An injectable form of platelet-rich plasma (PRP-platelet rich plasma) is obtained, which is introduced as a finished product into the periodontal tissues, to reduce inflammation, trigger natural gingival remodeling processes and prevent bone loss.
6. Dispensary. The periodontal patient must know that periodontitis is a chronic condition, which requires periodic check-ups like any other chronic disease, to prevent recurrence. In the first year, the checks will be every 3 months, then every 6 months.