Periodontitis is an inflammatory disease of the tissues surrounding and supporting the teeth
The inflammation extends deep in the tissue and gradually observed detachment of the gums from the teeth and destruction of the bone that supports the roots of teeth
If not treated immediately, the teeth initially present high mobility and finally fall
Periodontitis is considered the most common cause of tooth loss in adults, and the incidence is too high in ages over 45 years
Periodontal disease can be diagnosed by special Periodontist or the dentist at an early stage
The patient usually understands the disease at a very advanced stage
Periodontitis as amount of periodontal ligament fibers that have been lost is divided into mild, moderate or severe, depending on the extent of a localized or generalized
The symptoms of periodontal disease are:
• Bleeding gums during brushing or by themselves
• Red, swollen or tender gums
• Gums have receded (gingival recession)
• Tooth Mobility (sometimes small and sometimes large)
• Gums that are detached from the tooth
• Teeth movement
• Persistent bad breath
• Pus between the teeth and gums
Predisposal factors of Periodontitis:
• Not effectively removal plaque from teeth
• Smoking
• Uncontrolled diabetes
• Genetics
• Stress
• Systemic diseases
• Diseases affecting the immune system (eg aids)
• Hormonal disorders
• Traumatic occlusion
• Poor oral hygiene
• Medication
Conservative, non-surgical treatment
With special periodontal instruments and ultrasonic scalers, can be cured by scaling and root planning, are removed plaque from the root surface , microbes and toxins, painlessly under local anaesthesia
The patient feels no pain, even during the procedure or after he goes home
It usually takes 4-6 visits. Given oral hygiene instructions to the patient (right way of brushing teeth, interdental brushes and sometimes mouthwash and / or gel)
The ideal time to evaluate the results of conservative periodontal therapy is 3 months
Surgical treatment :
In some cases where periodontal disease is well advanced, it is necessary after conservative treatment, to follow, in selected areas of oral gingival flap surgery
Surgical treatment, when is necessary, always follows the conservative
A flap procedure (locally gums opened with microsurgical methods) tissues are reshaped and then stitched into the place of the tooth
The advantages are the regeneration of lost periodontal tissues sometimes, the reduction of periodontal pockets, easier access to the root surface of the tooth with tartar deposition, the exact knowledge of prognosis
The patient feels pain after surgery. The disadvantage is that appears sensitivity to the teeth, in the cold and hot after surgery, until healing
Conservative treatment with Laser :
The additional use of the Laser in the conservative treatment reduces extremely the probability to require periodontal surgery
In combination with the conservative therapy, periodontal laser treatment (LPT) is effective, allowing the patient to remain healthy and live comfortably by controlling the disease
Periodontal treatment with laser (LPT) is absolutely safe and painless treatment
At the same time is not appears sensitivity to the teeth and especially indicated in patients with health problems, such as diabetes, heart disease, patients with allergies to antibiotics, haemophilia, HIV, periodontitis pockets with depth etc
The laser energy is transferred to the periodontal pocket to remove the infected tissue of the gums and to disinfect the microenvironment of the pocket, killing bacteria and inactivating the toxins in the tooth root surface and in the tissue of the gums, resulting in the activation of healing process
Video process
