GUMS TREATMENTS

Periodontology deals with the periodontium, which consists of cementum, retaining fibers, gums and bone. It is responsible for ensuring that the tooth is firmly anchored to the jawbone and that our teeth remain in place during daily use. Damage to the periodontium by bacteria that can sit on the tooth neck and cause gingivitis and bad breath is called periodontitis, or more commonly periodontosis. Gum recession can occur with or without a bacterial infection.

Periodontitis is a bacterial infection that B. arise in the gums if leftover food cannot be removed from the gum pockets when brushing your teeth. Poor oral hygiene is usually the cause, but periodontitis is a multifactorial disease.

If the bacterial plaque that builds up on and between teeth is not properly cleaned, it will eventually turn into tartar. This makes cleaning even more difficult.

Bacterial plaque, which spreads deeper over time, causes an inflammatory reaction that is manifested by redness, swelling and bleeding in the gums. This inflammation of the gums at this level is called gingivitis.

As the disease progresses, the gums and then the bone tissue around the roots of the teeth thin and recede, exposing the delicate necks of the teeth. The disease at this level is called periodontitis. Gingivitis and periodontitis, which ultimately cause tooth loss, are insidious diseases that lead to long-term tooth loss. Poor oral hygiene often leads to receding gums.

OPEN COURTAGE (“Flap Operation)

Open periodontitis treatment may be necessary if closed periodontitis treatment has not achieved the expected success. This is the case, for example, when the inflamed gums have not healed as desired. Particularly deep gum pockets (approx. from 5-6 mm) are also an indication that a closed treatment may not be sufficient.

The flap operation is root planing, also known as SRP (“Scaling and Root Planning”). In open periodontosis treatment, the gums are opened up. This is the biggest difference to the closed variant. If the periodontitis has even penetrated to the bone, the bone can be smoothed out in addition to the tooth roots during open treatment. The closed treatment primarily targets the bacteria below the gum line.

GINGIVECTOMY

Gingivectomy is the term for a dental procedure in which the gingiva, i.e. the gums, are partially removed. It also serves to flatten or correct gum pockets. Inflammation of the periodontal pockets is easy for the dentist to recognize, but a microscopic examination of the tissue makes sense in most cases.

A gingivectomy is a surgical removal of the gums. It is carried out for diseases of the gums and is intended to reduce gum and bone pockets. A conventional method is removal with a scalpel.

PROFESSIONAL TOOTH CLEANING

“Professional tooth cleaning” means a bundle of special dental hygiene measures that are offered in our dental practice and are intended to support patients in their home dental care. During professional tooth cleaning, plaque and superficial tooth discoloration are removed and the teeth are polished and fluoridated.

Thoroughly cleaning your teeth means removing bacterial plaque from them all over. The bacteria and their metabolic products can attack the teeth and gums and cause tooth decay or inflammation of the gums (gingivitis). In the long term, periodontitis can develop from gingivitis. In the case of periodontitis, the inflammation has spread to the periodontium and the bone.

Plaque can sometimes be felt with the tongue: the tooth surface can feel furry or rough. Plaque can be removed by regularly and thoroughly brushing your teeth and cleaning the spaces between your teeth. If plaque is not completely removed, it can harden into tartar.

The aim of professional tooth cleaning is to create the basis for good oral hygiene and to advise patients on their personal hygiene behavior. Professional tooth cleaning should complement and support daily oral care that you do yourself – but it can in no way replace it.

CLOSED CURETTAGE

Periodontal disease often leads to bleeding gums, loosening of the teeth and gum pockets. In advanced cases only a so-called curettage can help. This is a typical method in periodontal treatment: an operation performed with fine hand instruments. Dentists distinguish between an open and a closed curettage.

We use closed curettage when it comes to periodontitis in the early stages. He removes so-called subgingival concrements: tartar and bacterial deposits that are below the edge of the gums. Dental hand instruments are used to thoroughly remove the stubborn deposits.