Periodontology – How to treat periodontitis?
What is periodontology?
Periodontology is a branch of dental medicine dealing with treatment of supporting structures of teeth – periodontium – which consist out of gingiva (gums), bone and fibers which bind a tooth to the bone.
Periodontal diseases are caused by poor oral hygiene and accumulation of bacteria. These are inflammatory conditions which result in devastation of tissues which secure teeth. Gums inflammation is called gingivitis, a chronic inflammation which also affects deeper structures of the supporting apparatus is called periodontitis.
It all begins from accumulation of teeth sediment (dental plaque) around dental necks. If we do not eliminate them on time, gums become red, painful and bleeds when brushing. This is a sign that we need to visit dentist (doctor of dental medicine)! In case gingivitis is not treated on time, periodontal pockets are created (gums slowly separates from a tooth) which are getting filled with bacteria and the disease advances into periodontitis. Periodontitis is one of the most common causes of teeth loss in adults. The biggest problem is the fact that it often comes with barely noticeable symptoms, while stats show that actually around 40% of people have it.
What are the symptoms of periodontitis?
Like we have already stated, symptoms can often be barely noticeable, so most people are not even aware that they have gingivitis of periodontitis. But, if you notice occasional or continuous tooth ache or gums pain, bleed while brushing, or your gums look red and sore, these are early symptoms of a periodontal disease and we definitely recommend you to visit us. Along with listed symptoms, you can also feel a unpleasant breath (halitosis) or looseness, i.e. bigger mobility of teeth.
What are the causes of periodontitis?
Periodontal diseases most often occur due to poor oral hygiene, i.e. soft (dental plaque) and hard sediments (dental tartar) on teeth. Also, retention of food is an excellent basis for reproduction of bacteria. Entry of food into teeth can occur due to caries or inadequately placed fillings, crowns, and bridges. Anatomical anomalies (thick, rotated teeth, deep bite) also have a significant role in the occurrence of periodontal diseases, as well as some systemic diseased such as diabetes, AIDS, or leukemia. Periodontitis is also a hereditary disease. However, something that we can definitely influence are bad habits, e.g. chewing of food with only one side of jaw due to pain or lack of teeth, mouth breathing, consummation of exclusively soft or liquid food and smoking!
Prevention and treatment
Risk of occurrence of periodontal diseases can be lowered with regular and proper brushing, use of dental floss and mouthwash.
Our recommendation is that you go to a check-up every six months, and in case it is necessary, we will perform an ultrasonic cleaning of your soft and hard dental plaque and polishing of your teeth roots. Of course, in our dental center, you will always receive instructions on oral hygiene according to the condition of your teeth (tooth brushing techniques, types of toothbrushes, auxiliary products, etc.)
Early stage of periodontitis can be cured with the stated preventive measures, but more advanced stages of disease require additional medical procedures and use of antibiotics. The development stage of a disease is diagnosed by measuring a periodontal index, radiograph analysis, and microbiological test.
Medical procedures are performed in agreement with a patient and in accordance to the plan of therapy. Those can include reduction of periodontal pockets, reconstruction, i.e. regeneration of bone and tissue, remodeling of gums (gingiva), extension of teeth crown, and in case it is necessary – bone and connective tissue transplants. After treatment, we recommend check-ups at least 3-4 times a year, and of course, the crucially important maintaining of good oral hygiene.