For your beautiful smile, apart from perfectly healthy teeth, it is necessary to take care of the tooth-supporting apparatus. It holds the tooth in its cup and consists of the alveolar (tooth) bone, gingiva (gums), periodontium (the fibers that connect the tooth and bone) and root cementum. The most common disease of the supporting apparatus is parodontopathy.
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Parodontopathy has become a disease of modern times. It is the second most common disease in the oral cavity, directly after caries. Genetics as a predisposing factor has great influence on the occurrence of periodontal disease, although the more frequent factors of its etiology are the life habits: poor oral hygiene and diet. Fast pace of living and lack of time for preparation of healthy food dictate a diet that predominantly consists of fast and sticky foods. After eating fast food, soft deposits (dental plaque) remain on the teeth surface. They are an ideal base for the spreading of bacteria and lowering the pH level in the oral cavity. As soon as the pH of the oral cavity becomes acidic, the ideal conditions for caries and dental calculus formation have been created. The first and basic symptom that you suffer from periodontal disease is gums bleeding.
Dental calculus removal
Non-surgical treatment of periodontal pockets
Gingival flap surgery
Dental calculus removal
The main cause of parodontopathy is dental calculus, mineralised deposits on the teeth, which can only be removed in the dentist's office. It is located on the tooth crown, right above the gums, most of it is on the inside of the lower incisors because beneath the tongue lay the main ducts of the salivary glands and in that part of the oral cavity the saliva has the highest concentration. The calculus located beneath the gums, on the root surface, is called concrements.
Removal of solid and soft deposits in our office is a routine, painless procedure done by an ultrasonic device and does not require the use of anaesthesia. A quick, simple method that, if applied regularly, following all the rules of oral hygiene we recommend, guarantees long and healthy life for your teeth.
NON-SURGICAL TREATMENT OF PERIODONTAL POCKETS
The presence of dental calculus leads to occurrence of periodontal pockets. The pocket is a space between the root on the one side and gingiva on the other (gums), and its normal depth is up to 2mm. With the accumulation of the calculus, this pocket deepens and begins to endanger the tooth. As the pocket deepens, bone disappears, gums pull away from the tooth, it becomes loose and eventually falls out.
To avoid this scenario, it is necessary to regularly remove dental calculus twice a year and regularly use an interdental floss once a day, in the evening after washing your teeth.
If the periodontal pockets are already present, at our office, after removing calculus, we will do curettage of your periodontal pockets. It is a simple procedure performed under a local anaesthesia, with an instrument called a curette. The curette goes below the gingiva level, down to the bottom of the periodontal pocket and removes all its inflamed content. Usually curettage removes the root concrements and the granulations formed because of the inability of gingival fluid to flow freely. If the depth of the pocket is too big and the curette cannot reach the bottom of the pocket, it must be accessed by periodontal surgery, i.e. gingival flap surgery.
In addition to the presence of dental calculus and soft deposits, pigmentation can also accumulate on the tooth surface. These are discolourations of the tooth enamel caused by bad habits: smoking cigarettes, drinking coffee, tea, carbonated drinks. After calculus removal, we do sandblasting with the Air Flow machine, which ideally removes even the tiniest pigmentation from the teeth. After blasting, the tooth surface remains smooth, so it is less susceptible to dental plaque and concrements.
The procedure is painless, quick, simple and used agent has pleasant taste. The patient who once experiences teeth sandblasting, always seeks the same procedure after the removal of the dental calculus.
GINGIVAL FLAP SURGERY
If periodontal pockets are not treated regularly, and are not cleaned up with a standard closed curettage, they continue to expand, deepen and endanger the tooth ever more. If the depth of the pocket reaches a level that it cannot be treated by curettage, then it is necessary to proceed with surgical treatment, by making the gingival flaps periodontal pockets are surgically accessed and cleaned using the open curettage method. It is performed under local anaesthesia. A minimal cut is required, necessary for this type of intervention, and then the pockets are treated. They can be treated in two ways:
Classic mechanical method
The essence of both methods is to completely remove all present concrements and granulations, and to destroy all the microorganisms located in those areas. At the end of this intervention, when the desired results are achieved, it is often necessary to add artificial bone and that procedure is performed in the same act. After the procedure is completed, it a check-up visit is required after ten days, when the sutures are removed, and the next after 6 months, when the level of newly formed bone is measured using the OPT.