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PERIODONTICS – a bodyguard any teeth deserve!
Periodontics is a special area of dentistry focusing exclusively in the inflammatory disease that destroys the gums and other supporting structures around the teeth. Periodontal diseases that are treated are gingivitis and periodontitis, that are caused by bacterial infection, which, if not cureded, can lead to tooth loss.
Inflammation of the gums (gingiva) is called gingivitis and if the inflammation affects deeper structures we are talking about periodontitis.
Periodontal diseases are inflammatory conditions causing the destruction of gums, bone and periodontal ligament (that connects the teeth to the bone).
The cause of these diseases, in the first place, is poor oral hygiene or the accumulation of bacteria (plaque), tartar, food residues, poor prosthetic replacements. Periodontitis can be a hereditary disease, as well.
Periodontal disease can also occur as a result of certain systemic diseases (diabetes, leukemia, AIDS, etc.) Or because of some bad habits such as smoking.

The first symptoms of gingivitis (gingival inflammation) are redness and bleeding of the gums. It is caused by the accumulation of plaque (deposits of bacteria) around the dental necks, but also by poor oral hygiene. The mineralized plaque forms tartar, which can not be removed by brushing only.
The inflamed gingiva will slowly separate from the teeth and create the so-called periodontal pockets. These pockets require a lot of effort to be treated.
Furthermore, periodontitis is an infection of the bone that supports the teeth, which, if not treated, can lead to tooth loss. Millions of bacteria that live in our mouth are the cause of periodontitis and it is one of the most common causes of tooth loss in adults.
Unfortunately, periodontitis is an insidious disease that often shows only mild symptoms, so most people do not know they have it until it is too late.

Initial periodontal therapy in Videntis dental centre includes:

1. Instructions on oral hygiene – brushing techniques, types of brushes, auxiliary means (dental floss, interdental brushes, oral lotion, oral irrigator, etc.).
2. Cleaning of soft and hard deposits above the gum line – by ultrasound and by removal, sanding and polishing.
3. Scaling of the root underneath the gum line (dental scaling and root planing). The procedure involves scaling and removing tartar, bacterial plaque, bacterial toxins, unhealthy tissue on the surface of the tooth root and surrounding unhealthy soft tissue pocket.
4. The regular check-ups – after the initial periodontal therapy each patient gets an individually determined therapy dynamics and control plan.
The treatment is usually carried out in two visits and is done in local anesthesia. In some cases, this initial phase of treatment is sufficient to keep the disease under control, but sometimes a surgical therapy is needed and antibiotic medicine is prescribed to the patient. Both these therapeutical approaches can solve a lot of problems: get rid of the inflammation, reconstruct the bone and stop the further development of the disease. A regular control is required three to four times per year (or more often if recommend by the periodontist), after the initial treatment has been completed.

A rapid and targeted treatment can be applied if periodontitis is diagnosed in time. The goal of the initial periodontal therapy is to remove the main cause of periodontitis – plaque – from all the affected areas.

In our dental centre, dr. Ante Stjepan Vidovic applies the latest knowledge in the field of periodontology gained in top clinics of Germany and Switzerland.

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