Periodontics

After diagnosing periodontal disease, we will clean hard and soft deposits above the dental flesh level. Dental deposits propagate development and accumulation of bacteria. By ultrasonic cleaning, we will remove the calculus, while brushing and polishing teeth will ensure that the calculus is less likely to be formed. At this stage of periodontal therapy, it may be necessary to replace fillings that propagate plaque accumulation.

The first two phases of periodontal therapy may be sufficient to eliminate gingivitis and stop its progression into periodontitis. However, if the periodontal pockets have already developed in a patient, it is also necessary to clean the deposits accumulated below the dental flesh level, especially dental calculus and plaque, filled with bacterial toxins.

Toxins produced by bacteria cause the gum disease and its separation from teeth. Procedures at this stage include scaling and polishing of the root canal. If the patient adheres to oral hygiene advice, often after this phase periodontal therapy can be considered successful, with mandatory check-ups three to four times a year or more frequently.

With advanced periodontitis, it will be necessary to remove the inflamed tissue around the root canal and surrounding diseased soft tissue of the periodontal pocket. This is the third phase of periodontal therapy, and we call it resective periodontal therapy.

Resective therapy involves surgery of dental flesh covering the neck and the root of the tooth (so-called flap) and may include clinical extension of the tooth crown and covering of the visible teeth roots. All surgeries are performed in local anesthesia, painless for the patient.