Periodontics — treatment of gum disease

Ignoring the hygiene and the proper care of your oral cavity can cause the diseases of the surrounding and supporting tissues (periodont). Even small gingival sulcus and gingival bleeding or bad breath in the mouth have to become a serious reason to visit a periodontist.

Basic services of the periodontist

• Treatment of gum disease
• Curettage
• Temporary splinting of teeth
• Professional hygiene of the oral cavity
• Priming teeth
• Peri-implantitis treatment

You need the help of a periodontist if there is:

• Bad breath
• Teeth mobility
• Purulent discharge of gum
• Visible changes in the dentition
• The presence of a dental calculus
• The presence of pigmentation of the teeth

Frequently Asked Questions for a Periodontist

What does a periodontist treat?

A periodontist is a narrow specialist in modern dentistry. A periodontist treats diseases of the periodontal tissues (the tissues that support the teeth): the gums, bone, periodontal ligaments, and the cementum of the tooth. A periodontist treats conditions such as gingivitis, periodontitis, peri-implantitis, and diseases of the oral mucosa.

If your gums bleed — what should you do?

Bleeding gums are an important sign that there is a problem with the periodontal tissues, which can lead to the risk of tooth loss. If you notice bleeding, swelling, redness of the gums, or pus discharge from the gums, you should contact a periodontist immediately.

What can gum bleeding be related to?

Bleeding gums are a result of inflammation, which in turn is caused by toxins produced by pathogenic microflora. The following species are considered among the most aggressive: Porphyromonas gingivalis, Aggregatibacter actinomycetemcomitans, and Tannerella forsythia. All of these bacteria are gram-negative anaerobes found in periodontal pockets and can lead to aggressive forms of periodontitis and tooth loss.

My gums are swollen and sore. What is the cause and what should I do?

The most common cause of gum swelling is inflammation. Only a doctor can determine the exact cause and the appropriate treatment methods during a clinical examination. After the dental examination, the dentist will prescribe the appropriate treatment. If you have gum swelling, we recommend contacting a dentist or periodontist immediately to help prevent tooth loss.

What can increased tooth sensitivity be related to?

The main causes of increased tooth sensitivity:

• Acute carious tooth lesion
• Exposure of tooth roots in periodontitis
• Pathological enamel wear
• Consumption of harmful beverages
• Use of medicines and products with increased acidity
• Aggressive teeth whitening
• Use of hard toothbrushes
• Hereditary factors.

How often should you have your teeth cleaned by a dentist?

The most authoritative international periodontal organizations (for example, the EFP — European Federation of Periodontology) recommend having professional teeth cleaning once every 6 months.

What is the difference between professional oral hygiene and teeth whitening?

Professional oral hygiene (professional teeth cleaning) is the mechanical removal of dental deposits (hard, soft, and pigmented plaque). Teeth whitening is a chemical process carried out to lighten the colour of tooth enamel. Whitening occurs due to the action of atomic oxygen on the enamel, which affects its colour.

How frequently should you replace your toothbrush?

The most authoritative global dental organizations recommend replacing your toothbrush once every 3 months, or earlier if the brush has visibly lost its shape.

Do you need to change your toothpaste?

Yes, toothpaste should be changed periodically. The most evidence-based way to choose a toothpaste is for a dentist to recommend it after taking a medical history and performing a clinical examination. We also recommend treating advertising claims in the media about the properties of toothpastes with skepticism.

Which drinks are harmful to teeth?

• Concentrated fresh acidic juices
• Sugary carbonated drinks
• Hot drinks combined with cold food (or vice versa).

Cost of the main periodontist services