Periodontal Diseases And Peri-Implant Tissues Treatment

Treatment of all types of gingivitis

Gingivitis is a gingival inflammation process that may develop in different forms: catarrhal, hypertrophic, ulcerous-necrotic, and atrophic.

Causes of the gingivitis:

  • Poor oral hygiene;
  • Injury-risk factors (mistakes in dental prosthetics and filling);
  • Burns (chemical and thermal);
  • Vitamin deficiency;
  • Gastrointestinal tract diseases;
  • Hormone imbalance.

All these factors may lead to gingival inflammation, their bleeding, tenderness, and bad smell.

Gingivitis treatment includes the complex of local and general procedures.

1. As a matter of priority there is a need to get rid of dental calculus which is to make a professional hygiene with the help of ultrasound devise or manual scaling. Visit the page Professional dental calculus removal.

2. Afterwards there is a need to treat all of the teeth affected by caries as well as replace fillings or dentures of bad quality. After eliminating inflammation causing factors the doctor may prescribe an anti-inflammatory therapy (antiseptic mouthwash, applications such as ointments, gels and toothpastes) and in some cases antibiotic therapy as well as restorative therapy (vitamins intake). This will contribute to fast tissue healing and will increase body protective properties.

Treatment of all types of periodontitis

Periodontitis is inflammatory disease affecting tissues surrounding a tooth. There is localized type of periodontitis which means damage of area of 30% of teeth and generalized where the most portion of periodontal tissues are damaged. Depending on damage severity dentist defines the treatment tactics: conservative or surgical. To identify the disease severity periodontist identifies the depth of gingival pockets using modern Florida Probe computer-aided diagnostic system for periodontium. Examination results are transferred to computer automatically and patient with a doctor may see them on monitor. In the process of diagnosis and periodontitis treatment planning there is a need of X-ray imaging of teeth that can be done in our clinic. Periodontitis treatment always starts with dental calculus removal, that is supra- and sub-gingival, since dental plaque and scale in particular cause inflammation process.

Vector-therapy is additional method which is gentle in relation to hard teeth tissues. It is intended for conservative periodontal diseases therapy and as a rule used in supporting therapy. This technique helps to destroy and wash out of gingival pockets bacteria and their waste products.

Nonsurgical debridement of gingival pockets is the main technique of periodontitis treatment. This manipulation takes place to remove dental calculus, infected tissues as well as smooth the dental root surface using special dental curettes. Dentist does not see the dental root surface itself but relies only on tactile sensations. Procedure practically painless and often unanesthetized on the other hand in the presence of increased sensitivity there is a place for electronic anesthesia by STA. Debridement on the average occupies about an hour. Afterwards antiseptic preparation of oral cavity occurs and if applicable isolating bandage is placed allowing quick recovery.

Traumatic occlusion correction

In the process of periodontal diseases treatment the traumatic occlusion correction is of significant importance. Traumatic occlusion is such joining of teeth at which periodontal tissue functional overloading occurs. Depending on development mechanism there is primary and secondary traumatic occlusion.

Primary traumatic occlusion appears in the presence of increased load on unaffected periodontium and has more limited character. It occurs in the absence of one or a few teeth, dento-facial anomaly, in pathologies followed by increased dental hard tissue abrasion as well as in the process of failed denture treatment or orthodontic treatment. In such a case hyperemia of gingival margin in the form of horned moon takes place and also gingival pockets may occur in the area of tooth which experiences increased load.

Secondary traumatic occlusion has more common character and occurs secondary to affected periodontium for which even usual mastication load is traumatic. There are such specific symptoms as gingival pockets, wedge-shaped defect, trema (gaps between teeth), and gingival recession (condition where gingiva is lowered and the tooth’s root is under exposure).

Traumatic occlusion treatment requires complex approach: it involves therapists, periodontists, orthopedists, orthodontists, and typically surgeons. As a matter of priority there is a need to correct pathology that became a reason for dental overload. For traumatic occlusion correction selective grinding and tooth splinting takes place.

Loose tooth splinting. The main purpose of splinting is loose tooth fixation. Typically tooth splinting takes place in periodontal disease as well as after orthodontic treatment. There are different types and methods of splinting. After end of orthodontic treatment in most cases metallic retainer is attached to teeth on the inside by special material and worn to complete stabilization. Retainer is absolutely harmless but to clean it there is a need to use a special interdental brush or superfloss (dental floss with a stiff end) for more accurate dental care.

Gingival margin form correction. Sometimes for a beautiful smile simply professional dental calculus removal, whitening or veneers is not enough. And aesthetic problem is not always connected with the state of teeth. The extent to which your smile looks beautiful depends also on gingival architecture. There is such a concept as “gingival smile” which means a smile where significant part of gingiva is visible. The reason of this is excessively proliferative gingiva that covers teeth more than it should be. However this problem is solvable as a result of laser correction.

Using laser a doctor excises excessively proliferative gingiva and puts it into appropriate form. This procedure is minimally invasive and absolutely painless it is made under local electronic anesthesia by STA. The operation is bloodless and does not require suturing that helps apparently accelerate recovery.


Yulia Cherepinskaya

founder and director of the educational and clinical center SENSE, dentist, Ph.D., M.Ed., specialist and mentor in periodontology and laser dentistry

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