Periodontics
Treatment of gums and dental support tissues
What is periodontal treatment or periodontics?
Periodontal treatment refers to a set of medical and dental procedures aimed at treating periodontal diseases, also known as gum diseases. These diseases affect the tissues that surround and support the teeth, including the gums, alveolar bone, and periodontal ligament.
Periodontal treatment can vary depending on the severity and stage of periodontal disease, but generally aims to stop the progression of the disease, eliminate bacteria and plaque buildup, and restore the health of periodontal tissues. Some of the common procedures used in periodontal treatment are the following:
Deep dental cleaning
Also known as scaling and root planing, this technique involves removing plaque and calculus (accumulations of bacteria and minerals) from the surfaces of tooth roots. It is performed using manual instruments or ultrasounds to clean periodontal pockets and smooth root surfaces.
Periodontal surgery
In more advanced cases of periodontal disease, surgical procedures may be necessary to treat the disease. Some periodontal surgery options include removal of inflamed tissue, gingival or bone tissue grafting, and placement of barrier membranes to stimulate periodontal tissue regeneration.
Antimicrobial therapy
In some cases, antimicrobial agents, such as rinses or gels, can be used to help control bacterial proliferation and promote the healing of periodontal tissues.
Periodontal maintenance
After periodontal treatment, a regular maintenance program is recommended that includes periodic visits to the dentist or periodontist. During these visits, continuous evaluation of periodontal health will be performed, regular cleanings and follow-up of any signs of disease recurrence.
Periodontal treatment is fundamental to stopping the progression of periodontal diseases, preserving the health of gums and dental support tissues, and preventing tooth loss. It is important to receive a personalized diagnosis and treatment plan from a dental health professional, such as a periodontist, to adequately address the individual needs of each patient.
What are the benefits of periodontal treatment?
Periodontal treatment offers a number of significant benefits for oral and general health:
- Stopping Progression: By addressing gum diseases, periodontal treatment helps stop the progression of periodontal disease, preserving the health of gums and dental support tissue.
- Restoring Oral Health: The main goal is to restore oral health by removing bacteria, plaque, and dental calculus, facilitating healing and promoting a healthier oral environment.
- Prevention of Tooth Loss: By stopping the progression of periodontal disease, treatment helps prevent tooth loss associated with gum and dental support tissue problems.
- Comprehensive Evaluation: The initial treatment evaluation allows for an accurate diagnosis through examination of gums, measurement of periodontal pockets, X-rays, and detection of plaque and dental calculus.
- Periodontal Maintenance: The post-treatment maintenance program includes regular visits for professional cleanings and periodic evaluations, ensuring continuous monitoring of periodontal health and preventing recurrences.
With periodontal treatment, the aim is not only to address gum diseases but also to contribute to the patient's overall well-being, promoting a healthy and lasting smile.
What is the process of periodontal treatment?
Periodontal treatment is a set of procedures designed to treat and prevent gum diseases and dental support tissue. The main goal is to stop the progression of periodontal disease and restore oral health. Below are the common steps in periodontal treatment:
Periodontal treatment procedure
Initial evaluation
The first step is to perform a complete evaluation of periodontal health. This includes examining the gums, measuring the depth of periodontal pockets (space between teeth and gums), X-rays to evaluate the supporting bone, and detection of plaque and dental calculus.
Deep cleaning (scaling and root planing)
If the presence of bacterial plaque and dental calculus is detected, a deep cleaning is performed. This procedure is known as scaling and root planing. An instrument called a curette is used to remove plaque and calculus from the dental root surfaces. The root surface is also smoothed to remove bacteria and facilitate healing.
Treatment of deep pockets
If deep periodontal pockets are found, additional treatment may be necessary. This may include periodontal surgery, in which the gum is lifted to access the dental roots and remove infected tissue. Antibiotic therapy may also be used to control bacteria.
Periodontal maintenance
After initial treatment, it is essential to follow a periodontal maintenance program. This involves regular visits to the periodontist or dentist for professional cleanings and periodic evaluations of periodontal health. Proper periodontal maintenance is essential to control the disease and prevent its recurrence.
It is important to note that periodontal treatment can vary according to the severity of the disease and the individual needs of each patient. Therefore, it is essential to consult a dental health professional to obtain an accurate diagnosis and personalized treatment plan.
Frequently asked questions about periodontal treatment
We answer the most common questions about periodontics and gum care to help you make informed decisions about your oral health.
How often do I need to have periodontics?
Dental curettage, also known as scaling and root planing, is a deep cleaning procedure performed in the treatment of periodontal disease. The frequency with which dental curettage is recommended can vary depending on the severity of periodontal disease and the individual needs of each patient.
- Indications for curettage: In general, dental curettage is usually recommended when the presence of periodontal pockets (space between teeth and gums) of 4 millimeters or more is detected, gum bleeding, inflammation, and accumulation of bacterial plaque and dental calculus.
- Maintenance frequency: After dental curettage, it is essential to follow a periodontal maintenance program, which includes regular visits to the periodontist or dentist for professional cleanings and periodic evaluations. The frequency of these maintenance visits can vary, but generally every 3 to 6 months is recommended.
- Personalized evaluation: The period of time between dental curettages will depend on the individual patient's response to treatment, the severity of periodontal disease, and the effectiveness of the periodontal maintenance program.
Is it better to have periodontal treatment or extract the teeth?
The choice between undergoing periodontal treatment or extracting dental pieces depends on several factors, including the condition of the teeth, the severity of periodontal disease, general oral health, patient preferences, and the recommendation of the dentist or periodontist.
- Preservation of natural teeth: Natural teeth play an important role in chewing function, aesthetics, and support of facial structures. Periodontal treatment allows natural teeth to be kept in place and avoids the need for dental prostheses or implants.
- Preservation of bone and support tissue: Periodontal treatment can help stop the progression of periodontal disease and preserve the bone around the teeth. This is essential for maintaining the integrity of the dental structure and avoiding bone loss that can occur after dental extraction.
- Improvement of general oral health: Oral health is closely related to general health. By preserving natural teeth through periodontal treatment, systemic complications associated with tooth loss and dental prostheses can be avoided.
Can advanced periodontitis be cured?
Advanced periodontitis, which is a severe form of periodontal disease, can be controlled and treated, but in some cases one cannot speak of a complete cure. Periodontitis is a chronic disease in which progressive inflammation and destruction of the tissues surrounding and supporting the teeth occurs.
- Control and treatment: The goal of advanced periodontitis treatment is to stop the progression of the disease, control inflammation, promote the healing of damaged tissues, and maintain long-term periodontal health.
- Long-term maintenance: With proper periodontal treatment and following a long-term periodontal maintenance program, it is possible to control the disease and maintain good periodontal health. This involves a combination of proper oral care at home, regular visits to the periodontist, and control of risk factors.
- Advanced cases: In advanced cases of periodontitis with severe loss of bone and support tissue, it may not be possible to completely recover the lost tissues. In these cases, the goal of treatment is to stabilize the disease and prevent further loss of teeth and bone structures.
It is important to follow the recommendations of the dental health professional and maintain good oral hygiene at home, including regular brushing and the use of dental floss, to prevent the accumulation of bacterial plaque and maintain long-term periodontal health.
What is the success rate of periodontics?
What are the benefits of having periodontal treatment at ENIQ?
The use of technology in periodontal treatment can offer several benefits both for the dental health professional and the patient. Here are some benefits of performing periodontal treatment with technology:
Greater precision and early diagnosis
Advanced technology, such as digital radiography and cone beam computed tomography (CBCT), allows for more detailed and precise images of oral and bone tissues. This facilitates early and accurate diagnosis of periodontal disease, which helps initiate treatment in the initial stages and improve results.
More efficient treatment
Modern technologies, such as piezoelectric ultrasound devices and lasers, can facilitate the removal of plaque and dental calculus more efficiently and precisely during deep cleaning. These technologies allow for faster and more comfortable treatment for both the professional and the patient.
Less invasiveness
Some technologies, such as the use of lasers in periodontal treatment, can be less invasive than traditional methods. Lasers can help remove bacteria and infected tissue with greater precision and minimal discomfort for the patient, which promotes faster and less painful recovery.
Faster healing
Some technologies, such as growth factors and regenerative membranes, can be used to stimulate and accelerate the healing of damaged periodontal tissues. These technologies promote the regeneration of bone and support tissue, which can improve long-term results of periodontal treatment.
Better patient experience
The use of technology in periodontal treatment can improve the overall patient experience. Less invasive techniques, faster procedures, and less discomfort can make treatment more tolerable and pleasant for the patient.
It is important to note that not all cases will require the use of advanced technology in periodontal treatment. The choice of technologies used will depend on the severity and complexity of periodontal disease, as well as the availability and experience of the dental health professional. It is advisable to consult a periodontist or specialized dentist to obtain specific information about the technologies used in periodontal treatment and how they can benefit your individual case.
How much does periodontal treatment cost, including curettage, cleanings, and scaling?
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