Periodontology
Often unfairly neglected, periodontology is a branch of dentistry that focuses on the supporting tissues of the teeth. Since everything in the body is interconnected, healthy periodontal tissue is a prerequisite and foundation for any high-quality dental work, whether it involves crowns, bridges, or implants. Periodontal treatment restores the surrounding tissue to a healthy state and is typically performed as part of pre-prosthetic preparation. However, it doesn’t have to be associated with prosthetic therapy—it can also be carried out as a standalone treatment for patients who still have their natural teeth but whose supporting tissues are compromised.
Most common problems
The most common problem encountered in a large number of patients is the formation of periodontal pockets. These usually develop on the sides of the teeth and are mostly the result of inadequate oral hygiene—primarily, the lack of dental floss use. Since the spaces between the teeth are inaccessible to a regular toothbrush, flossing is essential. When floss is not used, food gets stuck in these spaces, decomposes, and creates the perfect environment for bacterial growth. The byproducts of these bacteria irritate the surrounding tissue and cause gum inflammation, which leads to bleeding during brushing. Gum inflammation (gingivitis) is the first sign of periodontal disease. If the issue is not addressed, over time the gums and bone begin to recede, leading to the formation of deeper pockets. The deposits that accumulate in these pockets cannot be removed by patients themselves. If left untreated, this creates a vicious cycle: deposits enlarge the pocket, which then traps more deposits, and the cycle continues. The final outcome is advanced periodontitis, tooth mobility, and eventually, tooth loss.
Do you need periodontal treatment?
If your gums bleed during brushing or flossing, if you feel that one or more teeth have become loose, or if you’ve noticed that your gums have receded and the tooth roots are visible in your mouth, it is very likely that you need periodontal treatment. To get a definitive assessment, it is essential to be examined by a periodontology specialist who can determine the true condition of your oral health.
How is periodontitis treated?
During the first visit, dental calculus and soft deposits are usually removed, and a precise assessment of the periodontal condition is made. Sometimes, this is all that is needed to restore the surrounding tissue to a healthy state. If the condition requires further treatment, subsequent visits involve cleaning the periodontal pockets with periodontal curettes. In some cases, the gum flap may need to be lifted to provide direct access to the tooth root and bone. These surgical interventions are performed under anesthesia and are completely painless. Additionally, in cases of significant bone loss, augmentation (adding artificial bone) may be necessary.
