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Периодонтальное лечение

Periodontal treatment — it is the treatment of various tissues surrounding the tooth. Periodontal treatment is necessary to people who experience at least one of these symptoms: bleeding gums, bad breath, sensitive, swollen and reddish gums, pussing infection along the gum line, increased interdental spaces, exposed roots of teeth, tooth mobility.

Periodontal treatment services:

Non-surgical periodontal therapy

  • Diagnostics. Firstly, all necessary baseline information is collected and an examination is performed. During the examination a special instrument called a periodontal probe is used to measure the sulcus or pocket depths around teeth. In general, the deeper the pockets, the greater the spread of periodontal disease.In order to better establish severity of the disease, bleeding on probing, plaque accumulation and tooth motility are assessed individually for each tooth. Clinical findings are compared with radiological examination (panoramic X-ray) and a treatment plan is suggested. Whenever possible, various treatment options are presented.By the end of the consultation you should feel fully informed about your condition and appropriate treatment options, as well as the likelihood of success.
  • Dental deep cleaning, scaling and root planing. Scaling and Root Planing (SRP) is a careful cleaning of root surfaces in order to mechanically remove plaque and calculus from deep pockets and to smooth the root surfaces which prevents further build-up of calculus.  This cleaning is more in-depth than a routine cleaning and may require more than one appointment. For your comfort, a local anaesthetic may be used to numb the area prior to the treatment.  Research has consistently demonstrated that SRP reduces gum inflammation and pocket depths, and shifts the bacteria composition living in these pockets from one associated with disease toward one associated with health. Therefore, SRP is usually the first mode of treatment recommended for most patients. After SRP and oral hygiene instructions many patients do not require any further active treatment.
  • Treatment with probiotics or antibiotics. Antibiotics and probiotics may be needed to control the amount of bacterial infections in the oral cavity.

Surgical therapy

  • Flap surgery. During this procedure a local anaesthetic is used. The gum tissue is folded back to expose deeper areas of infected tissues. Irregular surfaces of the damaged bone may need to be smoothed in order to expose otherwise hidden areas of bacteria. Then, these disease-causing bacteria are removed. Gum tissue is then closed and sutured in place.
  • Extension of dental clinical crown. This is usually done for prosthetic purposes, in which a bigger amount of a healthy tooth tissue is uncovered above the gum line.
  • Periodontal regenerative surgery. Where bone loss associated with periodontal disease is vertical in nature, there may be an opportunity to regenerate both the lost bone and periodontal attachment. Membranes, bone grafts or tissue-stimulating proteins are used to encourage body’s natural ability to regenerate bone and tissue and reverse some of the damage of gum disease. Although, regenerative techniques require careful site selection, the results can be dramatic.
  • Exposed tooth roots are the result of gum recession. Gum graft surgery repairs the defect and helps to prevent additional recession and bone loss. During gum graft surgery gum tissue is taken from palate or another donor source to cover the exposed root. This can be done to one tooth or several teeth or even a gum line.
  • Root amputation refers to removal of one root in a multi-rooted tooth. This procedures is considered when there is a persistent endodontic failure in only one root of a tooth which must be kept, or if there is a significant bone loss around an individual root due to periodontal disease.

Other periodontal procedures

  • Teeth Splinting. Splinting is a technique used to stabilize teeth which became loose as a result of bone loss. Frequently condition is complicated by heavy bite stress. Mobile teeth a stabilized using fiber-reinforced ribbon which is usually bonded to the lingual surfaces of the teeth like a fixed orthodontic retainer.
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