Periodontics

Periodontics

Periodontics is the specialty of dentistry that is dedicated to the prevention, diagnosis and treatment of diseases of the gums and the tissues that support the teeth.

Redness and especially bleeding when brushing your teeth are signs of swollen gums. This begins as "gingivitis" but can progress to "periodontal disease" and lead to tooth loss.

Therefore, it is very important to treat the problem as soon as possible and to prevent it.

Thanks to periodontics we can help you have a healthy mouth without gingival inflammation, without bleeding when brushing or halitosis, thus avoiding the loss of teeth.

The health of the supporting tissues of the teeth (gums, dental alveolar ligament, root cementum, alveolar bone) results from a state of continuous biological balance between the bacteria present in plaque and the body's immune defenses. When this balance is lacking, periodontal disease occurs.

Periodontal diseases include a group of diseases that affect these supporting tissues and which, if neglected, lead to tooth loss. They can be widely distinguished into superficial (gingivitis) and deep (periodontitis).
The cause of these pathologies is, therefore, mainly of bacterial origin; lack of sufficient oral hygiene has been widely shown to cause gingivitis in all subjects, while the occurrence of periodontitis also requires an individual (genetic) predisposition.

Periodontal diseases do not heal spontaneously and, if not treated properly, can lead to premature tooth loss. Thus, it is possible to carry out an effective primary prevention of periodontal diseases. Clinical studies also show that the majority of patients suffering from periodontal disease maintain the life of their teeth if they perform adequate therapy and, above all, if they work together with the dentist and hygienist in periodic check-ups, it is always possible to slow down the progression of the disease.

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Oral Surgery

Oral surgery includes simple extractions of compromised permanent teeth or remnants of roots or deciduous teeth or teeth embedded in the bone.

Endodontic surgery is also performed to remove periradicular lesions on teeth that cannot otherwise be treated.

Pre-implant or pre-prosthetic surgery is also of great importance, with the aim of correcting soft and hard tissue defects for implant placement (sinus lift, guided bone reconstruction, hard and soft tissue reconstruction), preoperative. Orthodontics aimed at the removal of included elements.

What is periodontitis?

Periodontitis is a chronic infectious-inflammatory disease that affects the supporting tissues of the tooth.

Clinically it manifests with gingival retraction, bleeding, swollen gums, recurrent abscesses, halitosis, tooth mobility ...

There are people who may be more predisposed for genetic reasons or due to the presence of risk factors such as bacterial plaque and stone in large quantities, smoking and diabetes.

It represents a chronic pathology with a high incidence in 30-40% of the population and in severe forms in 10-15%.

It begins with gingivitis, which is a reversible inflammatory disease that affects the superficial tissues that are limited to the gum and that, if not treated in time, turns into periodontitis, which is an irreversible disease that affects the deep tissues and manifests itself with an increase in the depth of the gingival sulcus that forms the periodontal pockets, the loss of insertion and bone resorption.

Periodontal disease generally gives few symptoms and therefore can arise and progress silently. For this reason, it is essential to undergo regular check-ups to be able to detect it early in its initial stages.

How to prevent and cure it

For the prevention and control of periodontal disease, it is important to regularly undergo professional oral hygiene sessions, during which a periodontal study is carried out to verify if there are periodontal pockets in order to measure them and see their evolution over time.

And after the treatment, scrupulous oral hygiene is also required at home, with toothbrushes (preferably electric) and interdental, dental floss and irrigators.

In some cases, there is an indication to correct periodontal defects through resection surgery (which aims to remove bone defects to restore a correct anatomy that can be maintained over time) or regenerative surgery (which can achieve regeneration of the support periodontal loss) or gingival plastic surgery (which allows you to restore the correct anatomical conditions of the soft tissues and restore the smile to the correct harmonic proportions).
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