Why is the gum on the tooth receding, what should I do?


Author of the article:

Soldatova Lyudmila Nikolaevna

Candidate of Medical Sciences, Professor of the Department of Clinical Dentistry of the St. Petersburg Medical and Social Institute, Chief Physician of the Alfa-Dent Dental Clinic, St. Petersburg

Inflammation of the gums, or periodontitis, is one of the most common dental diseases. This pathology of the oral cavity can occur due to both chronic diseases and local traumatic injuries.

The main symptom of periodontitis is an acute inflammatory process of gum tissue. Lack of treatment can lead to the development of severe forms of the disease, characterized by tooth loss and displacement.

Prevention and treatment of periodontitis at home

The most effective method of treating almost any disease, including periodontitis, is its prevention. There are simple prevention methods that can be used at home. Their use will prevent the occurrence of periodontitis symptoms and avoid the need for drug and surgical treatment.

The main thing that needs to be done to prevent any pathologies of the oral cavity is to strictly follow the principles of dental hygiene:

  • brush your teeth twice a day with therapeutic and prophylactic toothpaste using a medium-hard brush;
  • After a meal, remove leftover food using dental floss.
  • a rinse with an antibacterial effect, for example, Asepta based on lemon balm, calendula or St. John's wort extract, has a soothing effect on the gums;
  • it is necessary to regularly consume solid and plant foods, ensuring sufficient chewing load on the teeth;
  • one of the reasons for the development of periodontitis is a lack of vitamins A, C and B vitamins in the diet. To prevent the disease, it is recommended to take a vitamin complex containing a sufficient amount of these vitamins;
  • You should visit your dentist twice a year for preventive teeth cleaning. Timely removal of plaque and tartar will help avoid gum inflammation and further development of pathology.

Closed curettage

Can be used if the depth of the periodontal pocket does not exceed 5 mm, and pathological changes in the bones have not yet begun. When performing closed curettage, pathological tissues are exposed to ultrasound and hand instruments in the form of hooks, with the help of which granules are removed from under the gums. There is no cutting of the gums, so the procedure can be considered more gentle.

Flaws:

  • The doctor performs the operation almost blindly; he does not see the subgingival space. Therefore, it is not possible to thoroughly clean the periodontal pocket in all cases.
  • There is a risk of incomplete cleaning. Success largely depends on the experience of the dentist performing the procedure.

Due to its characteristics, closed curettage is suitable for mild to moderate periodontitis and periodontal disease. Sometimes it becomes the only possible method, since others cannot be used for some reason.

Gums are bleeding - contact a periodontist

If you notice the slightest symptoms of periodontitis, immediately go to the doctor. The first sign is regular bleeding of the gums after mechanical impact.

If there is a single bleeding, there is no reason for serious concern: to strengthen the gums, you can change the toothpaste to a special product for the treatment and prevention of periodontitis, or use a strengthening gel or balm. But if bleeding becomes regular, you need to see a specialist.

If the disease progresses, some teeth may need to be removed. Therefore, the earlier the diagnosis is made and treatment is started, the greater the chances of completely getting rid of periodontitis without negative consequences.

Treatment of reimplantitis with the vector device

Reimplantitis is a process that can occur in the dental tissues located next to the implant. Although the implant is not an organic structure, and the tooth is an organic structure, the nature of the occurrence of reimplantitis is similar to the nature of the occurrence of periodontitis.

The main “culprit” of reimplantitis is bacterial plaque, which accumulates on the part of the implant that rises above the bone. Plaque provokes inflammation of the tissues around the implant and can cause its rejection.

The occurrence or non-occurrence of plaque depends on the design of the implant, the volume of the gum, the quality of installation and the individual characteristics of the body. If plaque does occur, it must be removed.

The ultrasonic wave generated by the Vector device perfectly removes plaque, bacteria and biofilms from the surfaces of implants, stopping the development of peri-implantitis and without damaging the implants and superstructures themselves.

The success of periodontal treatment is due, among other things, to regular pocket cleanings and other measures that are repeated at certain intervals. This is especially important during maintenance therapy in the treatment of periodontitis.

Regular cleaning of pockets and removal of bacterial plaque from the roots of teeth or implants turns this procedure into an analogue of professional hygienic cleaning.

Acute and chronic periodontitis: symptoms and treatment

As mentioned, the treatment plan will depend on the severity of the inflammation and how widely it has spread. Periodontitis affecting a few teeth is localized; periodontitis affecting most (or all) teeth is generalized.

Acute periodontitis, which has pronounced symptoms, occurs less frequently than chronic periodontitis and usually affects one or two teeth. It is often caused by trauma to the tooth or periodontal tissue, or improper installation of a crown or filling. This type of disease often occurs aggressively, causing rapid destruction of bone and muscle tissue.

If the pathology is chronic, then phases of exacerbation are replaced by phases of remission. At the same time, chronic periodontitis slowly and steadily progresses from the initial stage to the severe one. This form of pathology can be caused by both local factors (for example, trauma to the oral cavity) and general ones.

Types of periodontitis

Periodontitis is classified based on a number of characteristics. There are two main forms of periodontitis:

  • generalized form;
  • localized form.

The generalized form of periodontitis is characterized by the spread of the disease to the entire jaw. Very often, generalized periodontitis affects both jaws. Localized periodontitis is characterized by the presence of an inflammatory process within the boundaries of one or two teeth. It does not spread to other teeth in the jaw.

Also, depending on the course of the disease, acute and chronic forms are distinguished. Acute periodontitis is extremely rare, and its peculiarity is the rapid progression and rapid destruction of periodontal tissue. Chronic periodontitis is much more common, and this form occurs with exacerbations and remissions that are classic for chronic diseases.

Professional hygiene for effective treatment of periodontitis

In the vast majority of cases, the development of this disease is associated with insufficient oral hygiene. The periodontal tissues become inflamed due to extensive dental plaque, so the first thing to do to treat periodontitis is a professional cleaning.

This procedure includes the following steps:

  • removal of dental plaque
  • polishing the tooth surface
  • treating the tooth with protective varnish.

Modern cleaning methods are gentle on the enamel and cause minimal discomfort. Also, at the stage of removing tartar and plaque, preparations should begin for the treatment of caries and the removal of hopelessly affected teeth.

Advantages of treatment with the Vector device

Compared to traditional ultrasonic scalers, the Vector device has the following advantages:

  • Due to the fact that the working nozzle makes vertical movements, the possibility of mechanical damage to tooth enamel, root cement or orthopedic structures is eliminated.
  • The orderliness of ultrasonic vibrations promotes deeper penetration of ultrasound and better cleaning. A traditional ultrasonic device is capable of treating at a depth of up to 5 mm, while the Vector is capable of treating at a depth of up to 11 mm.
  • Ultrasonic energy is supplied to the surface being treated through a hydroshell. This provides a gentle effect on the tissue and eliminates the possibility of overheating the tooth.
  • The liquid through which ultrasonic energy is transmitted contains hydroxyapatite particles, which facilitate the process of removing subgingival deposits and polishing the enamel. Hydroxyapatite also stimulates the restoration of periodontal tissue;

  • The Vector apparatus does not have self-oscillations or chaotic beatings inherent in conventional scalers, thanks to which the dentist can carry out treatment with a clear sequence.
  • Better visibility of the treated areas is provided by six LED lamps on the tip.
  • During operation, the Vector does not create an aerosol cloud, like other scalers, which means that there is no risk of infection of medical personnel.
  • The availability of tools for primary periodontal therapy makes the dentist’s work easier; vector-06-initial-operation
  • Special tools for treating the surface of implants help prevent the development of peri-implantitis.
  • A variety of replaceable attachments makes it possible to treat deep periodontal pockets.
  • When treated with the device, discomfort in patients is minimized.
  • High hygiene, the ability to disinfect any parts of the device.
  • Ease of use and effectiveness of treatment reduce the time of the procedure and eliminate the possibility of medical errors.
  • The treatment course consists of 1-2 sessions, subsequently only maintenance therapy is needed.

  • After treatment, a lasting positive effect develops.

The device is equipped with a large number of attachments, which allows for effective treatment in most clinical cases. Antibacterial safety is ensured by a completely autonomous water capacity and the tightness of the device.

The maximum depth of pocket processing using the vector reaches 11 mm, versus 5 mm for other equipment.

For maintenance therapy, the Vector system is equipped with probes and prophylactic curettes made of flexible plastic and carbon fiber . This significantly reduces the risk of root surface damage or accidental periodontal injury.

It is also important that the device has a built-in function for monitoring the condition of the polished surface and can “distinguish” the roots of the teeth from the formations on them, this allows you to avoid the loss of tooth tissue during the procedure.

Drug treatment of periodontitis

The next stage of treatment is to relieve inflammation and eliminate bleeding gums to prevent further development of the disease. This goal is achieved through drug therapy.

Medicines for the treatment of periodontitis are divided into local and general:

  • local remedies are used to treat the affected areas. This includes rinses, antiseptic solutions, anti-inflammatory gels and balms. Local treatments also include therapeutic and prophylactic toothpastes, which can be used as an addition to the main therapy;
  • general drugs, which are combinations of antibiotics in the form of tablets or intramuscular injections.

Non-invasive treatment for periodontitis may also include physical therapy. Auxiliary procedures using laser or electrophoresis will help eliminate inflammation faster.

How and with what to relieve inflammation

⛔ Only a doctor can prescribe anti-inflammatory therapy. There is no point in trying to heal yourself. If you can't see a dentist right away, here are some effective home remedies to reduce pain and inflammation before you can see a doctor:

  1. Rinse with salt water. Reduces the number of bacteria, which means it slows down damage to the oral cavity. At least 2 times a day until the swelling subsides.
  2. Cold compress. Wrap the ice pack in a clean cloth and apply it to the sore area. This will prevent swelling or at least reduce it.
  3. Herbal poultice. Some herbs and spices can be used as home remedies to relieve inflammation and pain. The analgesic effect is exerted by: clove and spilanthes powder; anti-inflammatory - turmeric. Apply a paste of herbal powder and water to your gums, wait until the pain subsides, and rinse.
  4. Tea bags. Brew a tea bag in boiling water (5 minutes). Cool, apply the cool bag to the sore gums for at least 5 minutes. Simple black or green tea or anti-inflammatory herbs (chamomile, ginger) are better suited.
  5. Over-the-counter pain relievers. Regular pain relievers and NSAIDs (non-steroidal anti-inflammatory drugs) such as aspirin, acetaminophen, ibuprofen can help in a pinch. Follow the directions on the bottle labels to determine dosage.

Are folk remedies effective? Dentists do not recommend treating gum disease at home. If an oral infection is suspected, the patient is advised to contact a dentist and immediately visit an emergency dental care office. Painkillers in such cases are unnecessary and ineffective. Home remedies won't help either.

Surgical methods

Treating periodontitis surgically is the most radical method. But in the later stages of the disease, it is necessary to eliminate periodontal pockets and remove non-viable teeth. This can only be done surgically.

The degree of intervention depends on the severity of the pathology. In some cases, a positive result can be achieved by simply depulping the tooth to remove pathogenic bacteria. The procedure for splinting teeth (connecting mobile teeth with adjacent teeth to ensure immobility) and other methods is also used.

A separate stage of surgical treatment is prosthetics. This is done to restore the functionality of the dentition, distribute the chewing load evenly, and prevent displacement and further loss of teeth. In some cases, a temporary prosthesis can be used to quickly unload the chewing surfaces and eliminate mobility during the recovery phase.

Open curettage

Used if the depth of periodontal pockets is more than 5 mm. This is a surgical intervention, but compared to a closed one, the effectiveness is much higher. Since open curettage requires cutting into the gums, the operation is performed under anesthesia.

Stages:

  • The doctor cuts the gum and peels it away from the tooth. After exfoliation, the tooth root is completely exposed. The dentist gets full access to the bone tissue.
  • Cleaning and antiseptic treatment. The roots are cleaned of accumulated plaque and stone and polished using a burr and special pastes. After this, the tissues are treated with an antiseptic.
  • Osteoplasty. This stage is not always necessary. With advanced periodontal disease, bone resorption gradually begins around the teeth, which will lead to loosening and tooth loss. In order to restore the bone, osteoplastic material is implanted.
  • Suturing. After plaque removal, the gingival flap is returned to its place and sutured. A bandage with an antiseptic solution is applied on top.

Open curettage is a more complex procedure, but more effective than closed curettage. The surgeon sees the entire subgingival space and has access to bone tissue. Therefore, the quality is very high; both plaque and granulation tissue are completely removed from under the gums.

If necessary, open curettage can be performed simultaneously with flap surgery. It is indicated if the gum tissue is loose and the gum contour is disturbed. Very often, with periodontal disease, the gums begin to overhang the teeth. This violates the aesthetics of a smile. During flap surgery, the dentist removes excess mucous membrane and then sutures the gum.

Treatment and prevention of periodontitis at home

After successful treatment of periodontitis, it is necessary to pay increased attention to oral hygiene. To do this you should:

  • Visit your dentist regularly to remove plaque and tartar;
  • eliminate caries and fill dental canals at the slightest manifestation of pathological processes;
  • use hygiene products designed to prevent gum disease;
  • After each meal, use dental floss and mouthwash with an antiseptic;
  • follow other rules for the prevention of periodontitis.

Treatment of periodontal disease using the Vector device

Periodontal disease is a systemic disease of the body , so the dentist performs only his part of the complex treatment.

It is important to correctly diagnose this disease; many patients confuse it with periodontitis due to some similarity of symptoms and may consult a dentist, although the root causes of periodontal disease may be:

  • Atherosclerosis;
  • Diabetes;
  • Vascular diseases;
  • Diseases of bone tissue,
  • Hypertension,
  • Disturbances in the dental system, etc.

The vector apparatus kit is equipped with the necessary attachments for cleaning and polishing the roots of teeth. The procedure itself is generally similar to the procedure for treating periodontal tissue in the treatment of periodontitis.

Asepta Parodontal - specialized products for the treatment of periodontitis

has developed a whole range of drugs for the treatment and prevention of gum disease. It includes:

  • Asepta therapeutic and prophylactic toothpaste, which helps eliminate inflammation and bleeding of the gums. Contains a unique complex of medicinal extracts and active ingredients;
  • Asepta Sensitive toothpaste for sensitive teeth. Provides gentle care for sensitive enamel and gums prone to inflammatory processes. Thermal mud in the paste helps heal damaged tissue and relieve irritation;
  • Asepta mouthwash is intended to relieve symptoms of gingivitis, periodontitis, stomatitis and toothache caused by infection. The antimicrobial components of the drug help relieve inflammation and pain, and also have an antiseptic effect;
  • Asepta Fresh mouthwash eliminates inflammation and bleeding of gums, prevents the formation of dental plaque, and also gets rid of pathogenic bacteria that cause bad breath;
  • Asepta gel with propolis has an intense anti-inflammatory effect, reducing the sensitivity of enamel and promoting the healing of trophic ulcers. Effectively strengthens periodontal tissues and is suitable for patients of all ages.
  • The adhesive balm in this series eliminates the causes and symptoms of inflammatory diseases of the mouth. The sticky base ensures a longer and more effective effect of the drug, allowing it to remain on the gums for a long time;
  • Asepta vitamin and mineral complex contains all the necessary substances and active components for healthy teeth and gums.

Take care of your health with professional hygiene products!

Rehabilitation

Curettage of periodontal pockets is a surgical operation, after which there will be a period of rehabilitation. Following the recommendations will speed up gum healing, make it less uncomfortable, and avoid complications.

Oral care rules depend on the method:

  • Closed curettage. Immediately after surgery, you should not eat for several hours. On the first day, it is better to refrain from brushing your teeth with a brush and toothpaste, replacing it with rinsing. During the entire rehabilitation period, you need to monitor your diet - exclude solid foods and foods containing dyes. After curettage, there may be increased sensitivity of the teeth and gums. A special paste that your doctor will recommend will help you remove it. It is imperative to rinse your mouth with solutions of strengthening and anti-inflammatory medications.
  • Open curettage. Since this surgery requires cutting into the gum, recovery takes longer. Recommendations for the first 1-2 days after surgery are the same as for closed curettage. It is very important to minimize the possible stress on the gums and teeth. It is advisable to reduce physical activity at first. Until the stitches heal, your mouth should be rinsed with solutions of antibacterial and anti-inflammatory agents. This will help speed up healing and tissue regeneration.

Clinical researches

According to the results of the clinical use of the Asepta line of products: the examined patients, already at the first follow-up examination (after 1-2 days) of using the Asepta line of products, showed a decrease in complaints of discomfort in the gums. On examination, hyperemia and bleeding of the gingival papillae are noted. On the 7th day, complaints of gum bleeding persisted in a minority of patients.

Upon examination, a decrease in hyperemia and swelling of the gums was noted, but bleeding persisted upon probing. On day 14, 2 patients continued to complain of bleeding gums when brushing their teeth; upon examination, a significant decrease in hyperemia and swelling of the gums was noted. After the final application of the gel with propolis, normalization of clinical manifestations was revealed, which is manifested by the absence of bleeding during brushing and probing.

Improved dynamics of indicators allows us to recommend the Asepta line of products for the local treatment of inflammatory periodontal diseases.

Sources:

  1. Clinical experience in using the Asepta series of products Fuchs Elena Ivanovna Assistant of the Department of Therapeutic and Pediatric Dentistry State Budgetary Educational Institution of Higher Professional Education Ryazan State Medical University named after Academician I.P. Pavlova of the Ministry of Health and Social Development of the Russian Federation (GBOU VPO RyazSMU Ministry of Health and Social Development of Russia)
  2. The use of adhesive balm "Asepta®" in the treatment of inflammatory periodontal diseases L.Yu. OREKHOVA*, Dr. med. Sciences, Professor, Head of Department V.V. CHPP**, Dr. med. Sciences, Professor, Head of Department S.B. ULITOVSKY*, Dr. med. Sciences, Professor A.A. LEONTIEV*, dentist A.A. DOMORAD**, O.M. YAKOVLEV** SPbSMU named after. acad. I.P. Pavlova, St. Petersburg - *Department of Therapeutic Dentistry, **Department of Microbiology
  3. The use of new anti-inflammatory drugs in the complex of therapeutic and preventive measures for periodontal diseases (E.D. Kuchumova, A.A. Leontyev, O.V. Kalinina, L.Yu. Orekhova, S.B. Ulitovsky) E.D. Kuchumova, Ph.D., Associate Professor, A.A. Leontyev, dentist, O.V. Kalinina, dentist, L.Yu. Orekhova, Doctor of Medical Sciences, Professor, Head of Department, S.B. Ulitovsky, Doctor of Medical Sciences, Prof. Department of Therapeutic Dentistry of St. Petersburg State Medical University named after. acad. I.P. Pavlova
  4. Article “Treatment and hygiene features for mild and moderate periodontitis” by S.B. Ulitovsky head Department of PFS, Professor, Doctor of Medical Sciences, A.A. Leontyev Associate Professor of the Department of PFS, Ph.D. PSPbSMU named after. I.P. Pavlova
  5. Evaluation of the effectiveness of treatment of chronic generalized periodontitis of mild and moderate severity using Asepta antibacterial agents (S.I. Gazhva, A.I. Voronina) S.I. Gazhva, Doctor of Medical Sciences, Prof., Head of Department A.I. Voronina, aspirant, dentist, Department of Dentistry, Faculty of Dentistry, State Educational Institution of Higher Professional Education "Nizhny Novgorod State Medical Academy"
  6. Study of the clinical effectiveness of treatment and prophylactic agents of the Asepta line in the treatment of inflammatory periodontal diseases (A.I. Grudyanov, I.Yu. Aleksandrovskaya, V.Yu. Korzunina) A.I. GRUDYANOV, Doctor of Medical Sciences, Prof., Head of Department I.Yu. ALEXANDROVSKAYA, Ph.D. V.Yu. KORZUNINA, asp. Department of Periodontology, Central Research Institute of Dentistry and Maxillofacial Surgery, Rosmedtekhnologii, Moscow

Gum recession

One of the manifestations of periodontitis can be gum recession.

This happens when the atrophic component of the disease exceeds the inflammatory component.

And then the gums seem to “retreat” from the neck of the tooth, exposing its root.

The problem is that the tooth root is not designed to exist in such an open state. Therefore, root caries may develop in exposed areas. Another threat to the tooth in such a situation is the occurrence of a wedge-shaped defect, a non-carious lesion in the cervical area of ​​the tooth, which, as the name implies, has a wedge shape, hard walls and, in the absence of appropriate treatment, can progress, becoming deeper and deeper over time and reach literally to the dental nerve.


Gum recession on maxillary teeth

Both caries, a wedge-shaped defect, and simply exposure of the root can lead to sensitivity in the tooth; it will react to temperature stimuli, such as cold or hot air or water, it will hurt when brushing your teeth and chewing an orange, lemon, etc.

Wedge-shaped defect

After some time, as a rule, pain occurs when eating solid food.

But that's not all.

Root exposure means not only recession of the gums, but also retreat of the closely associated bone in which the tooth root is located.

This, in turn, means tooth mobility, which necessarily progresses over time and can lead to tooth removal or even spontaneous loss.


Gum recession and significant exposure of the roots of the anterior teeth

It must be said that this condition can be either generalized, spreading to all or almost all the teeth on one or both jaws, or be local, covering only one or a few teeth.

What are the reasons for the development of gum recession and what modern dentistry can offer to combat this disease, we will tell you in this article.

Cost of gum treatment with the Vector device

The cost of the procedure depends on the number of teeth being treated. The price list identifies the following areas for teeth (implants): segment, one jaw, oral cavity.

The duration of the procedure depends on the number of teeth being treated and the condition of the periodontium and takes from thirty minutes to two hours.

The greatest contribution to the cost of the procedure is made by: preparation for the procedure - 30 minutes; consumables , polishing fluid ; procedure - 30-120 minutes; instrument sterilization - 30 min. Therefore, the price difference between treating one tooth and the entire oral cavity is only 50%.

Below is the cost of the Vector procedure in Dental World dentistry.

Symptoms of periodontitis

Dental periodontitis is a disease that manifests itself somewhat differently in different forms. The clinical picture depends on the extent of the lesion and the activity of the inflammatory process. Let's take a closer look at what it is - the forms and stages of dental periodontitis.

Generalized periodontitis

This is the most common and unpleasant type of periodontitis - the pathological process affects both dentitions, the inflammation is generalized (widespread) in nature. At the initial stage of periodontitis formation, signs of widespread gingivitis prevail:

  • swelling and looseness of the gums;
  • tendency of the mucous membrane to bleed;
  • pain when chewing food;
  • itching and burning at the base of some teeth;
  • unpleasant odor (halitosis).

As the inflammatory process develops, hyperesthesia of the teeth is noted, and they become loosened and displaced. In the most advanced cases of periodontitis, signs of a systemic inflammatory reaction appear: body temperature rises, general weakness increases, and local lymph nodes enlarge. The specialists of the AcademyDENT clinic will help you even with the most severe form of periodontitis, but the sooner you contact, the better the result.

The degree of bone destruction and the severity of periodontal pockets are criteria for classifying the disease into degrees:

  • I degree - periodontal pockets in depth do not exceed 3.5 mm, and resorption affects the alveolar bone to a depth of no more than 1/3 of the length of the dental roots.
  • II degree - the depth of the pockets approaches 5 mm, resorption extends to a depth of up to half the length of the tooth root;
  • III degree - the depth of the pockets is significantly more than 5 mm, the resorption process affects the bone for more than half the length of the roots.

This division is necessary to determine treatment tactics - grades I-II can be treated with conservative methods, but grade III cannot be avoided without surgical intervention.

Localized periodontitis

The main difference between this form is the volume of the lesion - only a few teeth are involved in the process. Usually its occurrence is associated with local exposure to pathogenetic factors:

  • in the absence of several teeth, which leads to improper distribution of the load when chewing;
  • in case of dental injuries, when the periodontium is damaged at the site of impact;
  • with improper dental hygiene, when certain areas of the dentition are not cleaned thoroughly enough.

In general, the symptoms of localized periodontitis are no different from the symptoms of generalized periodontitis, but their severity is usually somewhat less.

Acute periodontitis

The clinical manifestations of acute periodontitis are pronounced - there are both local signs of inflammation and systemic manifestations. Patients are concerned about severe pain in the gums, which intensifies when chewing. Even a slight mechanical impact on the gums causes bleeding. When examining the mouth, swollen, loose gums with areas of hemorrhage are visible; against the background of a long-term process, loose teeth are found. In 30% of patients with the acute form, suppuration is observed from the gum pockets.

Acute dental periodontitis is a disease that often becomes chronic if proper treatment is not available. At the AcademyDENT clinic, treatment of acute periodontitis for the first time is carried out so thoroughly that relapses, and especially chronicity of the process, do not occur.

Chronic stage

Without treatment, the process becomes chronic. Chronic dental periodontitis is a disease characterized by a less aggressive course. This form of the disease occurs more often in people with weakened immunity against the background of some systemic pathology, for example, in patients with diabetes mellitus. Symptoms of inflammation are rather weakly expressed; degenerative-dystrophic changes prevail.

In chronic conditions, the gums have a pale color, the destruction of bone tissue occurs much more slowly, but the result is still loosening of the teeth and loss of teeth. Typically, there is an alternation of remission with episodes of exacerbation, in which the symptoms of acute periodontitis come to the fore. Exacerbations occur from 1 to 5 times a year; in rare cases, remission lasts more than a year.

Periodontology

Most people dream of snow-white teeth and almost always forget about an essential component of a beautiful smile – pink, healthy gums. Many people consider gum problems to be an unpleasant little thing that does not require medical consultation or treatment. In recent years, much evidence has accumulated that gum disease leads to rheumatoid diseases, and the risk of myocardial infarction, stroke, gastritis and stomach ulcers increases. Among the most common diseases of the oral cavity are periodontitis.

and
periodontal disease.

Why does your dentist refer you to a periodontist?


If a dentist believes that your gums require special treatment and refers you to a periodontist, then he is taking exceptional care of your health.
Most people bravely endure bleeding gums, pain after eating, and a slight taste of blood in the mouth. Such symptoms occur periodically, and then the inflammation subsides. But this is only apparent well-being. IMPORTANT: Symptoms of periodontitis

different forms differ in the degree of severity and spread of the inflammatory process, as well as the reasons that caused it.

Who is a periodontist?


Only a specialist can understand all the nuances of diseases of the tissues surrounding the tooth (periodontium).
Which dentist in dentistry is best familiar with this problem, and who should you contact, a therapist or a surgeon, if there are signs of bleeding gums. There is an opinion among patients that a hygienist is a periodontist. This is a deep misconception.

A periodontist is a dentist who deals with the pathology of the tissues surrounding the tooth. Periodontics is a separate branch of dentistry.

Periodontist at Chistye Prudy

is a specialist who has full command of all


modern techniques aimed at stabilizing and improving the situation with periodontal tissues.

What does a periodontist treat? A periodontist is a doctor who specializes in the diagnosis, prevention and treatment of gum (periodontal) diseases. Assessing the color and density of the gums, tooth mobility, and the amount of lost bone tissue, the periodontist will discuss with the patient and propose the optimal treatment plan.

What methods of treating periodontitis are available to a periodontist?

In the early stages of gum disease, it is often enough to:

  • closed curettage,

  • laser application.
  • smoothing the root surface using the Vector system.

In most cases, these manipulations are sufficient to achieve a satisfactory result. In later stages, surgical intervention may be required, which remains the leading option in complex treatment. It includes:

  • open curettage technique
    ,
  • patchwork operations.
  • gingivoplasty.

What tasks does a periodontist face?

  • Elimination of inflammation - however, this is not the biggest


    a problem faced by a periodontist!

  • Restore damaged bone tissue.
  • Elimination of cosmetic defects of gums.

IMPORTANT

: Only a professional periodontologist can solve these problems, since periodontal surgery requires special precision, delicacy of execution and the ability to use the latest techniques.

Reviews.

Anzhelika Vardanyan
March 07, 2022 16:04
For 6 years, my family and I have been visiting the Dentist! Doctors greet you like family. Galina Alekseevna is a very experienced and competent dentist, she thoroughly examines the oral cavity and takes pictures of the teeth. He will always tell you what the problem is with a photo or diagnostic. Freed me from a serious gum problem. The clinic has the best impressions, the best doctors, total care for clients, you feel that you are valued! sokolttta
April 05, 2022 21:18
Completed the course of treatment at the Dastyst dentistry. I would like to express my gratitude to Galina Alekseevna and Valentina Vladimirovna! For treatment and prosthetics. I didn’t expect that my gums could be healed and veneers installed so quickly. I recommend this dentistry to those who need high-quality services in a short time...

Cost of admission.

Periodontist in Moscow is a sought-after specialty, since


Diseases of the tissues surrounding the tooth, in terms of prevalence, occupy the second position after caries. Prices for treatment depend not only on the qualifications of the specialist, on the level of equipment of the clinic with modern equipment, but also on the doctor’s ability to use modern techniques.

The use of laser equipment, “Vector Systems” in the treatment of gums, requires additional material costs, but is the most effective in difficult situations. This fully applies to patchwork operations that require high professional skills and knowledge from a specialist.

IMPORTANT:

Therefore, contacting a periodontist in the early stages of periodontitis will allow you to avoid expensive treatment and get a positive result in one visit.
In our clinic "Dentist" near the Chistye Prudy metro station, a unique information computer system "FloridaProub"
.

Moscow is a huge metropolis, so in order not to waste time searching for a center, you can sign up for a consultation at the Dentist clinic. In this case, your problem will be dealt with by one of the best periodontists in Moscow, who thoroughly knows all modern techniques.

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