Periodontitis treatment

International standards for the diagnosis and treatment of periodontitis

Foreign clinics carry out diagnostics in the following areas:

• Measurement of gingival sacks and cheking if they are bleeding,
• Assessment of the progress,
• Drawing up an X-ray report.

In foreign dentistry, the Periodontal Screening Index (PSI) is used – this is a way to determine the condition of the gums. The gums are examined with a special probe and then divided into 5 categories: from “healthy” to “severe periodontitis”.

Method one: closed treatment

Closed treatment does not require surgery and takes place without opening the gums. The root and surface of the tooth is cleaned mechanically using a hand instrument (curette) or an ultrasonic apparatus.

In the case of mild to moderate periodontitis, the dentist will achieve good results with closed therapy. In this case, the gingival pockets must be at least 3.5 mm deep to be healed. Since this therapy also includes the surface of the roots of the teeth, the patient is injected with an anesthetic and the treatment is painless.

Method two: open treatment

Open cure is known as open curettage. This is a difficult procedure that a dentist can undertake in acute cases. In clinics abroad, it works like this: the gums open and bend outward, so that the roots of the teeth and gum pockets can be cleaned even during examination.

Open curettage is usually performed only when the closed method fails. Then the treated area is sutured again, and it is given the opportunity over time to nestle against the clean surfaces of the teeth.

Third method: antibiotic treatment

The third method involves the appointment of antibiotics. Doctors abroad only recommend this for certain forms of the disease. In the case of aggressive or very persistent forms, it is possible to use antibacterial therapy:

• Locally (in the gum pocket),
• Systemically (in pill form).

Antibiotic therapy alone does not make sense – there can be no long-term treatment without addressing the cause.

Surgical treatment for advanced cases

Foreign hospitals offer innovative types of operations for advanced periodontitis:

• Surgery to resize the gums – flap surgery,
• Transplantation of tissues of the gums, periodontium and periodontium,
• Plastic with bone graft.
• Regeneration of gum tissue with a special biomaterial,
• The introduction of proteins to stimulate the growth of tissues around the tooth.

After treatment: control and bone grafting

This disease requires constant monitoring with regular prophylaxis and examinations at the dentist. Even without recurrence of symptoms such as bleeding gums or loose gums, the patient should take prevention seriously and visit the dentist at least twice a year.

If you have had the disease, there is a constant risk of it returning. You can avoid bloody marks on apples or brushing your teeth and reddening of the gums by regularly removing tartar and hard and soft deposits from your teeth.

If this lasts a long time, the jaw bone continues to deteriorate as a result of inflammation. Whether bone augmentation or prosthetics makes sense depends on:

• Your age,
• Oral hygiene,
• Areas of defeat.