Wednesday 16 October, 2019
Experiences Periodontal Treatment Periodontitis
Experiences Periodontal Treatment-The Treatment of Periodontal Diseases
A few weeks had passed.
This was also necessary so that everything that had happened in the mouth and on the teeth could heal in peace and calm down.
The next appointment included measuring the tooth pockets.
The dentist takes some instrument with a tip, goes with it to each tooth, which does not hurt, and throws numbers to the dentist’s assistant’s head, which she notes down neatly.
Periodontal probes with scaling
By No machine-readable author provided. Dozenist assumed (based on copyright claims). [GFDL, CC-BY-SA-3.0 or CC BY-SA 2.5-2.0-1.0], via Wikimedia Commons I completed the measurement, then you first go home and wait to see whether the statutory health insurance will cover the costs. By the way, the dentist himself makes the application.
It took me a week for the health insurance company to approve it. How long the approval of the health insurance company will take depends on each insurance company itself, I think.
So, back to seeing a doctor.
As I am a bit further away from my hometown for professional reasons, I can usually only make appointments in the late afternoon. No problem, the doc said, because the procedure doesn’t take that long.
Sure, I was nervous again before the surgery. In the run-up I had read a lot about periodontal treatments on the net. Many horror stories, much negative, much painful was also there. That didn’t exactly help to calm you down, and it just makes you completely weird.
But I had to get through it now – come what may.
M one treatment was divided in two.
The first treatment appointment included the left side of my teeth, the second treatment appointment the right side.
My doc does this so that if you have problems after the treatment, because the gums are lifted (so nothing was cut open in my case), you can at least chew on the other side.
So there I was in this torture chair, again receiving pre-anaesthesia, a few syringes up and down, and in no time at all the left side was anaesthetised. It only gets a little unpleasant when a syringe is placed in the palate. But even that is bearable.
I have found in Wikipedia in the following section how the treatment now proceeds in detail. I’m not a doc, and I don’t really know the technical terms.
Subsequently, if necessary, the so-called closed treatment phase begins, during which the hard and soft plaque lying subgingivally (below the gingival margin) is removed (closed debridement). This is done with curettes (specially shaped hand instruments), sound and ultrasound operated devices or with the use of certain lasers. After two to three weeks of healing, the result of this treatment is checked by measuring the probing depths again and, if necessary, repeating the measures at individual sites.
In the case of very deep gingival pockets (over six millimetres), which have not been sufficiently reduced by the hygiene measures and the closed treatment, it may be necessary to proceed to the open treatment phase. The areas are surgically opened so that the measures of the closed treatment can be repeated under sight. In this case, it is sometimes also possible to fill opened and cleaned bone pockets with Guided Bone Regeneration (GBR) materials or to cover them with membranes (Guided Tissue Regeneration (GTR)). However, the latter two measures are not contractual services of the statutory health insurance.
Under certain conditions (aggressive, rapid forms of periodontitis), it makes sense to supplement treatment with antibiotics and/or full-mouth disinfection therapy. Metronidazole is used in supportive antibiotic therapy for periodontitis with anaerobic infestation, such as Porphyromonas gingivalis.
This article is based on the article Parodontitis from the free encyclopedia Wikipedia and is licensed under the double license GNU Free Documentation and Creative Commons License CC-BY-SA 3.0 Unported. A list of authors is available in Wikipedia.
In my case, the so-called closed treatment phase was carried out. You can hear the doc scratching around a bit, rubbing around, but pain – no. Less than twenty minutes later the topic was over.
Even after the anesthesia eased in the evening, I had no problems eating and drinking on this treated side.
A week later the procedure was repeated with the right side. It went just as fast, didn’t hurt, and I didn’t have any problems afterwards.
So now I’m through with the worst, I guess. In about four weeks I have another appointment so that the bags can be remeasured. And then I hope everything is ok.
After periodontal treatment, according to my dentist, professional tooth cleaning should be carried out at least four times a year. If everything is ok with the root pockets, professional tooth cleaning is sufficient every six months.
Furthermore, you should clean your teeth with a toothpaste that helps against periodontitis. Not all toothpaste that you can buy in the supermarket is suitable for this.
I bought a specially recommended toothpaste, but it tastes like shit. Everything that tastes like shit in medicine helps somehow. And it also looks pretty brown when you squeeze it out of the tube. But this toothpaste is supposed to be the hit against periodontitis.