Gum treatment (periodontology) – process & costs

Gum treatment (periodontology) - process & costs

Gum Treatment | Periodontitis | Periodontitis | Periodontology | Periodontitis Treatment Causes | Costs | procedure

Professional gum treatment (periodontology)

Every third person in Germany suffers from periodontitis. Anyone who suffers from this has to fight with an inflammation of the tooth-holding apparatus – also called periodontium. This spreads from the gumline to the tooth cement and the root skin and is a common cause of tooth loss, especially as we age.

What is periodontitis?

Periodontitis usually progresses slowly and initially does not cause pain. Periodontitis only becomes noticeable with the appearance of regular bleeding gums, reddening and swelling of the gum tissue and unpleasant bad breath. As a result, there are so-called gum pockets, which may secrete secretions. This can lead to loosening and ultimately loss of teeth, which can only be compensated for by dentures. These pockets go hand in hand with a decrease in gums and sensitive tooth necks, but a change in the tooth position can also be the result. Periodontitis can progress chronically (gradually) or aggressively (within a few weeks).

Causes of gum inflammation

Inflammation of the gums can have different causes. Periodontitis should never be left untreated, because it is not only a threat to the oral cavity. Whenever oral hygiene is unsatisfactory, periodontitis can arise, but diabetes patients and cardiovascular sufferers are also at greater risk , Poorly processed tooth crowns, dental implants and dental fillings can also irritate the gums and trigger secondary diseases. In addition, stress and an unhealthy diet in addition to smoking help to cause periodontitis. However, predisposition to gingivitis can also be anchored at the genetic level. Protection against periodontitis is therefore never one hundred percent. Nevertheless, there are numerous ways to prevent this.

How is periodontitis treated??

First, a periodontal screening test (PSI) is used to determine how serious the present periodontitis is. Only then will the treating dentist determine which treatment steps are necessary based on the test results. Before these take place, however, you will be given a briefing to inform you about the necessity and implementation of the procedure. You will be informed about obvious, typical risks and consequences of the planned measure. If you agree to the procedure, treatment will begin.

In any case, the tissue around the tooth root is relieved of inflammation with the help of special dental cleaning instruments, so-called curettes, under local anesthesia. This prevents the spread of the inflammatory focus and thus the degradation of the tooth holder. This measure alone significantly reduces the degree of inflammation. The smaller the pocket depth, the sooner this intervention is done. If periodontitis is more advanced instead, surgery is given. The gumline of the affected regions is removed, the inflamed tissue is removed and antibiotic treatment may be recommended.

Additional measures will be initiated subsequently. The gums and their healing are checked once a week in the four weeks following the procedure. The gum pockets are rinsed and medication is placed in the pockets. If deeper pockets are still occasionally found, there is the option of placing a small gelatin chip (perio chip) in the gum pocket. This dissolves within 12 weeks and continuously releases an active ingredient so that bacteria can be fought over a longer period of time.

Long-term healthy gums (prevention)

Periodontitis can recur at any time. To reduce this risk, there are a few things you should consider.

  • It is essential that you take your oral hygiene seriously. It often happens that you forget to brush your teeth or let them be on purpose. If diseases then appear, the cause of these is quickly clear.
  • Daily tooth cleaning also includes interdental care, which is done using dental floss and interdental brushes. Mouthwashes can also contribute to oral health, but they cannot replace mechanical cleaning.
  • Professional tooth cleaning can also protect against periodontitis.

You should also make regular dental appointments. If you have ever been treated for periodontitis, it is important to come to your check-up appointments (about two to four a year, so-called recalls) to avoid further inflammation of the gums. Follow-up treatments are of the utmost importance here, as there are impending secondary diseases that can be identified and treated in good time.

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Christina Cherry
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