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Periodontal surgery: effective therapy for severe periodontitis

Treating periodontitis successfully (© apops – Fotolia) The gums swell, turn red and bleed: Around 80 percent of Germans have periodontitis. Sometimes without realizing it. But this inconspicuous illness, which does not cause pain, can have serious consequences. How can modern periodontal therapy remedy this disease??

Periodontal disease, a danger to the whole body

The toothbrush only reaches two thirds of the oral cavity. For example, interdental spaces or molars are difficult to access: especially here germs accumulate, whose metabolic products attack teeth and gums over time. This leads to inflammation and gum or bone breakdown – all defense measures of the body. If the bacteria still get into the bloodstream, they increase the risk of stroke, heart attack and diabetes.

Conventional or surgical therapy?

So that things do not get as far as this, dentists advise to improve oral hygiene. Dental floss or interdental brushes help to drive bacteria away from regions that are difficult to access. Professional tooth cleaning also helps to clean the teeth all around. Sometimes, however, these measures are not enough to stop the bacteria.

With extensive diagnostics, the dentist clarifies whether conventional measures still promise success or whether surgical therapy is necessary. How many bacteria have already settled? How loose are your teeth? Are the gum pockets several millimeters deep? If the dentist finds out that periodontitis is far advanced, conventional therapies can no longer help. Then periodontal surgery is used.

How does periodontal surgery work??

Periodontal surgical treatment must be well planned and tailored to the individual dental situation. Sometimes the therapy spans multiple sessions to reach a successful conclusion.

To ensure that the procedure is largely painless, the dentist anesthetizes the areas to be treated and begins to clean the gum pockets. Microsurgical surgical techniques allow gentle opening of the gums and complete cleaning of the roots. Thanks to special laboratory tests, the germs can be localized and types of germs identified and treated with antibiotics.

Sometimes, however, not only the gums, but also the bones are affected. To counteract bone loss, the dentist rebuilds lost tissue with replacement material. Contrary to many hopeful opinions, it is unfortunately only possible to a very limited extent to recover bones from periodontally damaged teeth. At the end of each treatment, however, the bacteria should be removed and the teeth firmly anchored.

Plastic periodontal surgery for beautiful gums

Periodontal disease not only causes damage to health, but also affects the aesthetics of teeth and gums. For patients who are bothered by long, exposed tooth necks and red discoloration, plastic periodontal surgery offers ways out.

Gum recession not only makes the teeth appear longer, it also ensures an irregular gum course. This impression is reinforced when the small gum bulges in the interdental spaces disappear and leave behind so-called "black triangles". To correct these defects, the dentist covers the irregularities with small amounts of tissue from other regions of the oral mucosa, mostly from the palate.

Now not only are the health risks associated with severe periodontitis eliminated, but also the aesthetic side effects. Thorough oral hygiene ensures that no new infection develops and the teeth remain healthy.

This article is for general information only, not for self-diagnosis, and is not a substitute for a doctor’s visit. It reflects the opinion of the author and not necessarily that of jameda GmbH.

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