Treating periodontitis with laser – bone augmentation, dental office dr

Treat periodontal disease with LASER & bone formation

We would like to inform you about periodontal disease, also called periodontal disease or periodontitis.

What does healthy gums look like??

Healthy gums are pale pink, cling tightly to the tooth and do not bleed when brushing. The tooth root is attached to the jaw bone via very thin tooth holding fibers.

A healthy tooth with healthy gums

What is periodontitis and what consequences does it have??

Periodontitis is a bacterial inflammatory disease. It leads to a decrease in the gum and the jawbone, so that the tooth is held less and less by the tooth holding fibers on the jawbone and can loosen up. Over 80% of all adult Germans suffer from a mild to severe form of periodontal disease. From the age of 35, more teeth are lost through periodontal disease than caries. In addition, the presence of periodontal disease increases the risk of a heart attack, stroke or cancer in the esophagus, head and lungs by more than double. The likelihood of osteoporosis (bone loss) increases by 2 to 4 times, diabetes by as much as 2 to 11 times, and the risk of pneumonia by 10 times. Complications during pregnancy are increased by 4 to 8 times due to periodontitis. This explains the statement that periodontal disease can significantly shorten one’s own life expectancy.

Plaque and tartar lead to inflammation of the gums and bone loss.

Signs of periodontitis

As a rule, the disease runs painlessly and unnoticed by the patient. Most people only notice it when it is very advanced.
The warning signs for periodontitis are recognizable:

  • Red, swollen gums
  • the gums occasionally bleed when brushing their teeth
  • Bad breath and bad taste
  • Gum drop and thus exposed tooth necks
  • tooth migration
  • Loosening teeth.

In addition, we can see on the radiograph how far the disease has progressed.

How does a periodontitis develop??

In hard-to-reach places, even with thorough brushing, plaque and calculus remain. The bacteria in the linings ignite only the small portion of the gums, which rests directly on the tooth. This swells, turns red and starts to bleed easily. First tooth holding fibers are lost, more and more deposits can accumulate in the periodontal pockets.

If the periodontitis is not treated threatens tooth failure.

How does periodontitis progress??

If the pads and tartar are not removed by a dentist’s treatment, even more gums will become inflamed. More tooth-holding fibers and more and more jawbones are dissolved. The tooth is held less and less by the tooth holding fibers on the jawbone and becomes looser. In the end threatens the tooth loss.

How is periodontitis treated??

First, a professional teeth cleaning is performed. This includes removing all of your dental plaque, thoroughly cleaning and polishing your teeth above the gum line with professional aids tailored to your individual oral situation. Please read our information under “Professional teeth cleaning” on this topic..

Measurement of the periodontal pockets

Special instruments are then used to determine how much jawbone has been lost and how deep the periodontal pockets are.

With special instruments can be measured how deep the gum pockets are. Photo: Michaela Kuhn

Carrying out a germ test

As mentioned earlier, periodontal disease is caused by different types of bacteria. If these bacterial species are determined by a germination test, it is possible to proceed against these bacteria.

Exemplary findings message germination test. This determines the number of aggressive bacterial species, which then has to be reduced.

Drug carrier rail

A very effective way for the necessary bacteria reduction and thus for complete mouth disinfection is the introduction of chlorhexidine gel filled splints over teeth and gums. There is currently no antibacterial agent with such low side effects that effectively reduces gingivitis as chlorhexidine (published in: Dental Newspaper No. 3, 2005). Dental hypersensitivity caused by gingival retraction can also be effectively treated with these splints and a fluoride gel.

LASER treatment = antibiotics waiver

By using a special laser, the bacteria in the gum pockets are killed, so that in our practice in 9 out of 10 patients during and after a periodontitis treatment can be dispensed with antibiotics *. This modern method is called Antibacterial Photothermal Therapy (PTT).
Excluded are patients with certain general disorders or medications that significantly weaken their own immune system.

Minimally invasive periodontitis treatment

Under anesthesia, the calculus and plaque beneath the gum are removed in the deep periodontal pockets with small hand instruments and special minimally invasive ultrasound instruments. Inflammations, redness and swelling go back. Your gums tense and get back to your teeth. Contrary to standard periodontitis treatment, our modern treatment method is significantly gentler and results in significantly better results.

Bone building (Regenerative therapy)

The jaw bone lost due to periodontitis is not regenerated by the body. Therefore, in some cases it makes sense to restore lost jaw bones by treating us to give your teeth more support. In this regenerative, i. bone-building treatment, a fusion matrix protein is applied to the root surface of the tooth, which is no longer surrounded by the jawbone. This special protein ingredient causes a bone and Zahnhaltefaserneubildung. In certain cases, additional bone substitute material must be applied. After a regeneration time, a reduction and thus recovery of the periodontal pockets and, in the X-ray, the formation of the jawbone is recognizable.

Before the bone is built up, the gingival pocket is measured (left). Subsequently, the bone regeneration material stimulates the bone to regenerate the bone (in the middle). The newly formed bone reduces the periodontal pocket and retains the tooth (right).
Graphic: © Institut Straumann AG, 2015. All rights reserved. Courtesy of Institut Straumann AG.

Why is your continued cooperation critical for lasting success?

Periodontal disease is a chronic disease, which means that without regular treatment, it will reoccur with you over and over again, destroying the periodontium. Therefore, depending on your individual findings and risks, professional tooth cleaning every 3-6 months is your only option to prevent a recurrence of periodontal disease.

Cover photo (left): Michaela Kuhn
Cover photo (right): kurhan // Shutterstock

Dr. med. dent. Torsten Stecher · Endodontics (root canal treatment) · Implantology

Dentist Kathrin Stecher · Periodontics (gum treatment) · Senior dentistry

Rissener Dorfstraße 56 · 22559 Hamburg · Tel: 040/81 49 42 · S1, stop: Rissen · bus line 286, stop: Rissener Dorfstraße

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