What is this?
Periodontics is a periodontal science, a team of tissues that interact with each other in maintaining communication between the tooth and the bone of the jaw or jaw.
What is the periodontal function?
Periodontium allows the proper operation of dentition during chewing of food and forming billets, and in phonation, as well as maintaining aesthetic appearance. Periodontium, which is part of the masticatory organ, is divided into marginal and apical for clinical reasons. Peripheral marginal consists of: gums, periodontium, root cement and alveolar bone. The main function of the periodontal tissues is to attach the tooth to the bone and maintain the integrity of the mucosal surface in the oral cavity.
What is periodontal disease?
Periodontal disease, apart from caries, is the most common cause of tooth loss. Periodontal diseases are chronic, non-cancerous pathological processes limited to gingival tissues or also including other periodontal tissues that begin in the marginal periodontium. These diseases are mostly inflammation. They are divided clinically into:
gingivitis and periodontitis. Gingivitis is preceded by periodontitis. Gingivitis can persist for many years or even a lifetime. However, most people develop periodontitis.
What is the treatment?
Periodontal disease requires comprehensive preventive and curative treatment, as it has many causes and the clinical picture is multiform. It is known that periodontal disease is caused by several factors, and therefore, effective and long-lasting results can not be expected after using only one treatment method.
The causal treatment of periodontitis aims at eliminating bacterial dental deposits over and under the gum and preventing the build-up of new plaque and calculus. This goal can be achieved by performing accurate scaling (removal of dental deposits) over and under the gum and by polishing the cleaned surfaces, which prevents the plaque from accumulating quickly. The scaling treatment is a prophylactic treatment in preventing the formation of superficial inflammations and periodontitis. It is also the basic treatment for gingivitis, and at the same time one of the methods to prevent the transition to severe periodontitis. Practice proves that the treatment of periodontal disease can be effective if it is carried out comprehensively. In addition to conservative and prosthetic treatment, surgical treatment is of great importance, which in addition to curettage and removal of pathological pockets involves the removal of soft tissue defects.
What is curettage?
The most frequently performed periodontal surgery is curettage (open or closed), i.e. the curettage of gingival pockets. This treatment consists of the exact removal of the bacterial plaque, tartar, granulation tissue filling the gingival pocket along with the inflamed epithelium. Specialist hand instruments are used for this type of treatment. The quality and type of tools used is very important, because it allows for good smoothing of the root surface, preventing the rapid deposition of new deposits and bacterial plaque and decides about the correct and rapid healing after the surgery.
What is atrial plasticine?
The vestibule of the oral vestibule heals the deepening procedure performed especially in the area of the lower anterior teeth. It is indicated in cases of congenital shallow atrium or shallow atrium acquired after periodontium atrophy or primary or secondary stenosis of the gum zone. Extraction of the gingival margin during the movements of the lip leads to the disappearance of the gum and the movement of the teeth. The retention of food leftovers at the bottom of the shallow vestibule, near the edge of the gum, favors its inflammation.
What is gingivectomy?
It is a surgical treatment involving the removal of overgrown gums and restoring them to their natural shape and healthy appearance.
What is a flap operation?
It is a procedure that allows you to fill the missing bone of the alveolar ridge. The bone-filled cavity is filled with a special bone-forming material. The doctor cuts and pulls away the gingival tissue to gain access to the root of the tooth and the surrounding bone. Then it cleanses the tooth root in accordance with the method called "scaling and planning" to remove all the tartar and other factors that hinder the root surface of the tooth reattaching the periodontal ligaments. The implanted material is placed in the area of the missing bone, and the gum tissue is placed in the right place and closed the surgical site by stitching it.
What is tooth splinting?
Progressive periodontal disease can lead to loosening of teeth. When surgical or pharmacological treatment fails, splinting is the method of choice or cooperating with the above. Fixing the group of teeth enables their stabilization, correct shorting, improves aesthetics and restores a smile.