Periodontology

para-1 para-2

Periodontology is a branch of dentistry dealing with treatment of supporting teeth structure or paradontium that comprises alveolar bone where the tooth is placed, tooth cementum and gingiva.

Paradontopathy (paradontosis) is a very common disease of modern society. It starts with gingivitis or gum inflammation which becomes paradontopathy at the moment when the disease infects deeper structures or bone.

Gingivitis, paradontopathy and teeth decay are the most common diseases nowadays.

The first symptoms that may alert you that something is wrong include redness, enlargement and modification of shape and consistency of surface structures; bleeding during teeth brushing, bad breath etc. If these symptoms appear it is time to visit your dentist.

If appropriate treatment isn’t applied after the first symptoms of gingival inflammation appear, destructive process in peridontium continues and following clinical signs appear:

  • Teeth root exposing
  • Periodontal pockets
  • Exudates in dental pockets
  • Subgingival concrement
  • Loosening and migration of teeth
  • Losing teeth

The main cause of parondontopathy is a dental plaque developed as a result of poor oral hygiene. 80% of dental plaque consists of microorganism or bacteria.

Parodontopathy treatment may be conservative or surgical depending on its stage. The purpose of treatment is to stop a destructive process in paradontium and restore the functional and anatomic integrity of affected paradontium.

Paradonthopathy is a disease that CAN NOT be cured only delayed. For that reason prevention and preventive measures are of great significance. They include removal of predisposed factors particularly soft deposits (by teeth brushing) and hard deposits (by calculus removal). It also comprises regular visits to dentist every six months.

Conservative treatment includes:

  • Detailed education on oral hygiene
  • Removal of calculus and deposits and polishing of teeth root

Patient education on maintenance of proper oral hygiene , regular cleaning of dental calculus (every six months), gingival curettage, removal of plaque retentions (decay, teeth filling edges, improper dental crowns), washing with inappropriate medicines and other preventive measures used for hindering recidivism.

A part from appropriate dental toothbrush and floss patients are also advised to use water pick.

http://www.waterpik.com/

Surgical treatment is applied in advanced stage of disease in order to remove the pathologically transformed tissue from periodontal pocket, to eliminate or reduce the depth of periodontal pocket and to establish a stable disease remission.

Surgical procedures:

  • Flap surgery (periodontal pockets reduction, tissue and bone regeneration)
  • Gingivectomy (gingival contouring, dental crown extension)
  • Connective tissue grafts
  • Bone grafting

IMPORTANT! In order to provide a successful treatment of paradentopathy and visible results it is important to maintain a proper oral hygiene.

Parodontopathy pathogenic agents test (PET test)

In collaboration with MIP Pharm Germany, dental studio Aponija performs PPA test which determines presence, type and amount of bacteria that cause parodonthopaty using PCR in real time (DNA sintesis method). Samples (swap from periodontal tooth pocket), are collected and sent to Germany  and the results are provided within five days.

Individual and precise diagnostics allows:

  1. Identifying potential risk point
  2. Early prophylactics
  3. Prevention measures
  4. Risk assessment before treatment
  5. Optimal treatment (antibiogram)