Treatment of periodontitis

Periodontal disease is a chronic disease of the periodontal tissue, which is characterized by a decrease in the bone tissue of the jaw and soft tissue of the gums, and tooth loss. The disease develops gradually and often does not cause significant symptoms in the early stages. This makes timely detection and treatment difficult. Periodontal disease significantly reduces the quality of life of patients, as it leads to difficulty chewing food and discomfort in the oral cavity.
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Stages of development of periodontal disease

Periodontal disease progresses over several years.

Damage to periodontal tissue can be both acute and chronic. In addition, depending on the area of ​​damage, there are 2 types of the disease.

The localized type is manifested by exposure of the dental necks in a specific area. The generalized type is characterized by pathological changes covering the entire dentition.

During the diagnostic process, the following stages of pathology are detected:

  • Initial It often goes unnoticed, as there is almost no pain. Some patients notice slight gum bleeding when brushing their teeth. Also, in the early form of periodontal disease, slight swelling and redness of the gums is observed. Inflammation does not yet affect deep tissues, and teeth do not become loose
  • Moderate Increased bleeding of the gums even with a light touch (for example, when eating hard foods), sensitivity of the gums, change in their color to a darker one. Inflammation progresses, periodontal pockets begin to form, in which food debris and microbes accumulate
  • Heavy Significant retreat of the gums from the teeth, exposure of the roots of the chewing units. The teeth begin to loosen and change their position in the row. The bone tissue of the jaw is gradually destroyed

Treatment methods

Drug treatment

Drug therapy involves taking medications.

Such treatment is carried out in the early stages of periodontitis. The patient is prescribed:

  • Antibiotics (for example, amoxicillin)
  • Antiseptic solutions (chlorhexidine)
  • Anti-inflammatory drugs (ibuprofen)

In the most severe cases, new classes of antibiotics (for example, tigecycline or linezolid), antiseptics and probiotics are prescribed.

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Surgical treatment

Surgical intervention is necessary in cases where conservative treatment is ineffective. In particular, this approach is relevant in severe stages of periodontitis, characterized by the presence of deep pockets and significant bone loss.

One of 2 operations is assigned:

  • Flap operation. During this procedure, the gums are peeled away from the teeth, allowing access to the roots and bone tissue. The purpose of the operation is to destroy tartar and deep bacterial deposits. This reduces inflammation and promotes gum healing
  • Regenerative. The main goal of the intervention is to restore lost bone tissue. The procedure involves the use of bone substitutes or membranes that stimulate natural bone growth and improve the attachment of gums to teeth

The result of the intervention is the restoration of healthy gum architecture and improved functionality of the teeth.

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Physiotherapy

Physiotherapy treatment is used to activate restoration processes in the gums and reduce inflammation. Physiotherapy methods include:

  • Laser therapy. Low-level laser helps reduce pain and inflammation, improve microcirculation and tissue regeneration
  • Electrical stimulation. Used to improve blood supply and accelerate regeneration of affected areas

Such procedures accelerate tissue healing. They are carried out independently, after surgery and in combination with drug therapy.

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Splinting

This is a modern dental approach. The process of stabilizing mobile teeth using special splints is used for moderate to severe tooth mobility. In the process, the teeth are connected using metal or plastic splints. This reduces their mobility and promotes healing and tissue stabilization.

The result of splinting is to reduce tooth mobility and prevent their loss.

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Advantages of periodontal disease treatment in dentistry “K+31”

Our clinic’s specialists use digital design and 3D modeling in their work. This ensures high accuracy and quality of therapy. Doctors at the K+31 center treat the most advanced stages of the disease. All stages of therapy are carried out in our center. In addition, the clinic provides a guarantee of infection safety during the appointment.

Answers to popular questions

Doctors at K+31 (Moscow) answered the most common questions about this pathology.

Can I get braces if I have periodontal disease at the age of 45 or older?

Installation of braces is possible even if there is damage to the periodontal tissue, but under certain conditions. In particular, it is recommended to use passive self-ligating bracket systems and superelastic archwires. These technologies minimize pressure on the gums and bone structures. It is also important that the specialist conducting the therapy has the necessary experience.

Is it painful to treat periodontal disease?

It all depends on the method. Pain occurs during deep cleaning under the gums (scaling and rooting). To reduce it, local anesthetics are used. Postoperative pain that occurs during surgery is controlled with painkillers.

Is treatment possible with traditional medicine?

Damage to the periodontal tissue cannot be treated with home methods. Folk remedies are used, if necessary, exclusively after medical intervention and only on the recommendation of a dentist.

How long does treatment take?

The duration of therapy depends on the degree of pathology. The condition at the initial stage stabilizes in 1-2 months. More complex cases requiring surgery take more than a year.

How to prevent the development of periodontal disease?

Prevention of periodontal disease begins with proper oral hygiene. You need to brush your teeth with a good toothpaste (it can be purchased at a very affordable price) after each meal. It is also necessary to use dental floss and antibacterial rinses. You should have dental checkups and professional cleanings every 6 months.

Our doctors

Shcherbakova
Valentina Frantsevna
Head of the Department of Dentistry, dentist
Egorova
Natalya Vasilevna
Head of the dentistry department, dentist-therapist, dentist-orthopedist
Elfimova
Natalya Vladimirovna
Head of the dental department, dentist-surgeon, implantologist
Cherkasov
Alexei Andreevich
Dentist-surgeon, implantologist, therapist
Samoilova
Nana Nugzarovna
Dentist-therapist, microscope
Ivashkevich
Sergei Georgievich
Dentist-surgeon, implantologist
Samartseva
Natalya Victorovna
Dentist-surgeon, implantologist, therapist
Korneeva
Evgeniya Sergeevna
Dentist-surgeon, periodontist
Bagaev
Omar Makhachevich
Dentist-therapist, pediatric
Grigoryeva
Regina Bogdanovna
Dentist-therapist, endodontist
Najaryan
Liana Artyomovna
Dentist-surgeon, implantologist
Ibragimova
Olesya Kayinbekovna
Dentist-therapist, microscopist
Nikolaeva
Irina Yuryevna
Dentist surgeon, periodontist
All specialists
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Primary appointment with a dentist-therapist
from 5 200 ₽
Repeated appointment with a dentist-therapist
from 4 850 ₽

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Reviews 10

I would like to express my deep gratitude to Alexey Andreevich and his assistant, unfortunately I forgot to clarify her name) They are simply masters of their craft, I have never had such pleasant visits to the dentist, absolute professionals in their field, they removed two wisdom teeth at once, I did not even notice how the process went. The doctor explained everything, answered all questions and gave recommendations, and the whole process took place during a pleasant conversation. I recommend everyone to contact only him!
25.11.2024
Kuleshov Kirill Dmitrievich
As a patient, I can see the doctor's attention and attitude during the appointment and pain relief. What I saw was that Yukova M.R. is a responsible, attentive and caring doctor who helped me save a tooth from extraction. Today, during an appointment, another dentist-orthopedist in another clinic took a picture and praised the work and asked for contacts where and who treated this tooth. Top class! Thank you again!!!
09.11.2024
Sagidova S.P.
Valentina Frantsevna is the only doctor I have trusted with my teeth for several years now. An excellent specialist, a professional in her field, always an ideal result. I am very glad that I found my doctor! I recommend
19.10.2024
Semenova Elena Alexandrovna
Thanks to Elizaveta Andreyevna for the treated teeth. A wonderful, sensitive, caring, very attentive doctor. I liked her as a specialist, she found all the problem teeth, treated them without causing pain. I highly recommend the dentist. The quality of her work is top notch!
19.08.2024
Marina Aksenova
Thank you very much to Dr. Omar for the parental happiness that the doctor gave us!... Where and to whom we took Maxim... We had hysterics, both our Maxim and we were under enormous stress. In other clinics, doctors sang songs to him, danced and showed him all kinds of cartoons, everything was useless. They only told us to do general anesthesia..... And now we get to Dr. Omar.... MAGIC!!!.... Maksimka leaves the doctor with her teeth cured and makes an appointment to meet again as soon as possible!.... So we cured all our teeth with a smile and great gratitude. Every week he asks to meet with the doctor, just to see if new holes have appeared there..... DOCTOR FROM GOD!!!.... I wish there were more such doctors, not only for children, but also for adults. With great respect and love, your regular clients clinics (Zaitsev sisters, Tatiana and Elena)
05.08.2024
Zaitseva Tatyana
An excellent doctor. The easiest way to remove an eight. fast and low-traumatic operation. Easy and painless recovery. All this thanks to the golden hands of the doctor.
31.07.2024
Sergey
I came to Elena Nikolaevna with acute toothache, 07/28/2024. The tooth was badly damaged, it was difficult to eat and sleep. Thanks to Elena’s careful treatment and approach, I began to feel much better. Very attentive doctor, one of the best dentists in my life. Thank you very much for your welcome.
28.07.2024
Lerskaya Nadezhda Evgenievna
Great doctor! This is something amazing, such a non-traumatic removal! Just some miracles!
26.07.2024
Julia K.
I went to Sergei Olegovich to remove my eights. The case was difficult: they did not erupt, grew strictly horizontally, sat deep in the gums, and even very close to the nerves. I was terrified of deleting them. First, I came to Sergei Olegovich for a consultation. He looked at my picture, immediately described all the nuances of the extraction, and advised me to remove the teeth under sedation, which I am very happy about. At the second appointment, I was put to sleep and I woke up without teeth and without memories of the operation. Sergei Olegovich described all the “side effects” of rehabilitation by day, when what will hurt and how, when there will be swelling and what to do in these situations. Everything happened exactly according to the timing that he predicted. Within a week, all the swelling went down and everything went away. I definitely recommend this doctor.
12.07.2024
Inna
I was looking for a doctor’s appointment with a microscope. I'm glad I ended up with Olesya Kayinbekovna. Great specialist, polite, balanced! I am grateful to her for her genuine desire to help.
12.07.2024
Ruslan
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