Treatment of periodontal disease

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.

Modern methods of diagnostics and dental treatment at "K+31"

Our doctors

Shcherbakova Valentina Frantsevna
Experience 30 years
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Shcherbakova
Valentina Frantsevna
Head of the Department of Dentistry, dentist
Elfimova Natalya Vladimirovna
Experience 12 years
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Elfimova
Natalya Vladimirovna
Head of the dental department, dentist-surgeon, implantologist
Cherkasov Alexei Andreevich
Experience 18 years
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Cherkasov
Alexei Andreevich
Dentist-surgeon, implantologist, therapist
Bogdashin Sergey Vladislavovich
Experience 25 years
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Bogdashin
Sergey Vladislavovich
Orthopedic dentist
Artyomov Yanislav Alexandrovich
Experience 12 years
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Artyomov
Yanislav Alexandrovich
Dentist therapist
Samoilova Nana Nugzarovna
Experience 13 years
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Samoilova
Nana Nugzarovna
Dentist-therapist, microscope
Ivashkevich Sergei Georgievich
Experience 30 years
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Ivashkevich
Sergei Georgievich
Dentist-surgeon, implantologist
Podshekoldina Elena Nikolaevna
Experience 16 years
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Podshekoldina
Elena Nikolaevna
Dentist Therapist
Matevosyan David Aramovich
Experience 11 years
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Matevosyan
David Aramovich
Dentist orthopedist
Samartseva Natalya Victorovna
Experience 19 years
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Samartseva
Natalya Victorovna
Dentist-surgeon, implantologist, therapist
Eloev Arthur Tamerlanovich
Experience 13 years
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Eloev
Arthur Tamerlanovich
Dentist surgeon
Vataev Vladislav Olegovych
Experience 16 years
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Vataev
Vladislav Olegovych
Dentist orthopedist
Pivovarova Natalya Sergeevna
Experience 9 years
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Pivovarova
Natalya Sergeevna
Dentist, hygienist
Bagaev Omar Makhachevich
Experience 19 years
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Bagaev
Omar Makhachevich
Dentist-therapist, pediatric
Zakharyan Georgy Karenovich
Experience 16 years
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Zakharyan
Georgy Karenovich
Dentist-surgeon
Kuznetsova Larisa Nikolaevna
Experience 28 years
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Kuznetsova
Larisa Nikolaevna
Hygienist
Sukhareva Darima Tsyrenovna
Experience 10 years
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Sukhareva
Darima Tsyrenovna
Dentist therapist
Grigoryeva Regina Bogdanovna
Experience 23 years
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Grigoryeva
Regina Bogdanovna
Dentist-therapist, endodontist
Melkumyan Ivan Mikhailovich
Experience 5 years
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Melkumyan
Ivan Mikhailovich
Dentist-surgeon
Golubev Vitaly Viktorovich
Experience 23 years
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Golubev
Vitaly Viktorovich
Dentist-orthodontist
Pavliy Yulia Vitalievna
Experience 14 years
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Pavliy
Yulia Vitalievna
Dentist-therapist
Najaryan Liana Artyomovna
Experience 5 years
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Najaryan
Liana Artyomovna
Dentist-surgeon, implantologist
Sharifov Eldar Rasimovich
Experience 6 years
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Sharifov
Eldar Rasimovich
Dentist-therapist
Ustinova Alexandra Vladimirovna
Experience 11 years
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Ustinova
Alexandra Vladimirovna
Dentist-therapist
Sanikidze Nino Nugzarovna
Experience 13 years
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Sanikidze
Nino Nugzarovna
Dentist Orthodontist
Ibragimova Olesya Kayinbekovna
Experience 17 years
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Ibragimova
Olesya Kayinbekovna
Dentist-therapist, microscopist
Sahakyan Arpine Argishtovna
Experience 8 years
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Sahakyan
Arpine Argishtovna
Dentist, pediatric dentist
Geraskina Inna Igorevna
Experience 10 years
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Geraskina
Inna Igorevna
Orthodontist
Nikolaeva Irina Yuryevna
Experience 30 years
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Nikolaeva
Irina Yuryevna
Dentist surgeon, periodontist
Avdeeva (Sokolova) Anastasia Eduardovna
Experience 11 years
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Avdeeva (Sokolova)
Anastasia Eduardovna
Dentist, pediatric
Shapran Sergey Olegovich
Experience 9 years
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Shapran
Sergey Olegovich
Dentist-surgeon
Lebedeva Natalia Mikhailovna
Experience 5 years
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Lebedeva
Natalia Mikhailovna
Orthodontist
Ozerova Elena Valerievna
Experience 23 years
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Ozerova
Elena Valerievna
Dentist
Lebedeva
Taisia Mikhailovna
Dentist-therapist, pediatric dentist
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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

Alexandra Vladimirovna, thank you for the wonderful reception. The cleaning was painless and all thanks to your wonderful work. Thank you for the instructions on how to properly care for your teeth. I will definitely contact you again.
19.02.2025
Anonymously
I had 2 wisdom teeth removed, absolutely no pain, carefully, no recovery, didn't even take painkillers. Excellent doctor!
26.01.2025
Alina Igorevna P.
I had 4 wisdom teeth removed by Artur Tamerlanovich, everything went great! A very competent and calm doctor, he carefully carries out all manipulations and explains the entire course of the operation. Recovery was easy and painless) An excellent doctor, I recommend!
21.01.2025
Natalia P.
Wonderful doctor! I treated many teeth with complex caries with Darima Tsyrenovna, the quality of work is excellent, and the appointments themselves are super. The doctor explains all the manipulations and advises how best to do them. And also a very pleasant person to talk to with a sense of humor) I recommend!
21.01.2025
Natalia P.
This is the best dentist. He removed a very complicated tooth for me without sedation, so I didn't feel anything. I also want to note the work of the assistant girls and the dental department as a whole, it's a pleasure to be with you.
29.12.2024
Alisa Alexandrovna O.
I can't stand advertising - both listening to it and making it. And Sergey Georgievich doesn't need it. I'm more concerned about people who want to get rid of the rot in their mouth, the unpleasant odor, the gastritis caused by the same rot: if you need an adequate, professional surgeon who patiently explains the situation, offering possible alternatives, then drop all pseudo-important and important matters right now and run, run to S.G. immediately!! And finally, between you and me: if you've noticed even a hint of masochism in yourself, S.G. will disappoint you. Sincerely yours - Raf, who visited S.G.'s office with great pleasure only yesterday and left it with even greater pleasure.
15.12.2024
Mezhlumyan Rafik Sumbatovich
I had my canals with inflammation treated under a microscope by this doctor. A complicated upper sixth. Everything went great! After 6 months, I can say that finally the tooth doesn't bother me. The doctor has a very light hand. Now I will only be treated by him.
06.12.2024
Susekova Olga
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
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
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
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Почему К+31?
К + 31 — full-cycle multidisciplinary medical centers, including the possibility of providing medical services of European quality level.
К + 31 — are leading doctors and diagnostics using high-tech equipment from world manufacturers (Karl Storz, Olympus, Siemens, Toshiba, Bausch&Lomb, Technolas, Zeiss, Topcon).
К + 31 — is ethical. The staff of K+31 clinics maintain open relationships with patients and partners. An individual approach to each patient is the basis of our service standards.
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Our clinics

K+31 on Lobachevskogo

st. Lobachevskogo, 42/4

+7 499 999-31-31

Subway
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11
Prospect Vernadsky Station
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Lobachevsky, we pass the first barrier (security post of the City Clinical Hospital No. 31), turn right at the second barrier (security post K+31)
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Opening hours
Mon-Fri: 08:00 – 21:00
Saturday: 09:00 – 19:00
Sunday: 09:00 – 18:00
K+31 Petrovskie Vorota

1st Kolobovsky pereulok, 4

74999993131

Subway
9
Tsvetnoy Bulvar
10
Trubnaya
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Moving along Petrovsky Boulevard, turn onto st. Petrovka, right after - on the 1st Kolobovsky per. Municipal parking
Opening hours
Mon-Fri: 08:00 – 21:00
Sat-Sun: 09:00 – 19:00
K+31 West

Orshanskaya, 16/2; Ak. Pavlova, 22

74999993131

Subway
3
Molodezhnaya
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Moving along Orshanskaya street, we turn to the barrier with the guard post K+31. You do not need to order a pass, they will open it for you
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Mon-Fri: 08:00 – 21:00
Sat-Sun: 09:00 – 18:00
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