Timely and properly treated, periodontitis can be almost
Always be completely cured.

Professional gum treatment for healthy and firm teeth. We take care of optimal treatment for you.

Gingival treatment by your specialists at Max 36.

Long-term gum disease can carry over to the jaw bone, the periodontal membrane and the cementum, but not necessarily. In gingivitis, as well as periodontitis, the biofilm releases bacterial metabolic and breakdown products that trigger an immune reaction by the body. Periodontitis is a bacterially caused inflammation that results in largely irreversible damage to the parodontium.

Periodontitis – like gingivitis – is caused by bacterial plaque. The main difference between the two diseases: periodontitis means an already existing breakdown of bone that is verifiable by x-ray, while in gum disease (gingivitis) the deepened gingival pockets are caused by inflammatory swelling of the gingiva. The main role in the tissue damage is therefore played by one’s own immune system, which tries to eliminate the bacteria. It leads to the formation of e.g. enzymes to destroy the bacteria – but which lead to the destruction of one’s own tissue.

This ultimately results in the loss of connective tissue and bone. The consequences are gum bleeding, the development of pockets, recession of the gums and finally loosening or even loss of teeth.

Risk factors

Although the immune system and certain bacteria play the major role in the development of periodontitis, there are some risk factors that influence this development: poor or incorrect oral hygiene, a genetic predisposition, or tobacco abuse. Compared to non-smokers, smokers have a risk four to six times greater of developing periodontitis, especially if blood sugar levels are out of balance. Other risk factors are pregnancy, mouth breathing, bruxism (usually stress-induced teeth grinding), as well as an imbalanced diet.

Periodontitis influences systemic diseases such as diabetes or chronic cardiovascular disorders. There is also discussion about a connection between periodontitis and arthritis. Studies have proved a link between gingival diseases and an increased risk of premature births (or newly born babies with a below-average birth weight): it is almost eight times higher than for women with healthy teeth and gums.

Detailed information about gingival treatment


The gingival treatment

The aim of the treatment is to eliminate the inflammation state of the gum and the dental holding apparatus, as well as to remove plaque, calculus and the pathogenic bacterial flora. The treatment is divided into different phases with different measures, depending on the severity of the disease. In the so-called hygiene phase, all hard and soft pads located above the gingival margin are removed by means of PZR. This may require several sessions.

In addition, during this phase, tooth and root fillings must be placed or renewed, and teeth that can not be preserved must be removed. These hygienic measures alone can lead to a noticeable improvement in many patients. This is followed by the "closed treatment phase", in which the hard and soft pads lying below the gingival margin are removed. This is done with specially shaped hand instruments as well as sound and ultrasound operated devices.

After two to three weeks of healing, the result of this treatment is controlled. If necessary, it is repeated at individual points. In the case of very deep gingival pockets (more than five millimeters) which have not sufficiently decreased due to the hygienic measures and the closed treatment, it may be necessary to go into the open treatment phase.

Under anesthesia, the diseased areas are surgically opened, the gums are laid back, and the inflamed bones and tooth areas are cleaned. Subsequently, the gum is sutured micro-surgically. In addition, it is possible to fill cleaned bone pockets with bone replacement materials, to cover them with membranes or to stimulate gel regeneration with melt matrix protein gel. Modern regenerative periodontal therapy aims at the regeneration (regeneration) of the periodontal tissue by surgical measures.

These are procedures that are summarized under the concept of "controlled tissue generation" (GTR). By various methods, for example the use of bioactive bone replacement material, membrane technique or growth proteins, damaged tissue can be regenerated again. The five pathogenic, periodontal, main bacteria are treated differently: one curettage was sufficient for three types, and the other two antibiotics. Depending on the number of bone defects, these can be given in tablet form (systemically) or inserted directly into the gingival sheath (local). In both cases, it is advantageous to carry out a germ determination beforehand.

However, it is pointless to treat the infection with antibiotics without cleaning the teeth beforehand. The bacteria are almost completely protected in their biofilm from the action of the antibiotic drug. A further local treatment method is the direct introduction of an antiseptic chip from chlorhexidine into the gingival sheath. This ensures a lasting germ-freeness in the inflamed tooth-stash and builds itself biologically by itself.

After the treatment

If the local anesthetic lasts, patients usually feel a slight pull in the treated region. For the time after the treatment, the doctor prescribes anti-inflammatory painkillers, an antibacterial mouthwash with chlorhexidine and possibly antibiotics for five to eight days.

Up to the third day a slight swelling and a bruising can occur. Avoid brushing your teeth in the treated area. It is normal that the wound bleed a little in the first days. When sleeping, patients should keep the head as high as possible. The threads are removed after 8 to 10 days.

Risk

As with any surgery, there is a risk of wound infection. Slight pain, a swelling and minimal bleeding are normal until the third day.

Prognosis

Correctly and correctly treated, periodontal disease can almost always be cured. However, this treatment is in part very lengthy and always strongly dependent on the cooperation of the patient. Everyone concerned must be aware that a renewed inflammation is possible in principle. Therefore after the end of the actual therapy periodic follow-up care and professional cleaning of the teeth is necessary every three months.

Exposed teeth, recession cover and gum formation

If individual teeth are exposed, this is usually the result of incorrect, too aggressive dental care or incorrect loading of the teeth, for example by crunching. Sometimes a badly fitting crown can also be the cause. The gums recede at the outer surfaces of the teeth and leave them optically longer. In addition, the affected teeth are often hot-cold-sensitive, and a caries can easily form on the exposed root.

Treatment
After eliminating the causes of the gum reduction, the dental cupping can be covered with microsurgical techniques, By displacement of the surrounding gums or with a gingival graft. As a body-borne transplant, a strip of gum is removed from the palate area. This is not more painful than a burnt on the palate by a too hot pizza. The removal site on the palate is healed after one week. Using additional enamel matrix proteins (emdogain), these allow a real regeneration of lost gums. Emdogain consists of different proteins, which unite into a matrix and stimulate the formation of body-borne root cement. In addition, Emdogain also has a positive effect on healing.

After the treatment
the affected area may not be cleaned with the toothbrush; Inspection dates professionally professionally cleaned.

In the first three days
swellings may occur which have subsided after a week or so. After a period of about ten days, bruises are usually no longer visible. A mild pain, which can be well covered with medicines, is noticeable in the first days after the procedure. Cooling the treated site also brings relief. When sleeping, head and upper body should be stored elevated. In the days following the treatment, sports, physical exertion, smoking, caffeine-containing drinks, alcohol, dairy products and grains should be avoided. In the long term, a root coverage of 90% can be reached after receding.

Would you like an appointment for gingivitis treatment?

Our Ms. Bianca Fietze looks forward to your call on 089 - 22 80 16 00 or use our contact form.

Address

MAX 36 - Dental practice
for esthetic dental medicine
and treatment Munich.
Dr. Mark T. Sebastian
Maximilianstraße 36  I  80539 München


Telephone: 089 22 80 16 00
Fax: 089 22 80 16 06
E-Mail: rezeption@max36.de

© Max 36 - Zahnarzt Praxis für ästhetische Zahnmedizin und Funktion in München.
(Veneers, Zahnersatz, Implantate, Bleaching, Invisalign, CMD, Kieferorthopädie, Implantate Zahnfleischbehandlung)

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