Getting to know periodontal disease treatment methods
gum disease (periodontal) It is treated with different methods, which are chosen according to the stage of the disease, how the body reacts to the initial treatments and your general health.. In this article from Dr. Hossein Borjian's website The best cosmetic dentist in Isfahan We will examine the methods of treating periodontal disease.
After a thorough evaluation of the gums, treatment options can include non-surgical treatments to surgical treatments. Non-surgical methods control bacterial growth. Surgical treatments restore the surrounding tissue and support the tooth.
A dentist or gum specialist can perform most of these treatments in the office. The time required to implement these treatment methods, the severity of the disease and the time required for recovery are different in one patient compared to another.. Other factors are the type and amount of treatment and the general health of the patient. Local anesthesia is used to numb the treatment area before treatment begins. If necessary, sedation is given to the patient.
Bone surgery
Bone surgery smooths surface bone cavities caused by moderate to severe bone resorption. After flap surgery, the bone around the tooth is reshaped to reduce cavities. This makes it difficult for bacteria to accumulate and grow.
In some patients, non-surgical methods of cleaning and crime Root canal is the only treatment needed for gum disease. Surgery is performed when the tissue around the tooth is not healthy and cannot be repaired with non-surgical methods.
Specialized dental scaling
During a routine dental checkup, a dentist or oral hygienist will remove plaque and tartar that has accumulated and hardened on the surface of the tooth.. (Plaque is the layer that covers the tooth, which can cause decay and gum disease.. Tartar is a hard and thick yellowish deposit that forms on the teeth) When scale and deposits reach a level of accumulation, they can only be removed by specialized scale removal.. Dental scaling removes plaque and tartar from above and below the gum line in all areas of the teeth.. If you have symptoms of gum disease, your dentist may recommend specialized dental scaling more than twice a year..
medicines
Antibiotics can be used together with surgery and other treatment methods or alone. Antibiotics reduce or temporarily eliminate periodontal disease bacteria. They prevent the destruction of the tooth-bone connection.
Chlorhexidine (Pridex, Priochip, Prioguard and other non-prescription brands available) It is an antibiotic drug used to control dental plaque and gingivitis in the mouth or in periodontal pockets. (The space between the gums and teeth) is used. There are medicines called mouthwash or chips containing gelatin, which are placed in the gum pocket after root canal treatment.. This drug slowly during 7 The day is free. Other antibiotics include doxycycline, tetracycline, and menocycline, which are used to treat gum disease..
In addition, an over-the-counter toothpaste called triclosan is often recommended.. This toothpaste contains fluoride and an antibiotic that reduces dental plaque and gingivitis.
Scaling (crime) and root canal treatment
This method, which is a deep mass removal and non-surgical method, is performed under local anesthesia. Hard mass and sediment (It is also called Tatar) It is removed from the areas above and below the gum line (Scaling). Also, any hard stains that are created on the deep areas of the teeth are cleaned. Deep cleaning removes bacteria and the clean surface of the gums reattach to the teeth..
Special methods
Sometimes gum disease and inflammation can be controlled without surgery. Antibiotics such as minocycline HCI (arrestin) or chlorhexidine (Priochip) can be in the mouth in the space between the gums and teeth (Periodontal envelope) Contract.
Bone grafting
in the method Bone grafting, parts of the patient's bone, artificial bone or donor bone are used. Grafted bone replaces bone—and helps regrow bone—in areas where bone has been lost due to periodontal disease.. This method preserves the connection of the tooth to the bone. Another treatment called tissue engineering stimulates the body to rapidly repair bone and tissue.
Soft tissue grafting
This treatment strengthens the thin gums and replaces them in areas where the gums have weakened (Areas where the root of the tooth is exposed). Most of the time, the graft tissue is taken from the roof of the mouth and stitched in the required place.
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Guided tissue regeneration
This method is performed when the supporting bone of the tooth is lost and stimulates the growth of bone and gum tissue.. This treatment is performed along with flap surgery, and a small piece of porous fabric is placed between the bone and the gum tissue.. This prevents gum tissue from growing where bone should be, allowing bone and connective tissue to regrow to better support the teeth..
Flap surgery / Periodontal pocket removal surgery
During this treatment, the gum is pulled up and the plaque is removed. In some cases, the irregular surfaces of the damaged bone are smoothed. This limits the areas where pathogenic bacteria can hide. Then the gums are placed in place and as a result the gum tissue is completely connected to the tooth.. Removing the space between the gums and teeth also reduces the growth areas of harmful bacteria. The likelihood of serious health problems that can lead to periodontal disease is reduced.
Attention :
- The scientific accuracy of the above published material should be confirmed by the patient's personal consultation with Dr. Borjian.
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