Periodontology and mucosal diseases

A field that deals with the treatment and prevention of gingivitis and periodontitis.

The primary symptom of gingivitis is gingivitis. redness, which should be a signal to implement non-invasive treatment. Then the reversal of the inflammatory process occurs spontaneously after improving oral hygiene or as a result of supragingival intervention in the form of scaling performed in a professional office.

Another symptom is bleeding From the gums. This means that there is an inflammatory process going on in the tissue and periodontal intervention is necessary. During professional cleaning, we work with dental magnifiers so we are able to clean deeper bacterial plaque.

A more advanced state of inflammation is periodontitis, which not only leads to bleeding, but also to the formation of gingival pockets. Loss of deeper soft tissues and bone then occurs. Untreated periodontitis can cause increasing mobility and ultimately lead to tooth loss.

Periodontal treatments:

scaling, sandblasting, root planning, curettage
covering gingival recessions
Mucosal treatments to create better conditions for denture retention
gum grafts
tooth splinting
surgical lengthening of the clinical crown
frenulum and gum plasty
bone regeneration

Related treatments

Pediatric dentistry (pedodontics)

Prosthetics

Diagnostics

Teeth whitening Wrocław

Types of periodontology services

Periodontal diseases are mostly chronic conditions that cause moderate pain. However, they require regular follow-up and long-term periodontal treatment.

In our office we diagnose and treat diseases of the mucous membranes. Sometimes these lesions require pharmacological treatment, and at other times surgical treatment. There are also lesions that can be a symptom of systemic diseases.

Gingival recessions

Gingival recessions are mucosal imperfections that, primarily for aesthetic reasons, are a common case treated by our specialist. Gingival recessions, or root exposure, are most often a disorder that occurs independently of the patient. These defects are sometimes a complication of orthodontic treatment, but the biggest factor is an anatomical issue beyond the patient's control.

Gingival recessions are treated only surgically, often using palatal grafts. These are microsurgical procedures so we perform them under magnification and use atraumatic surgical instruments.

The patient must undergo a consultation for qualification prior to periodontal surgery.

Curettage and scaling (stone removal)

We can divide scaling into supragingival scaling, i.e. scaling that we use when there is no inflammation, and subgingival scaling when there is active inflammation. Ultrasonic subgingival interventions are often called "root planning." This procedure is performed by a specialist under local anesthesia.

Curettage is a subgingival form of periodontal treatment that aims to remove inflamed tissue with special curettes.

Subgingival treatments are used for significant gingivitis, but especially periodontitis.

Periodontal surgery (regenerative and resective)

Periodontal surgery is a combination of two specialties. Procedures in this field are aimed at restoring missing tissue (regeneration) or eliminating excess tissue (resection). Procedures performed in this field are:

Surgical crown lengthening (resection) - we perform this procedure in both the lateral teeth and the aesthetic zone. In the first case, it is aimed at exposing the tissues of the tooth so that an extensive carious cavity can be restored. In the second, it is an aesthetic intervention, such as eliminating the so-called gummy smile, i.e. reducing excess gum tissue. Clinical crown lengthening is also necessary for fractured teeth. It is the reduction of surrounding tissues that allows us to prosthetically rebuild teeth by some destined for extraction. A fractured tooth is a very common indication for resection surgery.
Tissue regeneration - these are procedures that aim to restore lost tissues, such as from periodontitis. Here we mainly use materials of animal origin, which are designed to replace human tissues. We perform these procedures at the time of immediate implants, restoration of vertical periodontal bone defects, elevation of the maxillary sinus floor or restoration of the post-extraction cavity of a tooth.

Surgical crown lengthening

Sometimes carious cavities penetrate very deeply involving also the root tissues. Then an ordinary restoration is not possible due to the temporary leak that is sure to form over time. Then the patient requires lowering the bone in the interdental space and eliminating excess gingiva.

The healing period after such a procedure is up to two months. Only after such a time after the procedure will we be able to ensure the tightness of the composite filling.

In the absence of periodontal and surgical intervention, such teeth often require removal at a later date.