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Gingival Diseases and Treatment (Periodontology)
Periodontology deals with the treatment of diseases of the gums and the bone surrounding the tooth. It diagnoses and treats periodontal diseases such as gingivitis (inflammation of the gums) or periodontitis (receding gums). Periodontal diseases are mainly caused by a lack of oral hygiene, but there is also a genetic transmission. Bleeding gums, tooth mobility and bad breath are signs of periodontal problems. Periodontitis can also cause general health problems.
The aim of periodontal treatment is to restore and protect the gums and jaw bones to their healthy state. Periodontal treatment is determined according to the clinical condition of the patient.
Detertraj: It is the process of removing plaque and stones accumulated on the tooth surface with special tools.
Curettage: It is the process of cleaning the infected tissue in the gingival pocket.
Gingivectomy: It is the surgical cutting of enlarged or damaged gums.
Flap surgery: It is the process of cleaning and closing the infected tissue in the bone by removing the gums.
Regenerative surgery: It is the reconstruction of lost bone and connective tissue with special materials.
After all periodontal treatments, it is very important that our patients pay attention to oral hygiene, attend regular check-ups and follow the recommendations.
What are Gum Diseases?
Gingivitis (Gum Inflammation)
Gingivitis, known as gingivitis, is one of the most common gum diseases. Gingivitis is an inflammatory condition that causes irritation, redness and swelling of the gums. It is important to take this condition seriously and treat it immediately, otherwise it can lead to periodontitis, a more serious gum disease, or even tooth loss. Poor oral hygiene is often the main cause of gingivitis. Oral health habits such as brushing teeth at least twice a day, daily flossing and regular dental visits can help prevent and treat gingivitis.
Periodontitis (Gum Recession)
Periodontitis is a gum disease in which the gums become inflamed and the bone tissue supporting the gums is damaged. It is an advanced stage of gingivitis and has symptoms such as redness, swelling and bleeding of the gums. However, periodontitis is a more serious condition and can lead to permanent tooth loss.
This disease usually occurs when bacterial plaque accumulates on tooth surfaces and penetrates the gums. The bacteria irritate the gums and cause inflammation. As the inflammation progresses, gum pockets deepen and bone loss occurs. In this case, the teeth become loose and permanent tooth loss may become inevitable in the long term. Periodontitis is a condition that requires treatment of the affected gums and protection of general oral health.
What are Gingival Treatments?
Detertraj (Dental Stone Cleaning)
Cleaning is the process of cleaning plaque and stone accumulations on the tooth surface using special tools. Cleaning the tartar, which occurs as a result of the precipitation of minerals such as calcium and phosphorus on the structure called plaque formed by bacteria, constitutes an important stage of gum treatment. Dental tartar can be above or below the gum line and cause redness, swelling and bleeding in the gums. This treatment is important to maintain the health of teeth and prevent gum diseases.
curettage
Curettage is a periodontal practice that aims to improve dental health by cleaning tartar, inflamed structures and damaged tissues from the inside of the gums. Curettage, which is used to effectively treat gum diseases, is a reliable method that also takes aesthetic concerns into consideration. Curettage generally provides a more thorough clean than scaling and is therefore also known as deep cleaning. It is applied to patients who have complaints such as bleeding, swelling or bruising in their gums. Removing bacteria and inflammation that accumulates in the gum pocket can improve periodontal health.
Gingivectomy
Gingivectomy is the process of surgically removing enlarged or damaged gum tissue. This procedure is also popularly known as tooth lengthening or gum shortening. During this procedure, which can be performed both to obtain a more aesthetically beautiful tooth appearance and to treat various gum diseases, necessary interventions are made on the gum tissue. Gingivectomy, which is based on shaping the area around the gum tissues, also aims to obtain a more aesthetically attractive smile. It is also a treatment method that involves surgically cutting out enlarged or damaged gums. This procedure can be applied to correct aesthetic concerns or gum health problems.
Operation Flap
Flap operation is a surgical treatment method that involves lifting the gums, cleaning and closing the infected tissue in the bone. It is an effective method in the treatment of advanced gum diseases such as periodontitis.
Flap operation is a procedure performed to eliminate deep pockets that patients have difficulty in reaching. However, this operation is not applied to every gum problem. If there is still swelling and inflammation in the gums after tooth surface cleaning (detertraction) and root surface flattening procedures, flap operation is preferred. During the operation, the gums are opened to access the tooth roots and diseased bone, and the diseased gums and root surfaces are cleaned.
Regenerative Surgery
Regenerative surgery involves the reconstruction of lost bone and connective tissue using special materials. This treatment can be applied to correct the damage caused by gum diseases and to restructure the tissues.
