iStomatolog > Periodontology > Periodontitis treatment

Periodontitis treatment

What is periodontitis?

Periodontitis is a disease that is accompanied by inflammation of the gums and all tissues surrounding the tooth, including the bone tissue.

Symptoms of periodontitis in patients

  • Unpleasant odor from the mouth, despite thorough hygiene
  • Swelling and bleeding of the gums
  • Painfulness
  • Exposure of tooth necks and roots, as well as increased sensitivity
  • Mobility of teeth
  • With a progressive course, there is a change in the tilt of the teeth

A characteristic picture in X-ray examination is uneven horizontal and vertical destruction of bone tissue, the presence of periodontal pockets.

Periodontitis is characterized by exacerbations in the autumn-winter period.

Advantages of treating periodontitis at iStomatolog

  • Comprehensive individual approach
  • Treatment schemes that have proven their effectiveness
  • Combination of therapeutic and surgical methods
  • Drug protocols

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    Treatment methods for periodontitis at iStomatolog dental clinic in Kyiv

    • Closed and open curettage
    • Vector therapy
    • Laser treatment
    • Ozone therapy
    • Japanese gel preparation IG
    • Plasma therapy
    • Bone grafting
    • Gum plastic surgery

    Devices for treating periodontitis at iStomatolog dental clinic in Kyiv

    Periodontitis treatment

    Laser

    for periodontitis treatment
    Periodontitis treatment

    Vector therapy

    for periodontitis treatment
    Periodontitis treatment

    Ozone therapy

    for periodontitis treatment

    Hardware treatment of periodontitis

    One of the effective methods for treating periodontitis is ultrasonic therapy. The Vector device, developed by the German company Durr Dental, is a multifunctional complex capable of removing dental and microbial deposits from the surface of tooth roots and gum mucosa in a gentle mode.

    Unlike other similar devices, "Vector" works not in a horizontal, but a vertical plane. The tip of the device is positioned along the surface of the tooth and its roots, exerting an impact on external and internal structures, including tissues located below the gum level.

    Indications and contraindications for therapy using Vector

    The device has minimal traumatic effects on the jawbone, tooth roots, and mucous tissues, which is its main advantage. Periodontitis is treated using the "Vector" device in the following cases:

      • Presence of dental plaque and calculus below the gum level;
      • Exposure of tooth roots;
      • Increased tooth sensitivity in the presence of dental deposits;
      • Inflammatory foci in the gum area;
      • Periodontal pockets deeper than 3 mm;
      • Bleeding gums.

    Such therapy should be applied with caution for the treatment of periodontitis in case of severe detachment of the gum from the tooth surface, the presence of abscesses under the gums (abscessing form of periodontitis), and during pregnancy. Other contraindications are standard: blood disorders, untreated infections, oncological diseases, the presence of a pacemaker, and others.

    Individual approach to treating periodontitis

    The treatment of periodontitis at iStomatolog clinic is based on a personalized approach. Based on our own experience with the use of the Vector device and diagnostic results, we set achievable goals:

      • On the initial and first stage, we aim to fully restore the functions of the stomatognathic system;
      • On the second stage, we aim for long-term remission;
      • On the third stage, we aim to save and preserve the teeth.

    The Vector device treatment plan includes several stages. At the first stage, topical anesthesia is applied, followed by treatment of problem areas (without contact with the device's nozzle). Ultrasonic waves are applied together with Vector fluid, which removes dental deposits, microbial biofilm, growths in the periodontal pocket, and smoothes the root surface. The process of removing surface plaque, calculus, and soft deposits takes from 30 minutes to two hours.

    Secondary therapy is carried out to maintain and consolidate the result of gum treatment. The intervals between device treatments range from 10 days to 6 months. The periodontitis treating doctor will determine the necessary number of procedures and their frequency.

    The therapy using the Vector device is painless because the nozzle of the device does not come into contact with the inflamed areas. Instead, a vibrating stream of liquid with abrasive particles is used. Ultrasonic vibrations pass in a vertical direction, without damaging the gum and root tissues. Local anesthesia is offered to patients with increased tooth and gum sensitivity. The device improves microcirculation in the gums and stimulates tissue regeneration.

    Results of Vector therapy

    The German ultrasonic complex has a multidirectional effect:

      • A massage effect (ultrasonic waves stimulate lymphatic flow and blood circulation in the gums, resulting in vessel dilation and absorption of exudate in the focus of inflammation);
      • Inflammation intensity decreases, tissue nutrition improves;
      • Sources of infection are eliminated (microbial biofilm, dental plaque and calculus, granulations in the periodontal pockets);
      • The process of periodontal tissue restoration is initiated;
      • Tooth sensitivity decreases.

    The procedure for treating periodontitis is carried out without direct contact with inflamed tissues, so painful sensations are weakly expressed. The design of the device's nozzle allows for processing in hard-to-reach areas, as well as at a deep depth of periodontal pockets.

    Comprehensive treatment of periodontitis includes:

    1. Removal of dental deposits
    2. Elimination of foci of chronic infection or mucosal trauma (treatment of caries, replacement of poor-quality fillings, crowns and prostheses)
    3. Splinting of mobile teeth
    4. Replacement of missing teeth to restore full chewing efficiency
    5. Curettage of periodontal pockets
    6. Laser sterilization of periodontal pockets
    7. Vector therapy
    8. Plasma therapy
    9. Ozone therapy - accelerates tissue regeneration
    10. Medication therapy
    11. Physiotherapeutic procedures (massage)
    12. Selection of home care products

    There is no single treatment scheme for periodontitis, only general principles aimed at stabilizing the process:

      • Elimination of inflammation
      • Stimulation of regeneration of gum and bone tissue
      • Restoration of full chewing efficiency

    Important! Periodontitis cannot be cured once and for all. Treatment and prevention are aimed at stabilizing the process and preventing exacerbations. It is during exacerbations that the most intensive destruction of jawbone tissue occurs.

    Stages of periodontitis treatment at iStomatolog

    • Analysis of clinical data
    • Radiological examination
    • Filling out a periodontal chart
    • Bacterioscopic examination with determination of microorganisms' sensitivity
    • Development of an individual treatment plan

    A comprehensive approach to the treatment of periodontitis is used in advanced dental clinics in Kiev. The use of special pastes and gel preparations in combination with conservative or surgical methods significantly increases the effectiveness of the treatment course. Early treatment by a dentist provides almost a 100% guarantee of successful treatment with minimal costs. You can make an appointment through the online form in the "Contacts" section or by phone: 067 502 8 999, 093 502 8 999.

    Full Price list of dental clinic services is available at the following link 
    You can find more detailed information during a consultation at iStomatolog Center. After an examination by a doctor, you will be offered options for the most optimal treatment plans in your clinical case.

    FAQ

    If you have noticed one or more of the following signs, it is a reason to seek a consultation with a periodontist or at least your treating dentist: bleeding gums (or around several teeth) during brushing, eating solid food; tooth mobility; root exposure; defects on teeth at the gum line; unpleasant odor from the mouth, despite careful and regular hygiene; redness and swelling of the gums; unpleasant sensations of soreness, itching in the jaws; increased tooth wear; displacement or tilting of teeth, changes in bite.
    Gum treatment is carried out comprehensively with the participation of several specialists, not just a periodontist. There are many reasons that contribute to problems with the gums, such as: poor quality fillings and crowns with overhanging edges; missing teeth and overloading of the remaining teeth; poor hygiene; incorrect bite and more. Therefore, competent cooperation between the dentist, orthopedist, surgeon, orthodontist, and periodontist is fundamental for a successful result. Gum treatment begins with the professional removal of dental calculus and plaque, radiographic examination and diagnosis with determination of the degree of the disease, after which an individual treatment plan is developed. The most effective methods for treating gums are: vector therapy; laser therapy; ozone therapy; curettage; gingivoplasty.
    With the presence of X-ray examination and professional teeth cleaning, the examination takes about 30-60 minutes. The periodontist determines the nature of the disease, the degree of bone loss, the depth of periodontal pockets, and, in case of severe pus discharge, takes a smear from the periodontal pocket to determine the type of microorganisms and their sensitivity to medication. In addition, the periodontist determines the need to consult with a related specialist (therapist, orthodontist, orthopedist, or surgeon). All manipulations are absolutely painless.
    Unfortunately, it is not possible to recognize gum disease independently. The diagnosis is made based on the patient's complaints, clinical signs, and analysis of X-ray examinations. However, the presence of one or several signs (see "When do you need to go to a periodontist?") can be a reason to consult a periodontist.
    The cost of a periodontist examination at the iStomatolog Center in Kyiv is 10 euros. If necessary, you can also receive an examination from a therapist, surgeon, and orthopedist with a detailed treatment plan and financial justification. The cost of a comprehensive consultation will be about 20-25 euros.
    Periodontitis treatment

    Article author:

    Olena Daynetska, chief Doctor of iStomatolog Dental Center

    During a consultation at iStomatolog dental clinic, you have the opportunity to receive digital and video diagnostics, a detailed treatment plan, as well as the overall cost of all stages of treatment.

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    Стоматология супер! Обслуживаемся всей семьёй уже 13 лет. В основном у Ирины и Елены на м. Дарница. Качеством очень довольны! Персонал опытный и приятный) Однозначно рекомендую !!! Спасибо вам за ваш труд!
    Досвід лікування моїх зубів і приведення у задовільний стан мою посмішку має чималу історію (для інформації, мені за 50). Це пломби у більшості зубів, брекет системи і навіть спроби змінити форму зубів. Щось виходило, але не з першого разу, щось не виходило і намагання повернутись до цієї проблеми не сприймалися схвально. У додаток до всього цього сам процес лікування затягувався на довгі місяці.
    Що мене очікувало в центрі iStomatolog.
    1. Відсутність очікування біля кабінету.
    2. Відсутність зайвого. Персонал і лікарі тебе не обтяжують. Їх стільки, скільки має бути.
    3. Без сумніву професіоналізм. Тебе вислухать, і обов'язково запропонують варіанти лікування. Що безцінно, це те, що тобі в першу чергу будуть пропонувати максимально зберегти свої зуби.
    4. Відсутність бажання затягнути процес лікування на рік (якщо у тебе проблема не одного чи двох зубів). Головне, щоб дозволяли працювати ясна (їх стан).
    5. Матеріали з якими працюють лікарі. Це виключно японський виробник.
    І нарешті результат, який я навіть вже і не очікувала.
    Лена, дякую тобі ВЕЛИЧЕЗНЕ за твою роботу. Тобі і твоїй команді.
    Nice clinic. Very attentive doctors, very nice people. Competent in their job. All procedures, implantation, crown installation in 1 day, filling - everything is absolutely performed according to the protocols. The clinic is clean, tea and coffee will be offered. Protection against covid is carried out - everyone is wearing masks, shoe covers, the temperature is measured. Thank you very much to Maxim Valerievich, Elena Dainetskaya, Lidia Vladimirovna. We wish you prosperity!
    Якби мені раніше хтось сказав що я полюблю ходити до стоматолога, то я б не повірила)
    Але тут працюють дуже відповідальні, приємні і турботливі професіонали! Дякую всій команді цієї стоматології, і окремо дякую моєму стоматологу Пекарському Віталію за прекрасну роботу. Тепер я і солодке їм без болі, і більше посміхаюсь ☺️
    Я із задоволенням буду ходити тільки до вас 😊
    I would like to express my deep gratitude to Elena Sergeevna Dainetskaya. We have been treating teeth with the whole family for more than 10 years and we thank God that we have fallen into these wonderful hands! A very professional and competent doctor, kind, sensitive and always worried about his patient. There would be more such doctors in our medicine!I wish you health, success and prosperity in your work.I RECOMMEND iStomatolog clinic and Dr. Elena Sergeevna to everyone.
    С 2007 года iStomatolog наша семейная стоматология. Почему? Потому что кто лучше делает своё дело, если оно семейное и уже в третьем поколении. Я пришёл по рекомендации моего друга Антона на приём к Ларисе Викторовне. Она сказала мне сразу: «я не вырву не одного зуба если за него можно бороться» Пол года лечения и сейчас у меня только раз в 6 месяцев профилактика. Супруга, дочь, моя мама (83 года) все доверили свои зубки iStomatolog. Правда уже Елена Сергеевна (старшая дочь Ларисы Викторовны) руководит клиникой. Строгая, но наверно так и надо, а то мы всегда пытаемся отсрочить, откладываем на потом профилактику, а потом выкладываем огромные деньги что бы спасти уже гнилой зуб. В этой стоматологии принцип очень простой: делай качественно, относись к людям по человечески, предупреди заранее (ну ведь забываем и «забиваем» на это). Многие подумают заказная статейка. Нет, просто мне повезло, я нашёл тех кому не безразлично мое здоровье и посчитал своим долгом перед Вами, рекомендовать стоматологию iStomatolog.
    Так случилось, что в "iStomtolog", я попал по настоятельной рекомендации побратима. Имея, без преувеличения, огромные проблемы с зубами, могу вас уверить, это место где вам реально помогут! Теперь по выполненным работам: поснимали камни и налет, пролечили каналы, поставили 8 коронок и 1 винир, 3 импланта. Объем работ просто огромный. Хочу поблагодарить Елену Дайнецкую и всю ее команду за профессионализм, позитив и замечательную домашнюю атмосферу в клинике.
    Все мы знаем, как сложно выбрать хорошего врача, но могу с уверенностью сказать, приходите в клинику “IStomatolog”- здесь Вы найдете лучшего доктора Виталия . Очень хороший доктор-внимательный, доброжелательный, настоящий профессионал своего дела. Спасибо за Ваш труд, желаю Вам благополучия и успехов! А еще в кабинете чистота, комфорт, свежий воздух и приятная музыка. Рекомендую☝️
    Отличная стоматология. Быстро и качественно оказывают услуги, ничего лишнего не навязывают. Вежливый и обходительный администратор. Очень рекомендую. Теперь по всем зубным вопросам только туда.
    Я доглядаю зуби в цій клініці майже 15 років, і це про щось та говорить. Свого молодшого сина також привела сюди ще з першими зубками.

    Всі лікарі уважні, професійні, з щирою турботою про пацієнта. Запам'яталось, як мені років п'ять тому довго і терпляче спасали майже безнадійний зуб, зіпсований в іншій клініці — спасли, стоїть свій зуб, а міг би вже бути імплант.

    Дуже рекомендую.

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