iStomatolog > Periodontology > Parodontosis treatment

Parodontosis, treatment

What is parodontosis?

Parodontosis is a gum disease characterized by systemic damage to all tissues surrounding the tooth - gums, tooth ligament, and jawbone. The absence of inflammation is a characteristic difference from periodontitis.

Signs of parodontosis

  • Pale mucous membranes
  • Presence of wedge-shaped defects on the teeth
  • Increased wear
  • Tooth mobility with root exposure of 1/2 or more

Radiographically, periodontitis is characterized by uniform horizontal loss of bone tissue in the area of all teeth.

Patient complaints with parodontosis

Increased sensitivity due to the presence of wedge-shaped defects and abrasion

Unesthetic appearance of teeth due to the presence of wedge-shaped defects, increased tooth wear, and exposed roots

Tooth mobility at grade 3-4 and root exposure of more than 1/2

Causes of parodontosis

The development of parodontosis is directly related to the gradual pathological changes in blood vessels (the process of sclerosis), which leads to a narrowing of the lumen of capillaries and thickening and deformation of their walls. As the disease progresses, the amount of oxygen and nutrients necessary for maintaining the normal state of the periodontium decreases, which is the cause of tissue destruction around the teeth.

At the first stage, the bone tissue becomes sclerotic, then the soft tissues, gums, periodontal ligament, and alveolar bone undergo dystrophic changes. Fibrous fibers gradually replace the natural ligament of the tooth (periodontium), which leads to irreversible changes in the structure of the periodontium. The tooth becomes fused with the bone and loses its natural physiological mobility necessary for distributing pressure during chewing. As the tissue atrophy progresses, the risk of developing an inflammatory process increases due to increased stress on the teeth.

It is difficult to determine the main cause of the development of sclerotic tissue dystrophy, but medical science knows the main provoking factors that trigger the mechanism of parodontosis development. This list includes:

  • chronic diseases of the vascular system (hypertension, atherosclerosis, vegetovascular dystonia);
  • metabolic disorders (endocrine diseases leading to changes in hormonal balance);
  • some diseases of the nervous system;
  • long-term medication therapy;
  • hereditary predisposition;
  • avitaminosis;
  • harmful effects of environmental factors (all types of radiation, polluted resources, work with poisons and toxic substances).

Most often, several factors unrelated to each other act as provokers of parodontosis development. For example, the presence of a genetic predisposition combined with smoking and a low immune status increases the likelihood of pathology several times. In any case, parodontosis is always associated with the overall health of a person, so the treatment of the disease should be systematic and comprehensive.

The treatment and prevention of parodontosis are mainly aimed at eliminating the manifestations of the disease, including improving blood circulation in the gums, eliminating sensitivity, splinting mobile teeth, restoring wedge-shaped defects, and restoring the anatomical shape of teeth and bite height.

The treatment and prevention of periodontitis

are mainly aimed at eliminating the manifestations of the disease, including:

  • improving blood circulation in the gums
  • eliminating sensitivity
  • splinting mobile teeth
  • restoring wedge-shaped defects
  • restoring the anatomical shape of teeth and bite height.

The advantages of treating and preventing parodontosis at iStomatolog

  • HealOzone stimulation of regeneration
  • LAZRAM sensitivity relief in 1 minute
  • Plasma therapy with growth factors
  • Periodontal control
  • 3D scanning and determination of the necessary bite height in case of severe tooth wear

The stages of treatment and prevention of parodontosis at iStomatolog

1 Stage

Examination, consultation, and additional tests

An examination of the condition of teeth, gums, and bone tissue, computer analysis of the degree of wear of tooth tissues, and determination of the necessary bite height. Analysis of computer tomography data. If necessary, taking a smear from periodontal pockets.
2 Stage

Diagnosis

A detailed clinical diagnosis taking into account the stage of the disease, the degree of tooth mobility, and bone loss of the jaws. Determination of the need for consultation with related specialists (usually an endocrinologist, ENT, and orthodontist).
3 Stage

Treatment planning

A step-by-step treatment plan that includes professional hygiene with the selection of home care products, vector therapy, laser therapy, ozone therapy, curettage, splinting of mobile teeth, treatment of carious teeth, restoration of damaged teeth with crowns, inlays or overlays, and replacement of missing teeth with implants or dental prostheses.
4 Stage

Maintenance of the achieved result

Regular check-ups and preventive measures every 6 months, correction of treatment..

Modern methods of parodontosis treatment

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    Classification and stages of parodontosis

    Parodontosis - is a chronic disease that can be in a stage of active progression or remission, when the development of the pathology slows down or stops. The stages of the disease reflect its severity:

    • First (mild) - symptoms are weak or absent, while destructive changes in bone tissue are already occurring (the pathology is visible on an X-ray).
    • Second (moderate) - multiple dental deposits (calculus) are found during dental examination, exposed tooth necks and roots are visible, changes in the structure of interdental bone partitions (reduction in height) are clearly visible on an X-ray, increased tooth wear and slight mobility are noted. Patients complain of discomfort in the gum area, particularly during chewing, and sometimes of itching in the tissues around the teeth. The dental arch is deformed, acquiring a fan shape, wedge defects appear. Tooth sensitivity to thermal (cold and hot) and other irritants increases;
    • Third degree (severe) - for this stage, tooth root exposure is 5 mm or more, destruction of two-thirds of the length of the roots is clearly visible on an X-ray. Teeth become loose, displaced, or tilted to the side, and can fall out.

    Diagnosis of parodontosis

    The main methods for determining the severity of parodontosis are visual examination and radiographic examination. Orthopantomography shows all dystrophic changes well and determines the degree of bone tissue loss. Additional tests may be prescribed to diagnose the functional state of the blood vessels in the periodontal tissues, to identify areas of the most pronounced sclerosis, and to determine the degree of tissue oxygen saturation, if necessary.

    Parodontosis is a disease with pronounced specific signs, which allows for a quick and accurate diagnosis without special differentiation. The difference from periodontitis is the loss of bone tissue within the horizontal plane, characteristic changes in the appearance of teeth, the presence of wedge-shaped defects, increased tooth abrasion, and the absence of an inflammatory process.

    However, the last statement cannot be considered 100% accurate. Failure to follow oral hygiene rules can lead to the development of inflammatory foci, bleeding and swelling in the gum area, characteristic of catarrhal gingivitis. The inflammatory process occurs against the background of the activity of pathogenic bacteria, which are part of dental calculus and soft plaque. After professional ultrasonic teeth cleaning, the inflammation gradually subsides, and symptoms of classic periodontitis return.

    Treatment of parodontosis

    Treatment of parodontosis is a complex multistage process based on an individual approach. The doctor must accurately determine the cause of the pathology in order to fundamentally eliminate it or mitigate the negative impact of the underlying disease on the dental tissues.

    Local treatment, represented by a wide range of procedures, is aimed at restoring the blood supply to the mucous membranes and gums, restoring a full-fledged dentition, boosting immunity, accelerating the regeneration of bone tissue cells, and preventing the development of inflammatory processes.

    Therapeutic programs use medications (in the form of injections, applications, tablets, ointments, gels), vitamin complexes, immunomodulators, and physiotherapeutic methods. In complex and advanced cases of the disease, surgical treatment methods are applied, including flap operations and bone grafting.

    Physiotherapy and the latest hardware techniques play a leading role in the treatment of parodontosis. The most effective methods of treating this complex disease are used by the doctors of the iStomatolog clinic in Kyiv.

    Ozone therapy based on the HealOzone apparatus

    Our dentists use the HealOzone device for ozone therapy from the manufacturer KaVo Dental GmbH (produced only in Germany, without transferring licensing rights to other countries). The effect of ozone on the mucous membrane allows for significant positive results. Already after the first two procedures, the condition of the periodontium improves, microcirculation in the gums is strengthened, and tissues are saturated with oxygen and nutrients.

    The listed effects are due to the expansion of arterial and venous vessels, as well as activation of metabolic processes. Positive results are observed even in patients with severe generalized forms of the disease.

    Using laser technology

    At the iStomatolog clinic, laser treatment techniques for parodontosis are successfully applied. The LAZRAM hardware installation provides safe, highly effective, painless treatment of affected areas. The laser beam, which represents a high concentration of electromagnetic radiation, has the unique ability to target problem areas without affecting surrounding tissue.

    The thermal energy of the laser stimulates blood circulation, accelerates metabolism and the removal of toxins from tissues, increases the elasticity of blood vessels and strengthens their walls, and has an anti-inflammatory effect. High sensitivity in the area of tooth necks disappears after a single treatment.

    The LAZRAM dental unit operates in 30 modes, allowing doctors to choose settings for the correct treatment of different stages and forms of parodontosis, perform manipulations of all levels of complexity, surgical and therapeutic. Each program, characterized by the effect of a certain type of laser, power parameters, and pulse radiation power, is applied taking into account the specifics of the pathology.

    Several highly effective methods are used in laser treatment of parodontosis, including:

    • Removal of affected epithelium – the laser beam evaporates the surface layer of the mucous membrane of the gums with pathological changes and stimulates tissue regeneration (laser curettage).
    • Cutting soft tissue of the gums in case of their excessive growth (gingivectomy method).
    • Eliminating increased sensitivity of teeth in the area of wedge-shaped defects.

    The use of laser technology based on the LAZRAM unit in complex programs for the treatment of parodontosis allows simultaneously solving such problems as eliminating increased sensitivity of teeth in the cervical area, destroying pathogenic flora, improving tissue trophism. Laser treatment guarantees complete sterilization of mucous membranes, dental crowns, and gums. Before laser therapy, tartar and soft plaque are removed using ultrasound.

    Plasma therapy with growth factors

    Plasma lifting is a relatively new direction in the treatment of parodontosis, used in Kiev. It is an injection procedure in which one of the plasma fractions, enriched with platelets, is introduced into the body. To obtain the material, the patient's blood (10 to 60 ml) is processed in a centrifuge at certain speeds.

    The PRP plasma fraction contains growth factors and other active substances that initiate the tissue regeneration process, accelerate metabolic processes, and restore damaged blood vessels.

    The use of plasma therapy in dentistry helps to achieve a number of important effects:

    • improving the functionality of blood vessels;
    • reducing bleeding of the gums;
    • increasing local immunity of the oral cavity;
    • ameliorating destructive processes in tissues.

    Plasma therapy enhances the effectiveness of the therapeutic course for treating periodontitis, improves oral hygiene indicators, and has a positive effect on the condition of bone tissue.

    After completing the course of physiotherapy, medication, and/or surgical treatment prescribed by the dentist, it is necessary to follow the recommendations of the doctors, paying special attention to maintaining oral hygiene.

    During follow-up examinations, we conduct a comprehensive diagnosis of the soft and hard tissues surrounding the tooth, assess their actual condition, identify signs of disease activation, and prescribe timely treatment.

    Obtaining digital images of the dental arch projected onto a computer screen helps to see even minor pathological changes. Intraoral scanning does not cause discomfort to the patient and allows the doctor to obtain an objective picture of the disease, monitor the results of the applied treatment methods.

    Advantages of choosing iStomatolog clinic for the treatment of parodontosis

    In our clinic, you will receive the most effective assistance based on the latest achievements in world dentistry. In recent years, techniques have emerged in medicine that allow us to stop the progress of a complex disease, prevent tooth loss, and preserve the aesthetics of your smile.

    Our therapeutic program includes modern hardware techniques, the use of which always gives significant positive results. Based on high-precision diagnostics, we will develop personalized treatment plans for each patient's periodontitis. Other advantages of periodontitis treatment at the iStomatolog clinic in Kyiv include:

    • Services provided by highly qualified specialists
    • Availability of the latest treatment and diagnostic equipment
    • 100% sterility
    • Attentive and sensitive approach to patients
    • The availability of an electronic information database (the treatment history is stored in the computer).

    To make an appointment with a doctor, use the online form on the website or call the following numbers: 067 502-8-999 and 093 502-8-999.

    Full Price list of dental clinic services is available at the following link 

    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.
    Parodontosis 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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