Periodontology

During the first visit, the periodontist assesses the severity of the disease and determines the goals of treatment, and then, together with the patient, determines the stages of treatment. The introduction to more advanced treatments is a special, non-surgical cleaning of root surfaces called scaling. It allows you to remove deposits of bacterial plaque and tartar from the surface of the teeth, and above all – from their roots. This helps in the healing of the gums and the shallowing of periodontal pockets.

At the next visit (usually 1-6 weeks after the first visit), the doctor will check the depth of the periodontal pockets to assess the effectiveness of the initial treatment and make any corrections. At this stage, in many cases it turns out that remission of periodontal disease has been achieved and the patient does not require further active therapy, but only supportive measures (so-called secondary prevention). However, if the periodontal pockets are deep and there is a loss of bone tissue, surgical treatment may be necessary.

Surgical procedures on the periodontium (so-called flap surgery, open curettage) are performed to remove inflamed tissues and shallow the bone loss, and thus prevent tooth loss. Surgical access allows the doctor to reach hard-to-reach places below the gum margin and tooth root surfaces and to replace missing bone tissue using bone substitute material or enamel matrix proteins.