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Periodontology

Prevent Effectively Dental Caries and Tooth Loss

In Germany, 80 per cent of adults suffer from inflammation of the periodontium, known as periodontitis. It is the most common cause of tooth loss.

Your gums bleed when touched with a toothbrush? That can be the first sign of gum inflammation - gingivitis. Further symptoms can be bad breath and an unpleasant taste. If it is left untreated, the inflammation can progress along the teeth in the direction of the jaw bone. Thereby, the ligament apparatus that anchors the teeth in the bone becomes destroyed, and the clinical picture of periodontitis develops.

At a particular degree of damage to the ligament apparatus, the teeth become loose and, if the disease progresses unfavourably, they must be removed. Smoking and diabetes lead to advanced periodontitis if it is left untreated, due to favourable factors. Periodontitis not only endangers the teeth. It permits access of bacteria from the oral cavity into the body's circulatory system, and these can then colonise the internal organs and damage them. Here, the heart is the first location to be mentioned. For example, the prognosis of cardiovascular diseases is considerably poorer in the presence of periodontitis. The risk heart attack is also increased many times.

Therapy 1: Arrest

An established periodontitis can usually be stopped using a systematic treatment. The basis for each treatment for this is complete removal of the responsible bacterial plaque.

Therapy 2: Analysis and hygiene

Initial- oder Hygienephase:
In our practice, we will explain to you the causes of periodontitis, and you learn how to keep your teeth and gums optimally clean.

The teeth are freed initially of the accessible soft residues and deposits. Depending on the initial situation, several appointments may be necessary for these measures. Subsequently, all the hard deposits and bacterial plaques are removed from the root surface and from the periodontal pocket. Through this first hygiene phase, the amount of bacteria is reduced and the inflammation recedes.

Therapy 3: Antibiotic therapy

In certain cases, the use of certain forms of antibiotics is sensible, in order to kill particularly aggressive bacteria.

Therapy checks

Intermediate checks (re-evaluation)
After a few weeks, a re-evaluation of your gums takes place. If the previous treatment was insufficient in the removal of the periodontal pockets, the dentist will suggest further treatment steps. These include the corrective (surgical) phase.

Therapy 4: Corrective (surgical) phase

In some cases, a small surgical operation is necessary, in order to remove tartar residues and bacteria, which remain in the difficult to reach periodontal pockets and forks of the roots (furcations). If there is a large amount of bone loss, there is also the possibility of partly repairing and restoring this using special treatment methods (so-called regenerative procedures).

Therapy and after-care — supportive periodontal therapy

The long-term success of periodontal treatment depends on your cooperation in the form of daily oral hygiene and on regular support from our specialist dental practice team. Teeth and gums are checked in the framework of the after-care support (for example, measurement of the periodontal pockets) and are professionally cleaned. In most case, an after-care appointment is required every three to six months. Without regular after-care appointments, there is the danger that the disease will return and continue the destruction of the periodontium.