Chronic inflammation of the periodontium is the most common cause of tooth loss in adults! The main cause of parodontitis is bacterial plaque. If the plaque is not removed, the bacteria migrate from the teeth to the gum and settle in gingival pockets around the teeth. The result is gingival inflammation, recognizable by redness, swelling and pressure sensitivity of the gums as well as frequent gum bleeding. The task of periodontology is to both avert periodontal disease via prevention, and when needed, to treat it with therapies!
“What is most malicious about the epidemic disease periodontitis? It is typically painless, and it often goes unnoticed if there are no check-ups in the dental practice!”
Over time, the gingival pockets become increasingly deeper, leading to long-term loss of the gums, loosening of the teeth, and eventually, loss of teeth. Periodontitis, however, not only endangers our oral health, but can also make the whole body sick. It has been shown to be associated with several general diseases such as:
- Diabetes mellitus
- Diabetes mellitus
- Fat metabolism disorders and obesity
- Rheumatoid arthritis
- Disorders of the cardiovascular system
In our practice in Freiburg, we have specialized in periodontology! We are therefore concerned with the science of what is happening around the teeth – at the tooth bed or periodontium. A healthy periodontium is the prerequisite for healthy teeth and implants. To achieve this, your specialist practice in Southern Baden is there to support you!
The aim of periodontal treatment is to stop inflammation and to restore the periodontium to a stable, healthy condition. The treatment is divided into three phases:
Prevention: The individual prophylaxis program
In the course of prophylaxis in our practice, we are able to recognize the signs of pathological changes in teeth and gums. To determine if you are suffering from periodontal disease, we measure the depth of the gingival pockets and check the degree of teeth loosening. X-ray images show the state of the jaw bone. A thorough analysis of tooth and mouth health also includes the question of lifestyle. The following factors increase the risk of periodontitis:
- Alcohol consumption
- Poor oral hygiene
- Hormone changes, e.g., during pregnancy
Poorly-controlled diabetes also affects the severity of periodontitis.
As part of periodontal care, our dental hygienists will demonstrate what you yourself can do against harmful dental plaque. Working together with you, a prophylaxis program will be developed and tailored to your own oral health. In many cases, through these measures alone, the disease can be suppressed, and healthy conditions can be restored.
Therapy: How we treat periodontitis
If the damage to the gums has already progressed, prophylaxis alone is no longer sufficient for regeneration. As a qualified specialist of the German Society for Periodontics (DGParo), Dr. Ralf Quirin is aware that periodontal disease is an insidious, creeping process, which is often noticed very late by those affected. In the long term, the disease can only be halted with special measures:
- Cleaning the root surfaces with fine instruments
- Removing solid deposits
- Smoothing the root surfaces
- Removing inflamed tissue
- Re-checking again after a few weeks and further analyzing the condition
The treatment phase is followed by a maintenance phase in our special recall program so that the success of therapy can be secured in the long-term. In this way we can be sure that periodontal disease does not return, and that the periodontium and teeth remain healthy in the long run.
The patient needs to develop an awareness for meticulous dental hygiene at home; otherwise, there is a good chance that periodontal disease will reoccur. Regular appointments for prophylaxis in our practice with professional teeth cleaning are basic prerequisites for supporting the gums during healing.
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The aim of periodontal surgery is the regeneration of the dental-holding apparatus. This includes:
- Tooth socket
- Periodontal ligament
Due to periodontal disease, the gums may contract and the bone may lose its substance. This means that the teeth are no longer able to find support and may, without treatment, fall out. In addition, there is the aesthetic component – exposed teeth are not only unsightly but also very sensitive to heat and cold.
With periodontal surgery, we restore both the function and the aesthetics of the dental-holding apparatus!
Treatment options for periodontal surgery
- Regenerative Periodontal Surgery / Emdogain
For rebuilding tissue and bone, there are various methods termed, guided tissue regeneration (GTR), e.g., by means of bioactive materials and membrane technology, or by means of growth proteins such as Emdogain therapy.
- Aesthetic plastic periodontal surgery / coverage of receding gums
Surgical procedures can of course be experienced in a quite relaxed manner with the support of laughing gas or anesthesia. We also attach great importance to working minimally invasively. This means that we prevent injury to very small tissues during surgery. To achieve this, we use modern ultrasound instruments, which also minimize the risk of infection and accelerate the healing of the wound.
|Do you have any further questions about peridontal surgery? Please call us on: 0761 71040|
With a mucosal transplant, we correct receding gingiva, or gums, and protect your teeth! When the gingiva recedes, every smile will display strikingly long and narrow teeth. This is both unattractive and painful for you!
Once the gums have recovered, the teeth become more sensitive and more susceptible to caries. Further damage to the tooth is thus possible. Reasons for receding gingiva are for example:
- Strong scrubbing with the toothbrush
- Untreated periodontitis
- Age-related factors
A mucosal transplant corrects these defects.
Mucosal Transplantation: Treatment
In mucosal transplantation, we remove a small piece of oral mucosa from the roof of the mouth. We then suture the transplant to the gingiva or connect it with a special gluing technique. It only takes a few weeks for the mucosal graft and the gingiva to grow together and to be resilient to pressure again.
It is important that periodontitis is successfully treated before mucosal transplantation. Only a healthy dental-holding apparatus ensures optimal healing of an implant! Find out more about mucosal transplantation in our practice. Just make an appointment and we will be happy to advise you in detail.
|Do you want to know more about mucosal transplantation? Please call us on: 0761 71040|