Dr. Dt. Laçin


Gum disease



Periodontal treatment.



The goal of periodontal treatment, also known as gum treatment, is to treat various gingival diseases and, if at all feasible, arrest and reverse bone and gingival loss.


Appointment: +90 554 850 38 91

Periodontitis Summary



A fairly frequent infection called periodontitis, or gingival disease as it is often known, results in the loss of bone and soft tissue that support the tooth.


The alveolar bone surrounding the teeth gradually deteriorates if untreated.


The term "periodontitis" refers to the swelling in the gums. Bacteria, for example, stick to the tooth's surface and go inside the tooth's pocket. The inflammatory process starts when the immune system responds and releases toxins.


Tooth loss is frequently the result of untreated periodontitis.


It can increase the risk of stroke, heart attack, and other disorders, according to studies published in widely respected journals. The most prevalent cause of periodontal disease is bacterial plaque, a sticky, white, and incredibly thin substance that develops on the surface of the tooth. Tartar occurs when plaque is not eliminated in a timely manner because it hardens.


Usually, good oral care can avoid periodontitis. ​



Periodontitis:



  • Periodontitis, often known as gum disease, affects the alveolar bone and gum in the region around the teeth.
  • It happens as a result of the immune system's response to the buildup of bacterial plaque near the teeth.
  • The prevention and treatment of disease begins with good dental hygiene, although occasionally surgery is necessary.
  • Smoking raises the likelihood of developing gum disease and may make therapy less effective.
  • There is data that suggests a connection between gum disease and general health. ​


Treatment



The basic goals of periodontal therapy are to eliminate germs from the pockets surrounding teeth and stop future tissue and bone loss.



Good Dental Care



Even if the teeth and gums are in good condition, everyday oral hygiene care is still required. Otherwise, infection could happen quickly.


Brushing your teeth twice a day and flossing once a day constitute good oral hygiene. Dental floss can be substituted with interdental brushes if there is enough space between the teeth. On the other hand, soft toothpicks might be preferred to maintain the cleanliness of the gaps between the teeth by leaving them in a bag or at work during the day.


Electric toothbrushes may also be advised for people with arthritis or poor hand-eye coordination.


However, a professional, not the individuals themselves, should decide and implement all of these recommendations. The periodontist (gum doctor) is crucial at this point. The gum specialist makes the necessary recommendations to the individuals about the type of products and oral care that should be done, and follows them up with follow up appointments, depending on the oral and dental condition of the individuals (bridge prosthesis, crown, removable prosthesis, implant prosthesis, hybrid prosthesis on implant, etc.). As a result, in the event of errors, it is possible to alter the suggestions and choose the best course of action for the patient.


Periodontitis is a chronic, degenerative, inflammatory condition that, if left untreated, will come back.



Root Planing and Tooth Surface Cleaning



Plaque and calculus need to be removed before one can regain periodontal health (gingival health).


Plaque and calculus need to be removed before one can regain periodontal health (gingival health). Plaque, calculus, and necrotic cement tissue are the main things that the periodontist eliminates with tooth surface cleaning and root planing, especially below the gums (curettage). It uses a variety of hand tools and ultrasonic equipment to carry out these procedures step by step.


By removing the rough, indented areas on the root surface, root plannig creates the ideal environment for the gingiva to adhere to the root surface. Because germs can easily cling and accumulate in recessed areas, there is an increased risk of developing gingival disease. The length of these procedures ranges from 1 session to 6 sessions.


Depending on how much plaque and tartar have formed, different people require various amounts of cleaning of the tooth surface. To find this buildup, two annual doctor visits are required.



Medication



On the advice of the periodontist, many drugs may be utilized during gingival therapy. These medications can be suggested, though, not for therapy, but rather for supporting or setting the stage for treatment.



Mouthwashes with Antimicrobials



In order to prevent bacterial buildup, these mouthwashes are typically administered at the conclusion of gingival therapy or following gingival surgery. It should be utilized in accordance with the physician's advice.



Anticeptic Chips



Chlorhexidine-containing gelatin chips. By performing cleaning and curettage treatments inside the periodontal pocket, chlorhexidine is gradually released. They are used to stop the growth of bacteria and to aid in shrinking periodontal pockets.



Antibiotic-containing gel



Doxycycline, an antibiotic, is present. It is employed to lessen the periodontal pocket and stop bacterial growth. It is a slow-release medication application that is began to be used after cleansing and root planing.



OTC Antibiotics



Antibiotics for oral use in tablet or pill form. When there is an acute or localized periodontal infection, they are utilized for a brief length of time and under the supervision of a periodontist.



Advanced Periodontitis



Treatment for advanced periodontitis is more time-consuming and involves additional procedures. Numerous operations can be planned to retain the current position of the mouth or, if possible, to improve it because more tissue loss occurs in the bone and gingiva.


Surgical methods are used if proper oral hygiene is not practiced and non-surgical periodontal treatment does not result in satisfactory recovery. These surgical techniques include the following:



Flap Surgery



When root planing and tooth surface cleaning are ineffective at promoting healing, flap surgery is preferred. The gums are opened during a flap procedure, giving direct access to the root surfaces. Tartars are thus removed from hard-to-reach places using hand tools and ultrasonic devices, root surfaces are smoothed, and granulation tissues are cleaned. The operation is finished by re-suturing the gums after the procedure.


The gums should recover and hold the teeth more firmly after this surgery. Occasionally, during the falp procedure, bone transplants and substances that promote bone development may be employed.


These applications are applied in places with bone loss where it is potential for new bone to develop. Unfortunately, not all cases of bone loss respond to these treatments.

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Gingival and Bone Grafts



These techniques are used to regenerate bone tissue and replace damaged gingival tissue. The lost bone area is filled with either the person's own bone tissue, different natural bone tissues, or artificial bone tissues. It is crucial for this treatment that the area where bone has been lost offers the right circumstances for the development of new bone.



Guided Tissue Regeneratio



Using membranes that serve as barriers in regions where there is not enough bone and gingival tissue, guided tissue regeneration (GTR) allows the development of new bone and gingival tissue. The Periodontist may decide that soft tissue transplantation is necessary in certain cases of soft tissue deficiency. During these treatments, soft tissue or synthetic material is transplanted from one section of the mouth to the deficient area. The effectiveness of these operations is influenced by variables such the disease's rate of advancement, how well the patient maintains dental hygiene, smoking, and systemic illnesses.



"The information on the website is provided for informational reasons only; it is not intended to substitute a doctor's examination or medical diagnosis of a patient.”



İncirli Cad 86/A Bakırköy​
İstanbul-Turkey
+90 212 466 01 71
+90 554 850 38 91