What are periodontal diseases?
Periodontal diseases are very common. In fact, it is estimated that they affect 40% of adults globally. These diseases include gingivitis and periodontitis, the most severe stage of periodontal disease.
And, among the signs that may lead us to suspect that we are suffering from one of these diseases, inflammation of the gums, which is the result of an accumulation of bacterial plaque, stands out above all.
Periodontal diseases develop gradually and, especially at first, silently. Therefore, the first symptoms (bleeding gums, inflammation, etc.) should be a warning sign, because it means that periodontal disease is gradually gaining ground and measures must be taken to slow its progress.
Periodontal disease is, along with caries, one of the most common oral conditions.
Symptoms of periodontal disease
Gingivitis is a silent disease, so it is often overlooked at first. It is therefore important to be aware of possible symptoms such as the following:
With these symptoms it is very important to visit the dentist to prevent the disease from progressing. At the dental clinic, a review of medical and dental history, an examination of the mouth for signs of plaque and inflammation, a measurement of the depth of the pocket between the gum and the teeth, as well as dental X-rays to check for decreased bone mass will be carried out.
Basic periodontal treatment (BPT)
Basic Periodontal Treatment is the essence of all periodontal treatment.
It has two aspects:
The first is educational, where motivational techniques and multimedia systems are used to teach patients how to improve their plaque control skills.
Operational strand: Scaling and root planing
The periodontal hygienists at Clínica Sicilia, with university training as Experts in Periodontics, remove supragingival and subgingival calculus using scaling and root planing techniques.
A well-trained periodontal hygienist, with the best instruments and magnification procedures (micro-loupes) is effective in completely removing subgingival calculus down to pocket depths of about 5 mm.
This educational and therapeutic process usually lasts between 4 and 6 weeks, although abbreviated treatments such as “Full Mouth Disinfection” can be carried out, where a gradual disinfection of the gums is achieved, removing calculus and local irritants, while the patient acquires motivation and skill in his or her specific oral hygiene.
When periodontal disease has been detected early and has not gone deeper than 5 mm (pockets of 5 mm or less), TPB is usually able to solve the problem completely. On the contrary, when the destruction is more advanced and there are areas with pockets of 6 mm or more, it is necessary to associate other techniques to the treatment: such as ERBIUM-YAG Laser, Microscope Assisted Deep Scaling, or Periodontal Microsurgical Techniques.
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Periodontal treatment 48h
Full Mouth Disinfection
In the early 2000s, the periodontics team at the University of Leuven in Belgium developed the concept of “Full Mouth Disinfection“, which demonstrated that periodontal disinfection treatment with intensive scaling and root planing, combined with proper hygiene, including cleaning of the tongue dorsum, and the systematic use of Chlorhexidine rinses, achieved results equivalent to conventional 6-week treatment within 48 hours.
This treatment can be complemented with ERBIUM-YAG laser techniques, or microscope-assisted deep curettage.
Although progressive basic periodontal treatment in 4 – 6 weeks is a proven technique, there has always been a problem with its “long duration” for people who are very busy or who live far away from our practice, such as patients from abroad or from distant provinces.
The new therapeutic alternative
The Erbium-Yag laser is a new therapeutic alternative that is more comfortable, safer, faster and painless for the patient. Its technology makes periodontal treatment more pleasant and comfortable, also increasing its quality and effectiveness.
It offers numerous additional benefits for the patient
Reduction of postoperative discomfort
Germicidal and/or antiseptic effect of the laser beam
Ideal for patients with injection and dentist phobia
It is particularly effective in the treatment of peri-implantitis
Microscope-assisted deep curettage
The ideal complement to Basic Periodontal Treatment (BPT)
For patients who are in the early stages of advanced periodontal disease, and in whom we try to avoid periodontal surgery.
It consists of scaling and root planing in areas with isolated deep pockets with the use of micro-instruments and with the magnification and illumination allowed by the microscope. It is usually complemented with the use of ERBIUM-Yag laser with a feed-back system that allows subgingival calculus to be detected thanks to its fluorescence.