Frequently asked questions
about periodontology

What is Periodontal Disease (PD)?

PD is an infectious disease caused by bacterial flora found in the mouth. It affects and destroys the supporting tissues of the tooth (gum, periodontal ligament and bone).

What are the symptoms of PD?

The symptoms of PD are clear to a professional, but sometimes difficult for the patient to detect initially.

Gum inflammation, bleeding when brushing or flossing, bad breath, receding gums and tooth mobility are some of them.

If you, any relative or friend detects any of these signs, do not hesitate to consult a centre specialised in periodontics.

What causes PD and what factors are involved in the development of PD?

Increased bacterial flora in the mouth plus a genetic predisposition to the disease cause PD to develop.

Other factors such as smoking, poor or insufficient oral hygiene, hormonal alterations, systemic diseases such as diabetes, certain medications… aggravate the problem.

How is PD treated?

PD treatment is carried out by dentists and aims to restore the patient’s oral health.

This consists of reducing the level of pathogenic bacteria found in the mouth. Using mini-instruments and minimally invasive techniques, periodontal disinfection treatment is carried out to eliminate the bacteria that have accumulated under the gum.

In some cases, depending on the type of PD, it is necessary to perform microsurgery in certain areas of the mouth to restore tissues that have been damaged or to access very deep areas.

These microsurgical treatments are carried out with state-of-the-art microscopes and surgical micro-instruments, thus reducing their aggressiveness and possible postoperative discomfort, often eliminating the use of sutures of any kind.

What are the most common periodontal diseases?

The most common periodontal diseases are gingivitis and periodontitis. It is estimated that around 30% of the population will suffer from some form of periodontal disease in their lifetime.

What is the difference between gingivitis and periodontitis?

Gingivitis and periodontitis are different stages of the same periodontal disease, which affects gums and teeth.  The main difference is that periodontitis is the advanced stage of the disease, where there is a higher level of tissue damage and destruction than in gingivitis.

When suffering from periodontal disease, the extent of the disease is assessed. It is always advisable to have at least annual check-ups in order to detect these conditions in time and prevent the destruction of the jaw bone volume and the affected teeth.

Gingivitis can be solved by cleaning more easily and economically, and as it is only the initial stage of periodontal disease, there is no immediate risk of tooth loss.

In the case of periodontitis, bacteria accumulated in the form of tartar spread into the gum, causing periodontal pockets. If detected in time, it can be solved by scaling or root planing, which removes all the infection and tartar from the periodontal pockets. If left to progress uncontrolled, teeth may have to be extracted.

Is curettage or scaling painful?

This type of treatment is performed under anaesthesia, so the patient does not feel any pain during the process. You will only feel the anaesthetic being applied and, even so, an anaesthetic is usually administered beforehand so that it is not painful.