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PERIODONTOLOGY

Periodontology is a branch of dentistry that deals with the prevention, diagnosis and treatment of diseases of the supporting apparatus of the teeth, which includes the gums, tooth roots, periodontal ligaments and alveolar bone. This branch is crucial for preserving the health of teeth and gums, but also for preventing serious health problems.

What Does Periodontology Include?
  • Prevention: Patient education about proper oral hygiene and regular examinations.
  • Diagnostics: Detection of gum and periodontal disease in the early stages.
  • Treatment: Therapy of inflammation of the gums (gingivitis) and periodontopathy.
  • Aesthetics: Correction of gum recession and improvement of smile appearance.

Procedures in periodontology:
  1. Professional teeth cleaning
    • Removal of plaque and calculus above and below the gum line.
  2. Curettage:
    • Deep cleaning of periodontal pockets to remove bacteria and plaque.
  3. Periodontal surgery:
    • Treatment of advanced cases of periodontal disease, including bone and gum reconstruction.
  4. Aesthetic procedures:
    • Correction of gum recession and improvement of gummy smile appearance.
FREQUENTLY ASKED QUESTIONS
Why is periodontology important?
  • Preservation of teeth: A healthy periodontium is essential for the long-term preservation of natural teeth.
  • Prevention of systemic diseases: Gum disease is linked to heart disease, diabetes and other health problems.
  • Aesthetics: Healthy gums contribute to a beautiful smile and self-confidence.
When should you visit a periodontist?
  • If you have red, swollen or bleeding gums .
  • If you notice receding gums
  • If you have bad breath
  • If your teeth are sensitive to hot or cold.

CALCULUM REMOVAL AND TEETH BRUSHING

Removing calculus is an important step in maintaining oral hygiene. If the maintenance of hygiene is not adequate and deposits are present on the teeth, they calcify and harden over time and put pressure on the gums.

Improper removal of calculus leads to inflammation of the gums, which can progress to periodontitis – a disease of the supporting apparatus of the teeth that leads to loosening and loss of teeth.

Can I prevent calculus formation?

Some patients naturally have a greater predisposition to tartar formation, regardless of how well they maintain oral hygiene. Certainly, regular and detailed maintenance of oral hygiene slows down its formation.

What is teeth sandblasting and why do I need it?

Teeth sandblasting is an ideal solution for people who are smokers, coffee and tea drinkers who are the biggest causes of a large number of pigmentation on the teeth. A fine powder (particles of sodium bicarbonate or erythrol) under pressure completely removes this type of plaque and leaves behind a maximally polished tooth surface that is less susceptible to the formation of new plaque.

Advantages of removing tartar and sandblasting teeth
  • Prevention of gum disease: Regular removal of tartar reduces the risk of gingivitis and periodontitis.
  • A brighter smile: Sandblasting removes surface pigmentation, leaving your teeth smooth and shiny.
  • Better oral health: Clean teeth and gums reduce the risk of tooth decay and other problems.
  • Painless and quick procedure: The entire procedure takes about 30-60 minutes and is completely painless. Our goal is to act preventively, that’s why we wait for you for regular teeth cleaning as soon as you notice even the smallest plaque. There is no such thing as descaling too often, we remove it when it exists! In our office, we use technologies of the latest generation of AIRFLOW MASTER according to the highest world standards, so that prevention gets the crown of our work!!!
FREQUENTLY ASKED QUESTIONS
How often should descaling be done?

It is recommended that scaling and sandblasting be performed every 6 months as part of regular oral health maintenance. However, the frequency may vary depending on your individual needs.

CURETAGE OF PERIODONTAL POCKETS

Periodontal pockets are spaces that form between the teeth and gums. In a physiological state, the gums firmly follow the teeth, and the depth of these spaces is 1-3 mm . However, when periodontal disease occurs, the gums and supporting bone recede, and the periodontal pockets become deeper.

Advantages of periodontal pocket curettage
  • Stopping infection: Removing bacteria and plaque prevents further spread of infection.
  • Gum recovery: The procedure helps restore gum health and reduces the depth of periodontal pockets.
  • Prevention of tooth loss: Reduces the risk of tooth loss due to periodontal disease.
What is Periodontal Pocket Curettage?

Curettage periodontal pocketing is a specialized procedure used for the conservative treatment of periodontal disease. This method helps to remove bacteria, calculus deposits and damaged tissues from periodontal pockets, thereby preventing further spread of infection and restoring gum health.


What does the procedure look like?
  1. Local anesthesia: The procedure is performed under local anesthesia to ensure complete painlessness.
  2. Cleaning of pockets: Using special instruments (curettes), we carefully remove calculus deposits, bacteria and damaged tissue.
  3. Smooth polishing of the roots of the teeth to prevent the re-accumulation of plaque
FREQUENTLY ASKED QUESTIONS
How are periodontal pockets formed?
  1. Plaque and tartar build-up: If plaque (scale) is not removed by regular brushing and flossing, it hardens and tartar forms.
  2. Inflammation of the gums: Tartar irritates the gums, which leads to their inflammation (gingivitis). The gums become swollen, red and prone to bleeding.
  3. Receding gums: If the inflammation is not treated, the gums recede, creating deeper pockets.
  4. Periodontitis: In advanced cases, the infection spreads to the tooth root and bone, which can lead to tooth loss.
How are periodontal pockets recognized?
  1. Symptoms: Red, swollen or bloody gums, bad breath, receding gums, loose teeth.
  2. Diagnosis: The dentist measures the depth of the pockets using a periodontal probe. If the pockets are deeper than 3 mm, this indicates a problem.
How are periodontal pockets treated?
  1. Regular cleaning: Professional descaling and plaque removal can prevent pockets from deepening.
  2. Curettage: Deep cleaning of pockets to remove bacteria and damaged tissue.
  3. Periodontal surgery: In more severe cases, surgical intervention may be required.

SOFT TISSUE SURGERY

  • Modified Widman flap – surgical therapy of periodontopathy
  • TVT – connective tissue transplant (recession therapy – receding gums)
  • SMAT- free mucosal autotransplant
  • Extension of clinical crowns
Modified Widman flap

The modified Widman flap operation is a surgical procedure intended for the treatment of advanced periodontal disease. This method allows precise removal of bacterial plaque and calculus from deep periodontal pockets under eye control, thereby preventing further loss of supporting tissue and teeth.

Advantages:
  • Reduction of the depth of periodontal pockets
  • Slowing down or stopping the progression of periodontal disease
  • Preservation of natural teeth
  • Improving oral health and smile aesthetics
Covering Gum Recession – TVT (Connective Tissue Transplant)

Gum recession is a condition in which the gums recede, exposing the root of the tooth. Patients may feel discomfort in the form of sensitivity to hot/cold, the risk of tooth decay is increased, and the aesthetics of the smile may also be impaired.

Advantages of TVT:
  • Natural result: Gums look healthy and level with the remaining gums.
  • Reduced sensitivity: Pain to hot and cold is reduced since the root is no longer exposed.
  • Durability: Prevents further receding gums in the long term.
SMAT (Free Mucosal Autograft)

Free mucosal autograft (SMAT) is a surgical procedure in which part of the patient’s mucous membrane, usually from the palate, is transplanted to another area in the oral cavity. This procedure is used to increase the amount of keratinized gingiva (immovable gums), cover exposed tooth necks, or stabilize soft tissues around implants.

Extension of clinical crowns

Clinical crown lengthening is a surgical procedure that adjusts the level of the gums and reveals a larger area of ​​the tooth crown. This intervention significantly improves the aesthetics of the smile.

What does the procedure look like?
  1. Gum lift: The gums are carefully contoured to reveal the hidden part of the tooth.
  2. Bone correction: If necessary, a small portion of bone is removed to ensure an even gum line.
  3. Suturing: The gums are placed in a new position, revealing a larger area of ​​the crown of the tooth.

This procedure achieves an aesthetically balanced smile, as well as the long-term health of the teeth and gums. If you think that clinical crown lengthening could be the right solution for your smile, contact us for a consultation!

FREQUENTLY ASKED QUESTIONS
How is TVT performed?
  1. Consultation: Assessment of the degree of recession and intervention planning.
  2. Tissue grafting: Connective tissue (often taken from the palate) is placed over the exposed root.
  3. Suturing: The gums are carefully sutured so that they naturally cover the root.
When is SMAT indicated?
  • Gum recession and exposed tooth roots
  • Lack of keratinized gingiva
  • Tissue preparation for prosthetic work or implants
  • Improving the stability and aesthetics of peri-implant tissues
When is clinical crown lengthening recommended?
  • Gummy smile – When the gums cover too much of the teeth, creating a disproportion in the smile.
  • Preparation for a Hollywood smile – In order to achieve a completely symmetrical and flawless smile, it is important that the zenith gums are even.
  • Deep cavities or tooth fractures – When the damage is below the gum level, crown lengthening allows the dentist access to healthy tissue for restoration, which can often save the tooth from extraction.