Conservative periodontal treatments
The essential part of the periodontal treatment is the elimination of the causal factor, which means the removal of bacterial plaque adhering to the tooth surface. Oral hygiene treatment will only be successful in the long run if the patient prevents a repeating plaque formation by adequate tooth brushing and interdental cleaning techniques. The treatment includes: maintaining the individual oral hygiene by providing the necessary oral health education, the patient must be motivated and controlled by regular check-ups. In addition to plaque removal, the other plaque acumulating factors needs to be eliminated such as rough surfaces, abrasive filling edges, incorrects crowns and bridges.
If the gum attachment is lost to the root surface, bacteria will also form plaque under the gum It is called pocket formation. If the depth of the pocket does not exceed 6 mm, removal of the bacterial plaque and calculus /scaling and polishing/ are performed. This treatment can only be made under local anesthesia. For this purpose we use manual instruments and specific equipments (sonic and ultrasonic depurators and lasers). At the end of the treatment the root surface debridement and polishing is important because the plaque is less likely to recolonisate on the plain surface.
Surgical periodotal treatments
If “blind” scaling ( the treated root surface is not visible) is not effective enough, a flap preparation (surgical removal of the gum) is needed. It is called an open curettage. After an effective scaling and polishing the flap needs to be closed by stitches.
Guided Tissue Regeneration (GTR)
If the deepth of the bony pocket is more than 6 mm around the root, tissue grafting is necessary. The bone grafting material or materials helping tissue regenaration around the root will need to be protected by barrier membranes.