Periodontology – Gum treatment in Berlin

THE FIGHT AGAINST gum diseases (Periodontics)

You can do something about gum inflammation, gum loss or gum decline! Periodontosis (also called periodontitis or gingivitis) – the colloquial term for gum inflammation, which leads to the loss of a tooth – is cured by a comprehensive control of bacterial causes. This is done through the systematic gum treatment by our specialist in periodontology Pablo Gonzalez DDS, MS.

Patients who contact a dentist at an early stage of periodontitis/periodontosis can be spared the use of implants, bridges or crowns. Treatment on the gums and the maintenance of oral hygiene by the patients themselves are often necessary, and can ensure dental preservation and, if necessary, avoid serious interventions.

However, inflammation of the gums or gum pockets (periodontosis/gingivitis) can be prevented by careful precaution and the maintenance of oral hygiene (teeth brushing and frequent/regular professional tooth cleaning)! As one of the few practices in Berlin, we offer the PerioSafe® test – the world’s first test for the safe early detection of hidden decomposition processes in the gums.

Our prophylaxis assistants and dental hygienists will be happy to advise you in more detail!

PARODONTOSE RECOGNIZE

Although gum inflammation is a widespread disease in the German population, it is rarely detected in time. This is partly due to the symptoms, which are only moderately unpleasant at an early stage. On the other hand, these symptoms are rarely associated with dangerous gum disease by those affected. This is mainly due to a lack of health education.

Periodontitis is the most common gum inflammation. Meanwhile, periodontitis is more responsible for tooth loss than tooth decay. The task of periodontology (the systematic treatment of periodontitis) is to maintain or restore the health of the gums and thus to make the use of artificial teeth as unnecessary as possible. Unfortunately, this is not always possible; sometimes the use of high-quality implants is the best solution.

This chronic inflammation of the tooth-holding apparatus (tooth) is caused by certain bacteria living in the dental plaque (formation of plaque and tartar) that colonize the root surface and begin to migrate towards the root tip. As a defensive reaction of the body, not only the bacteria are killed, but unfortunately also the tooth-holding apparatus is broken down. The tooth loosens and eventually falls out. Fortunately, this development can be detected at an early stage and prevented by treating the affected gums.

Periodontitis can be detected quickly during dental check-up (check-up) and even during a prophylaxis session (professional tooth cleaning). We recommend regular prophylaxis, so also gum decline can be detected in time! Bleeding gums can be a first warning sign.

FIRST SIGNS OF PARODONTITIS/GINGIVITIS OR A ZAHNFLEISCHDISEASE:

Caution: Since there is hardly any pain associated with incipient periodontitis, these symptoms are often not noticed or not taken seriously:
– Dark red coloring
– Bleeding of the gums (bleeding on contact)
– Slight swelling
– Bad breath

THE URSACHEN FOR PARODONTITIS:

The possible causes of gum inflammation are manifold. Lack of dental care, rarely performed professional dental cleaning (prophylaxis) by prophylaxis assistants, errors in nutrition, aggressive bacteria, over- or incorrect load on the teeth, tooth or jaw malpositions and disorders of the immune system as well as genetic disposition – all these factors can cause dental bed diseases and dental neck defects.

INNOVATIVE TREATMENT WITH EMUNDO – THE PHOTOTHERMAL THERAPY

If you don’t want to use antibiotics or in particularly persistent cases, we can now use EmunDo and Laser. At EmunDo is a color substance that, when activated by laser, can fight germs even more effectively. And best of all, it has a selective effect on the relevant germs, regardless of antibiotic resistance. Your teeth and your health will thank you!

FOR MORE INFORMATION

In order to educate you in detail about this important topic, we have compiled comprehensive information on the topic of periodontitis for you below:

Periodontosis - What is it?

PARODONTITIS/ZAHNFLEISCHERKRANKUNG

Periodontitis (previously also Periodontosis is the most common gum disease. In the meantime, she is more responsible for tooth loss than tooth decay.

This chronic inflammation of the tooth-holding apparatus is caused by certain bacteria living in the dental plaque, which colonize the root surface and begin to migrate towards the root tip. As a defensive reaction of our body, not only the bacteria are killed, but unfortunately also the tooth-holding apparatus is broken down. The tooth loosens until it finally fails.

Fortunately, this development can be detected in good time and successfully prevented by gum treatment.

Periodontitis and general health

Numerous scientific studies show possible links between periodontitis (inflammation of the gums) and the risk of suffering the following diseases:

  • Heart attack
  • Stroke
  • Premature birth
  • Obstructive pulmonary disease
  • Intestinal diseases

By the way, bad breath is also often caused by degradation products of periodontitis bacteria.

Periodontitis and smoking

Here we, as dentists, can join our medical colleagues: smoking is harmful – even for your teeth!

Smoking worsens the course of gum inflammation (periodontitis) as well as the results of Gum treatment. Smoking patients therefore need a much better Oral hygiene and receive more intensive care from our dental hygienists.

Systematic gum treatment

The aim of systematic gum treatment is to remove the bacterial settlements under the gums and in the gum pockets and thus eliminate the cause of the inflammation.

Systematic gum treatment can be divided into four sections:

  • Pre-treatment (2-3 sessions)

    All coverings that are located above the gums are thoroughly removed – manually and mechanically. We will show you the tips and tricks that will enable you to reach this floor-free condition at home. By the way, your cooperation is decisive for the success of the actual gum treatment: only together can we achieve the optimal result.

  • Treatment (1-2 sessions)

    The actual gum treatment is that the bacterial colonies accumulated in the depthand and their hard deposits (the so-called concrements) are removed from the root surfaces. This is done with special hand instruments, ultrasound, medical rinsing solutions and lasers, whereby the treatment is often carried out under local anaesthetic. The laser (of which we are particularly proud) works with a fluorescence-controlled feedback system that detects bacteria and concrements in the depth of the gum pockets and evaporates them with small laser light pulses until the bag is sterile. In addition, the laser stimulates microcirculation and accelerates healing. Note: Occasionally, a temporary warm-cold sensitivity as well as a bite sensitivity may occur on some teeth. This is not a cause for concern.

  • Possible regeneration (bone reconstruction)

    In certain cases, it is possible to Periodontitis lost bones and the tooth holding apparatus (to regenerate).
    Special minimally invasive microsurgical measures and biologically active substances stimulate your own bone to form new bone mass. The prerequisite for this is, of course, a complete systematic gum treatment and good oral hygiene on the part of the patient.

  • Aftercare and Recall

    With the Gum treatment the bacteria are removed from the gum pockets in the best possible way. However, this does not eliminate the fundamental susceptibility to these bacteria, i.e. the Gum disease may come back. In order to prevent this from happening, it is crucial that a critical amount of bacteria cannot accumulate again at the gum hem and in residual pockets. To do this, you must brush your teeth carefully and regularly for follow-up care, as it is necessary to maintain the improved gum condition achieved after the treatment permanently. In order to counter the danger posed to the gums by the bacteria present in the mouth, the continuous follow-up of the Gum treatment therefore of the utmost importance.Aftercare consists of: regular professional tooth cleaning, which ensure that no new bacterial colonies can settle even in hard-to-reach places. In addition, drug rinses are used, which in addition to periodontitis prophylaxis also protect against tooth decay. These measures are practically painless and are Prophylaxis assistants carried out at intervals of 1 to 3 months. The intervals between sessions depend on the severity of the disease.

Photothermal therapy with EmunDo

Everything you need to know can be found here.

Regeneration and reconstruction of the tooth-holding apparatus in case of periodontitis

In certain cases, it is possible to rebuild (regenerate) the bones lost by periodontitis and the tooth-holding apparatus.

Due to special minimally invasive microsurgical Measures and biologically active substances will encourage your own bones to re-form. The prerequisite for this is, of course, a completed systematic gum treatment and good Oral hygiene For your part.

Gum structure and cover exposed tooth necks

If you have tooth necks free, this can not only affect your pretty smile, but also cause unpleasant hypersensitivity.

We can use the gums minimally invasive and microsurgical rebuild with your own fabric and make your smile perfect again. The annoying hypersensitivity can thus be prevented successfully.

Minimally invasive periodontal surgery

As the word “minimally invasive” suggests, we are particularly gentle with your gums. This saves you pain, shortens healing times and improves treatment outcomes.

We ensure this with particularly graceful instruments, seam materials derived from vascular surgery and the use of state-of-the-art techniques such as magnifying glasses and surgical microscopes.

Dental implants and periodontitis

If you have lost one or the other tooth due to periodontitis, you should consider the possibility of a denture. Implants are often the best way to supply your gaps without grinding the neighboring teeth.

In order for implants to work in them and to prevent inflammation of the gums from being present on the implant, the following conditions must be met:

  • The systematic gum treatment of your teeth must be completed
  • Your oral hygiene must be good

Our dental hygienist team (Professional Dental Cleaning/Recall) will be happy to advise you on this topic.

Maintenance therapy/aftercare program after periodontitis treatment

With the Gum treatment the bacteria are removed from the gum pockets in the best possible way. However, this does not eliminate the fundamental susceptibility to these bacteria, i.e. the Gum inflammation may come back. In order to prevent this from happening, it is crucial that a critical amount of bacteria cannot accumulate again at the gum hem and in residual pockets. To do this, you must brush your teeth carefully and regularly for follow-up care, as it is necessary to maintain the improved gum condition achieved after the treatment permanently. In order to counter the danger posed to the gums by the bacteria present in the mouth, the continuous follow-up of the Gum treatment therefore of the utmost importance.

Aftercare consists of: regular professional dental cleaning, which ensures that no new bacterial colonies can settle even in hard-to-reach places. In addition, drug rinses are used, which in addition to periodontitis prophylaxis also protect against tooth decay. These measures are practically painless and are Prophylaxis assistants at intervals of 1 to 3 months. The intervals between sessions depend on the severity of the disease.

Periodontitis or saliva risk test

With existing gum pockets, it may be useful to examine the bacteria that live in the depths of these pockets. With the help of such an analysis of certain conductive germs, a prognosis for the progression of the disease can be made and, if necessary, an appropriate antibiotic for possible use in the context of a systematic gum treatment.

Periodontitis and gum structure

A sympathetic smile is created only by the perfect interplay between gums (red aesthetics) and teeth (white aesthetics).

Thin, vulnerable gums may become enduring in case of overuse or in the case of Gum inflammation Withdraw. Such a gum decline leads to exposed tooth necks, which are accompanied by a disharmony in your smile and hypersensitive teeth.

Through microsurgical gum transplantation, our gum specialists can cover exposed gums and create a resistant gum. The Harmony in your smile is back – laugh!

Periodontosis and intestinal flora

WHAT DOES A PARODONTITIS WITH A KRANKEN DARM TO DO?

Many intestinal diseases cause a lack of minerals and vitamins, as these vital substances can no longer be absorbed in sufficient quantities from the diet by the diseased intestine. However, since minerals and vitamins are indispensable for the structure of bones and teeth as well as for the structure of the tooth-holding apparatus, a lack of these substances can lead, for example, to periodontitis.

In addition, a large part of the immune system (about 80 of the immune cells) is located in the intestine and depends in its function on a healthy intestine. Intestinal diseases therefore lead to a disturbance of the immune system, which in turn leads to the fact that even periodontitis and other inflammations can no longer heal or only delay. On the other hand, intestinal rehabilitation contributes to a strengthening of the immune system.

For more information on “Intestinal Remediation,” see www.darmflora-analyse.de. We will be happy to inform you about the topic of periodontitis treatment in our practice.

A holistic treatment concept from KU64 and MDL

Sinus lift and bone structure for an implant

WHAT DOES A PARODONTITIS WITH A KRANKEN DARM TO DO?

For the successful, long-lasting use of implants, a good bone supply must be available. Basically, the stronger the bone, the better the grip on the implant. However, if the bone does not meet the necessary requirements, the quality of the jawbone or maxillary sinus can be improved before the actual implantation by various methods of bone structure such as a sinus lift. Effort and costs for individual procedures differ drastically.

Bone degradation in the jawbone is usually caused by paradontitis, tooth loss or the high chewing pressure on the sinus bottom by a denture. Aspects such as genetic factors, general illnesses, medication intake, age and, for example, smoking also affect the extent of degradation.

KNOCHENAUFBAU FOR A IMPLANTAT: PRER

Prerequisites for the optimal holding of implants are on the one hand the sufficient bone height and, depending on the implant, a sufficient bone width of the jawbone. The reconstruction of the bone width is less problematic than an increase in bone height.

In the lower jaw, there is usually a higher density and bone quality than in the upper jaw, which increases the success of the implantation. In the upper jaw, however, there is often not enough bone of its own due to the arched maxillary sinus to securely anchor a dental implant in it. In this case, a so-called sinus lift can remedy the situation.

EXTERNAL SINUSLIFT & INTERNER SINUSLIFT

A sinus lift is commonly referred to as the surgical thickening or raising of the maxillary sinus base, distinguishing between an external or internal sinus lift. A sinus lift can only be carried out on the upper jaw, whereby in the operative way own bones or bone replacement material is inserted below the maxillary sinus. Thus, a higher bone height is achieved, which now, after a healing phase of approx. 4 months, offers sufficient support for a dental implant.

The external and internal sinus lift differ in that the external sinus lift is the more complex procedure, as it is only used when the existing bone height is very low and several millimeters of bone height has to be obtained. To do this, the maxillary sinus wall must be exposed with the utmost precision and caution in order to then insert the bone material into the cavity between the mucous membrane and the bone.

An internal sinus lift is a minimally invasive operation in which access to the maxillary sinus floor is through the drilling channel of the later implant. The advantage of this is that no second operating area needs to be opened. However, this method also requires patience and high precision, especially since visibility through the borehole is sometimes very limited.

CONSULTATION TO THETHEMA “SINUSLIFT & KNOCHENAUFBAU FOR IMPLANTATE” AT KU64

Our jaw and implantology experts will be happy to advise you on whether you need a bone structure, e.g. by means of a sinus lift, before the implant treatment.

Contact us by phone at +49308647320, send us an email or make an appointment directly with our implantology specialist Pablo Gonzales for a detailed personal consultation.

You are welcome to contact us, our dentists will be happy to advise you and refer you to our specialist in periodontitis diseases, periodontologist, and implantologist, Pablo Gonzalez DDS, MS. He will be happy to advise you on the individual treatment of your periodontitis!

This page is also available in: Deutsch