Periodontics

Treatment of gum disease (gingivitis)

Gingivitis is an inflammation of the lining of the gums. Gingivitis is a fairly common disease.

 

The most common causes of gingivitis are:

  • Poor oral hygiene
  • Overhanging edges of fillings and orthopedic structures as a factor traumatizing the gums
  • Malocclusion, crowding of teeth

Gingivitis can be a symptom of many systemic diseases – pathology of the gastrointestinal tract, blood system, hormonal levels, etc.

 

There are the following types of gingivitis: catarrhal, ulcerative necrotic, hypertrophic and atrophic gingivitis.

  • The clinical symptoms of catarrhal gingivitis are redness caused by the inflammatory process, swelling of the gingival mucosa, and bleeding. The subjective sensations of the patient with this form of gingivitis are represented by slight itching of the gums, soreness during meals.
  • Necrotizing ulcerative gingivitis is characterized by the appearance of ulcers and necrotic areas on the mucous membrane of the gums. The clinical symptoms are as follows: halitosis (bad breath), severe soreness of the gums; the general condition of the body also worsens; the patient feels general weakness, it is possible that the body temperature rises to 39 ° C, an increase in lymph nodes.
  • With hypertrophic gingivitis, there is an increase in the gingival papillae, which begin to cover part of the tooth. In the initial stages, the disease does not manifest itself with any clinical symptoms and discomfort; in the later stages, bleeding and soreness of the gums occur when touched and while eating.

It is important that gingivitis is quite often only a sign of periodontitis (inflammation of the tissues surrounding the tooth root, bone tissue of the alveoli and gums) or periodontal disease (the inflammation is less pronounced than destructive processes)

Ulcerative necrotizing gingivitis

Catarrhal gingivitis

Treatment of gingivitis begins with eliminating the cause that caused the disease – removing factors of injury to the gingival mucosa, removing dental plaque, eliminating bite anomalies, etc.

 

There are three main steps in treatment:

  • Removal of dental plaque
  • Anti-inflammatory therapy
  • Oral hygiene training

Prevention

To prevent gingivitis, the following simple rules must be followed:

  • Brush your teeth 2 times a day (morning and evening) daily with a toothbrush and toothpaste.
  • Get regular checkups with your dentist.
  • Carry out professional dental hygiene at the dentist every 3-6 months.

Treatment of periodontal tissue diseases (periodontitis, periodontal disease)

Periodontitis is an inflammation of the periodontal tissues. The periodontium is a complex of tissues that surround the zeb and hold it in the jaw. Includes: gum, root cement, periodontal ligaments and alveolar bone.

 

Symptoms:

  • bleeding gums when brushing your teeth;
  • bad breath;
  • dark plaque on the teeth;
  • swollen gums;
  • tooth mobility;
  • exposed necks of teeth.

Treatment is reduced to the removal of dental and subgingival dental plaque using an ultrasonic scaler, anti-inflammatory therapy, if necessary, grinding, splinting and rational prosthetics. Also, vector therapy is used with the VECTOR apparatus.

Prevention of periodontitis – thorough oral hygiene and preventive examinations of the oral cavity by the dentist, with a frequency depending on the severity of the disease.

 

Periodontal disease is a chronic inflammatory-dystrophic disease of periodontal tissues. It is characterized by atrophy of the alveolar ridge (dental cells), which leads to tooth mobility and loss. The signs of periodontal disease can be seen and felt by everyone with this disease: itching in the gums, increased sensitivity of the teeth (hyperesthesia), exposure of the necks of the teeth and their roots, as well as mobility.

 

The main cause of periodontal disease is a violation of the blood supply in the periodontal tissues. And there are a great many reasons for these disorders: systemic diseases of the body, which are reflected in the vessels, as well as smoking.

 

Treatment of periodontal disease is reduced to professional oral hygiene, teeth grinding, if necessary, to splinting and rational prosthetics, as well as the treatment of hyperesthesia. Prevention consists of improving blood circulation in the gums with physiotherapy, such as hydromassage with an oral irrigator.

Application of the VECTOR ultrasound device in the treatment of periodontitis

The Vector device has been used in dentistry for about ten years. We are talking about the modernization of the traditional ultrasound system, in which ultrasound vibration does not directly affect the surface of the teeth, but is initially transmitted to the surrounding fluid, which indicates the minimum pain of the method. The primary task of the systematic treatment of periodontitis is to minimize inflammatory reactions in the periodontium by controlling the sub- and supragingival dental plaque. The vector system allows for etiologically targeted treatment, which consists in the complete removal of the subgingival microbial film and granulations on the root surface, subgingival deposits, as well as a sparing attitude to such important regenerative structures as tooth root cement and soft tissues. Post-treatment hypersensitivity is minimal.

Within the framework of systematic treatment with the Vector device, the bleeding of the periodontal altered due to inflammation is reduced. A significant improvement in the condition is observed more often after repeated vector therapy.

 

Removal of dental plaque and necrotic cement is carried out by gentle polishing movements. The energy of the Vector device is indirectly transferred to adjacent tissues through the fluid filled with periodontal pockets. The liquid contains particles of hydroxyapatite (size 10 nm), which improve the removal of subgingival dental plaque and surface polish.

 

Due to the ease of use and the absence of discomfort in patients, the procedure time is significantly reduced, which prevents and slows down reinfection. The speed and painlessness of the intervention increases the patient’s motivation to cooperate and saves the doctor’s working time.