Periodontal treatment

Prevention and early treatment are extremely important. The causes for the development of gum disease include neglect of oral hygiene and dental care, triggering health conditions such as diabetes, HIV, autoimmune diseases, genetics, smoking, hormonal changes, and the use of certain medications.

Treatment of the problem

Periodontitis is an inflammation of the periodontium — the tissues that support the tooth in or around the bone. These include the gingiva (gums), alveolar bone, the outer layer of the tooth root called cementum, and the periodontal ligaments — connective tissue that connects the bone to the outer layer of the tooth root.

What is the process?

Gingivitis

The first stage of periodontal disease is inflammation of the gums caused by poor oral hygiene, plaque buildup, presence of plaque retention factors (old fillings, bridges, crowns, crowded teeth, etc.), irregular dental visits, and some systemic diseases. This stage is known as gingivitis – the gums bleed easily, are swollen, change color from dark pink to red, and may cause pain and bad breath.

Diagnosis

Our periodontal specialists can diagnose gum disease, determine its stage, and begin treatment. It is important to eliminate all factors that retain plaque in any periodontal condition. Scaling with ultrasonic scaler and polishing must be performed. This will restore the gums to a healthy pink color. The procedure should be repeated every six months.

Result of no treatment

When gingivitis remains untreated, the infection begins to affect all the structures of the periodontium, including the connective tissue and bone. Their resorption starts, and periodontal pockets form. These pockets cannot be cleaned by the patient, so they deepen due to bacterial activity. In later stages, the teeth become mobile. The process can become so severe that abscesses, pus collections develop, and even the overall health of the patient may be affected.

Tips from specialists

Our specialists can take care of this for you. We will teach you how to maintain good oral hygiene and perform deep cleanings to remove bacteria and tartar accumulated in the deep periodontal pockets. This procedure needs to be repeated until the process is stopped. In this area of dental medicine, cooperation between the patient and the dentist is very important. Sometimes, when the disease is in an advanced stage and the pockets have reached a certain depth, a non-invasive surgery may be necessary to clean out all bacteria and infected tissues. For some types of pockets, bone augmentation can be performed. In cases of gum recession, the problem can often be resolved with a gingival graft.

What do our patients say?

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I come here with pleasure! Everything is simply on a much higher level — truly top-level.I definitely recommend The Top clinic to friends...

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I am extremely satisfied and strongly recommend the clinic! For me, the most important thing was to have access to the best specialists. The level here is different — and...

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I chose the dental clinic The Top because I was looking for a comprehensive, high-quality solution. I had dental bridges for 15 years and wanted to...

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For me, the most important factor when choosing a clinic is the specialists — without question, that comes first. A close friend recommended the clinic...

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I've been living between Sofia and Cape Town, Africa for almost 15 years! I had a problem, and a friend of mine who’s a doctor...

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I found the right place for me, and thanks to that, I am here today.This is probably the best thing that has happened to me...

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I’m a medical student in Germany, and whenever I’m here, I visit the clinic.I had a minor aesthetic issue with my teeth that I wanted...

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During my 55 years, I had a chance to visit several countries and several clinics, but this was the number one, definitely, because as I said human quality and professionalism...

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After a complex procedure at another dental center, I developed severe complications, and no doctor wanted to place implants for me. Every clinic I turned to...

Stefka Spasova