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Parodontitus Treatment
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Parodontitus Treatment - Prevention and care:

Parodontitus ("vernacular"- Periodontosis) is the disease of the parodontium. Approximately 80% of all people suffer from this illness. Parodontitis is usually painless and stretches over many years. It is the result of inattentive oral hygiene. However, a partial diet that is poor in vitamins as well as the pleasure of excessive nicotine can also contribute to the development of the disease.

An initiating Parodontitis can be recognizable by symptoms such as bleeding gums and an uncomfortable aftertaste. By regular cleaning of the teeth and gum treatment, a variety of healthy foods as well as a semi-annual visit to the dentist Parodontitis can be avoided.

Etiopathology

With Parodontitis, the first occurance is always an inflammation of the gums surrounding the neck of the tooth. Then the disease progresses and penetrates into the depth of the parodontium, in which the teeth are embedded (alveolus). As the "bone cubicles" become smaller and smaller, the retreating of the gums is unpreventable. The teeth become loose and interfere with speech and chewing. In most cases a removal of the teeth is unavoidable at this point.

 

PerioScan
Ultrasonic system PerioScan
Photos: approved by Sirona Dental Systems GmbH

Parodontitis development - early diagnosis

A Parodontitis can be recognized by the following features: the teeth appear longer because the gums withdraw, bad breath occurs, the front teeth protrude and jot outwards, tooth gaps appear where there were none before. Early recognizable symptoms are an increase in the bleeding of the gums and a disagreeable "aftertaste".

Parodontitis development – self-aide

A Parodontitis can be avoided by regular cleaning of the teeth and gum treatment. A well balanced, healthy diet likewise plays a big role, as well as the semi-annual visit to the dentist. If the gums have a pale-pink color, they are healthy. Fine, pointy leakages, called papillae, fill the spaces between the teeth.

Inflamed gums acquire a strong red color and are inclined to bleeding. Brushing the teeth may be very painful.

Precautionary brushing – but properly!

Below, a widely used method for brushing teeth is introduced.

According to the respective age (child or adult), taking possible illnesses into consideration, according to whether the teeth are cleaned manually or electrically, there are individual differences in the optimal cleaning technique. We would be pleased to introduce you to the technique which best suites you in a visit to our practice.

After every meal (3 x daily) the teeth should be cleaned. This way no damaging dental plaque can form.

The recommended cleaning time is 3 minutes.

The mouth should be rinsed first. The water is pressed through the spaces between the teeth, ridding the mouth of fresh leftovers.

Following this, the exterior surfaces of the teeth should be cleaned first with toothpaste and a toothbrush. With a slightly open mouth one should begin with the last molar in the left upper jaw. Applying light pressure, small rotary movements on 2 - 3 teeth at a time should be performed for approx. 10 times. Next the toothbrush is placed a little further to the front. Continuing in this manner, the teeth should be brushed in small segments, until the right side of the upper jaw is cleaned. The same procedure should be performed in the lower jaw. The inner surfaces should not be forgotten. Finally all chewing surfaces should be cleaned. Brushing forward and backward is now permitted. The mouth should be rinsed again thoroughly, so that all loosened leftovers are removed. However, one should not exercise too strong pressure when cleaning the sides of the teeth. The delicate tissue surrounding the teeth withdraws as the dental neck is “scrubbed” free. The maximum pressure should correspond to about 200g. It is the time that is vital, not the strength.

Parodontitisentwicklung Parodontitisentwicklung Bewegungsablauf innen Bewegungsablauf außen
  1. Cleaning with toothbrush
  2. Cleaning with dental floss
  3. Motion sequence inside
  4. Motion sequence outside

Still, there are many other aspects which should be taken into consideration. We, as a practice team, can provide you with many more tips concerning a prophylaxis.

What is to be done when the first signs of Parodontitis appear?

The first path leads to the dentist's office. Here the extent of Parodontitis and the preceding steps can be determined.

Usually a professional cleansing of the teeth follows. Then, after various pretreatment appointments, the area is cleaned deeply in the pocket. As a general rule special hand instruments are applied during this procedure. Optimizing the result of the treatment, the ultrasound scanners, which conduct especially fine movements, are used in our practice.

Vector Vector Vector Vector  
Photos: approved by the company Dürr Dental
  1. The Vector™
  2. Pictures 2 - 4: The Vector™ in use

In addition to Soniflex, which performs elliptical movements, the vector system is used. A powder-liquid mixture is moved into ultrasonic oscillations. Now it is possible to rid the tooth of deposits and polish it.

As an additional supporting measure the laser can be used. It is able to rid the gum pockets of bacteria without requiring any anesthetic drugs. Furthermore it can remove infected tissue, which enables the gums to grow around the teeth once more (deepithelialization).

Further information is available here…