General and Aesthetic Dentistry

PERIODONTITIS

Periodontology is a dental discipline that promotes the health of the individual through the prevention, diagnosis and therapy of pathologies affecting the supporting tissues of the teeth.

Periodontology is a dental discipline that promotes the health of the individual through the prevention, diagnosis and therapy of pathologies affecting the supporting tissues of the teeth.

It is proposed to maintain or restore the state of health of the supporting tissues of the teeth, which if compromised can result in the loss of dental elements.

Therefore, its main purpose is to preserve the natural teeth, thus contributing to improving the comfort, chewing function, phonation and aesthetics of patients.

Periodontal disease is closely linked to the anatomical predisposition of the surfaces of the mouth, lifestyles and bacterial species present in the oral cavity.

Bacteria present in the oral cavity colonize in the areas below the gums. If these areas are not constantly treated by professional oral hygiene sessions, they colonize  causing specific pathology over time.

Periodontal diseases are divided into gingivitis and periodontitis.

Gingivitis affects the marginal gum area and is characterized by redness around the margin, swelling, bleeding on probing and at times pain. It is reversible, but if not properly intercepted and treated it can lead to periodontitis.

Periodontitis is a group of pathologies characterized by the destruction of the supportive apparatus of the teeth. Clinically it manifests itself with loss of attachment to the bone, formation of pockets and consequent formation of recessions.

The characteristic sign of periodontitis is represented by the loss of the supporting tissues of the teeth, which is irreversible.

Periodontitis is classified into:

• Acute periodontitis
• Precocious periodontitis, which develops at an early age
• Adult periodontitis, which develops after 35 years of age
• Necrotizing periodontitis
• Periodontitis associated with systemic diseases (eg Diabetes mellitus).

PERIODONTAL PROBE (CHARTING)

The probe is the fundamental diagnostic manoeuver to evaluate the state of health or  periodontal tissues disease.
It is carried out by using a periodontal probe  which is inserted between the teeth and the gum along the entire circumference of each dental element.
The probe allows detection of the depth of the gingival grooves and / or periodontalpocketsand the presence of sub-gingival tartar.

PERIODONTAL LASER

The integration of the laser as a support for periodontal treatment has largely demonstrated its effectiveness.

The main advantages of  laser include:

• Bactericidal effect, with reduction of the bacterial component of the plaque, cooperating in the elimination of the main bacterial strains responsible for periodontitis.
• Slower bacterial re-colonization in laser-treated sites than in those treated with mechanical therapy only.
• Removal of the marginal epithelium and inflammatory tissue without compromising the underlying (connective) tissues
• Bio-stimulating and anti-edematous effect. One of the most interesting effects of the therapeutic potentiality of the laser is certainly the bio-stimulant effect, which is the ability to induce faster healing in the irradiated tissues.
• Other important features of the laser are its ability to accurately decontaminate difficult-to-access probing sites, such as multi-root elements where scaling androot planing methods have limits.

PERIODONTAL SURGICAL THERAPY

Surgical periodontal therapy, also called “open air” periodontal therapy, involves the use of mechanical sub-gingival instrumentation on the root surfaces of the dental elements.

This type of therapy is particularly suitable where there are very deep pockets that are difficult to reach using a non-surgical technique.

The surgical technique is also used to modify the morphology of the root surfaces of the dental elements compromised by periodontitis, in order to reduce the accumulation of tartar in the sub-gingival areas, or to carry out grafts of connective tissue and / or bone tissue, in order to guarantee the healing of a specific site and / or the reduction of the depth of the periodontal pocket.

At our centre, specialized operators carry out these procedures in complete safety thanks to the help of new and advanced technologies, which support their work ensuring an optimal result

PERIODONTAL THERAPY

Is the mechanical intervention above and below the gums and on the root surfaces, in order to make them biologically compatible with periodontal tissues by eliminating hard bacterial deposits and deteriorated soft tissues.

Mechanical treatment can be carried out with the use of manual, ultrasonic and sonic instruments. Our protocols are supported by the use of laser, which allows a massive reduction of the sub-gingival bacterial component, as well as carrying out bio-stimulation.

Most patients with periodontitis can be successfully treated with nonsurgical therapy when combined with effective preventive support therapy.