Gum treatments and gum disease treatments at Citydent Istanbul dental clinic are performed by our periodontist. Our main gum disease treatments include scaling, subgingival scaling, fiber splinting, gingivectomy, depigmentation, flap surgery, peri-implantitis, free gingival grafting, coronal displacement, sliding flap, crown lengthening, connective tissue transfer, occlusal adjustment, and frenectomy.
Scaling is a common dental procedure that is often used to treat gum disease. It involves removing plaque, tartar, and bacteria from the surfaces of the teeth and gums, especially those below the gum line.
During a scaling procedure, a dentist will use specialized tools to carefully remove these deposits, which can cause inflammation and infection in the gums. The procedure may be done manually with handheld instruments or with ultrasonic instruments that use vibrations to break up and remove the deposits.
Scaling is often done in conjunction with another procedure called root planing, which involves smoothing the root surfaces of the teeth to prevent bacteria from collecting there. Scaling and root planing are both important treatments for gum disease, and can help to reduce inflammation, prevent further damage to the gums and teeth, and promote healing of the gum tissue. In more severe cases of gum disease, additional treatments or surgery may be necessary.
Subgingival curettage is a dental treatment that involves removing bacteria, plaque, and calculus from the tooth roots and pockets beneath the gum line. This treatment is often used to treat gum disease, which is a common condition that occurs when bacteria in the mouth form a sticky film called plaque that can lead to inflammation and infection in the gums.
During a subgingival curettage procedure, a dental professional will use specialized tools to carefully remove the bacteria, plaque, and calculus from the tooth roots and pockets beneath the gum line. This may be done manually with handheld instruments or with ultrasonic instruments that use vibrations to break up and remove the deposits.
Subgingival curettage can help to reduce inflammation, prevent further damage to the gums and teeth, and promote healing of the gum tissue. It is often done in conjunction with other treatments for gum disease, such as scaling and root planing, and may be recommended as part of a comprehensive periodontal therapy plan.
Gingivectomy is a dental treatment that involves the surgical removal of gum tissue. It is typically done to remove excess or diseased gum tissue that can cause cosmetic concerns or contribute to periodontal disease.
During a gingivectomy procedure, a dental professional will first numb the area with a local anesthetic. They will then use a scalpel or laser to remove the excess or diseased gum tissue. In some cases, they may also remove some of the underlying bone tissue to create a more aesthetic and healthy gum line.
After the procedure, the patient will typically be given instructions for caring for the surgical site, which may include avoiding certain foods and activities and using a special mouthwash or other oral hygiene products. Pain medication or antibiotics may also be prescribed to help manage discomfort and prevent infection.
Gingivectomy is a safe and effective treatment for a variety of gum-related concerns, including periodontal disease, cosmetic concerns, and problems with gum overgrowth. However, like all surgical procedures, it does carry some risks, including infection, bleeding, and discomfort. Patients should discuss the potential risks and benefits of the procedure with their dentist or periodontist before deciding to undergo gingivectomy.
Flap surgery, also known as periodontal flap surgery or pocket reduction surgery, is a dental procedure that is often used to treat advanced gum disease. The goal of the procedure is to access the root surfaces of the teeth and remove any plaque, tartar, and bacteria that have accumulated there.
During a flap surgery, a dentist will first numb the area with a local anesthetic. They will then create a small incision in the gum tissue to create a flap, which can be lifted to expose the tooth roots and underlying bone. The exposed tooth roots can then be carefully cleaned and smoothed, and any damaged or infected tissue can be removed.
Once the cleaning and repair is complete, the flap is repositioned and sutured back into place. The patient will be given instructions for caring for the surgical site, which may include avoiding certain foods and activities and using a special mouthwash or other oral hygiene products. Pain medication or antibiotics may also be prescribed to help manage discomfort and prevent infection.
Flap surgery is typically done in conjunction with other treatments for gum disease, such as scaling and root planing or antibiotic therapy. The goal of the procedure is to reduce the depth of the pockets between the teeth and gums, which can trap bacteria and lead to further inflammation and infection. By reducing pocket depth and promoting healing of the gum tissue, flap surgery can help to stabilize the teeth and prevent further damage to the gums and supporting structures.
Gingivitis: Gingivitis is referred to as gum inflammation. The cause of this disease is bacterial plaque that accumulates on the teeth and gums. In this disease, the gums become red, bleed easily, and swelling occurs.
Periodontitis: It is a slow-developing gum disease that is usually seen in adults. As it does not show a distinct symptom other than general gum disease symptoms, it is often detected by the patient late. It is characterized by the slow destruction of the tissues supporting the tooth (alveolar bone, periodontal ligament).
Aggressive Periodontitis: It is a form of periodontitis that is rare and occurs at an early age. It is characterized by severe bone destruction and has a distinct hereditary pattern. Individuals often lose their teeth by shaking, and they do not go to a dentist until they begin to shake many teeth, without having any significant complaints. By seeing a dentist at least once a year and starting treatment from the time this disease appears, you can protect your teeth from shaking for a longer time.
There can be many factors that contribute to the development of gum disease. Some of them include:
Smoking: Smoking is very harmful to our oral and dental health. It can speed up the progression of gum disease, especially in individuals with poor oral hygiene.
Stress: Stress is a major contributor to many gum diseases. Scientific studies have shown that stress makes it difficult for the body to fight diseases.
Bruxism: Bruxism refers to grinding or clenching teeth. The stress created by teeth can cause destruction of periodontal tissues.
Unbalanced diet: The intake of necessary vitamins and minerals is very important for food balance. This balance is necessary for the functioning of the immune system and cell renewal in the body.
Genetics: Genetic predisposition has been scientifically proven, especially in some periodontal diseases. The risk of periodontal disease is increased in individuals with poor oral hygiene and genetic predisposition.
Some medications: Some medications such as phenytoin, oral contraceptives (birth control pills), and calcium channel blockers can negatively affect oral hygiene.
Pregnancy: Changes in hormones during pregnancy can cause changes in the gums. Gum growth is often seen in pregnant women with poor oral hygiene.
Diabetes: The relationship between diabetes and periodontitis has been accepted worldwide. Many studies have shown that individuals with healthy gums have a more regular course of diabetes. Similarly, the likelihood of developing periodontitis is high in individuals with uncontrolled diabetes.
Periodontal treatment starts with scaling and root planing and ensuring that the patient maintains good oral hygiene in all gum diseases. If the disease is only limited to the gums, scaling and root planing and maintaining good oral hygiene is sufficient. During this process, plaque, tartar, and discoloration are usually removed using ultrasonic cleaners and some hand tools. In advanced cases where the disease has caused bone loss, root surface smoothing and flap surgery may be necessary. In some cases, it is possible to partially or completely regain lost bone using products such as bone grafts or enamel matrix proteins applied during these surgeries. It is important to have regular follow-up appointments at the intervals recommended by your dentist after periodontal treatment to observe the results of the treatments. This way, if a situation requiring intervention arises, necessary treatment can be administered early.
In addition to scaling and root planing during periodontal treatment, if root surface smoothing is necessary, the process can take at least two and up to six sessions, but in some cases, it is possible to complete all procedures in a single long session (approximately 90-120 minutes) called "Full Mouth Disinfection".
During periodontal treatment, it is important to maintain good oral hygiene, including brushing teeth twice a day, using dental floss, and using mouthwash regularly. It is also important to avoid smoking and alcohol consumption during this time as they can delay the healing process.
After periodontal treatment, patients may experience some sensitivity or discomfort, which can be managed with over-the-counter pain relievers or prescribed medications. Patients should also avoid consuming hard, crunchy, or sticky foods for a few days after the procedure and instead opt for softer, easier-to-chew options. It is also important to attend regular follow-up appointments with the dentist to monitor the healing process and make any necessary adjustments to the treatment plan. Finally, maintaining good oral hygiene habits and attending regular dental check-ups is crucial for preventing the recurrence of periodontal disease.
Yes, smoking is a major risk factor for developing gum disease. Smoking can lead to reduced blood flow to the gums, which impairs the immune system's ability to fight off infection. Smokers are also more likely to have a buildup of plaque and tartar on their teeth, which can lead to gum disease. Additionally, smoking can mask the symptoms of gum disease, making it harder to detect and treat the condition in its early stages. Therefore, quitting smoking is important for reducing the risk of developing gum disease and promoting overall oral health.
Yes, there is growing evidence to suggest that gum disease may be linked to other health conditions. Research has found that gum disease may increase the risk of developing heart disease, stroke, diabetes, respiratory diseases, and certain cancers. The exact nature of these connections is still being studied, but it is believed that the inflammation caused by gum disease may contribute to the development of these conditions. Additionally, some health conditions such as diabetes may make individuals more susceptible to gum disease. Therefore, maintaining good oral hygiene and seeking prompt treatment for gum disease may not only benefit oral health but also contribute to overall health and wellbeing.
There is a relationship between gum disease and diabetes, low birth weight, and various lung diseases. Numerous studies have shown that periodontitis is particularly common in individuals with diabetes.
You can use any toothpaste unless your dentist recommends a specific one.
Periodontal treatment can be uncomfortable, but it is typically not painful. Local anesthesia may be used to numb the area during procedures such as scaling and root planing, which can help to minimize any discomfort. There may be temporary sensitivity following some procedures. The reason for this sensitivity is the removal of tartar on the root surfaces due to gum recession.After treatment, you may experience some mild soreness or sensitivity, but this should subside within a few days. Your dentist may recommend over-the-counter pain relief medications or prescribe something stronger if needed.
After periodontal treatment, it is important to have regular check-ups as recommended by your dentist. The frequency of these visits may vary depending on the severity of the condition and the extent of the treatment. In general, it is recommended to have check-ups every 3-6 months to monitor the progress and maintain the health of your gums and teeth. However, your dentist may advise you to have more frequent visits if necessary. It is important to follow your dentist's advice and maintain good oral hygiene habits to prevent the recurrence of periodontal disease.
Teeth cleaning, also known as scaling and root planing, is a dental procedure performed to remove plaque and tartar from the surface of teeth and gums. This process does not thin or weaken the teeth. In fact, it helps to prevent gum disease and maintain healthy teeth and gums. However, it is important to maintain good oral hygiene habits such as brushing and flossing regularly to avoid excessive plaque buildup, which can lead to tooth decay and gum disease.
It is a branch of dentistry that deals with the inflammatory diseases of the soft and hard tissues surrounding teeth and implants, and their treatment. Periodontology refers to the science of the tissues surrounding teeth. These tissues include:
• The cementum, which forms the outermost layer of the root of the tooth.
• The bone tissue that surrounds the root of the tooth.
• The fiber group that acts as a connection between the root of the tooth and the bone tissue.