Periodontitis is an advanced chronic inflammation of gingiva. It is one of the most common diseases in general. The presence of bacteria in dental plaque leads to an inflammation that spreads to tooth supporting structures which are located around the root and it can also affect the surrounding bones. If not treated it can lead to visible gingival recession, teeth getting loose or completely lost. Inflammation like this affects the whole organism and aids certain diseases, such as heart and diabetic diseases. These are the reasons why target treatment and special diagnostics are very important.

Gum diseases are becoming more and more frequent and it is estimated that 80% of adult people suffer from some sort of gum disease. These diseases are very unpleasant.

What causes gum diseases?

The main cause of gum diseases is the accumulation of dental plaque that are full of bacteria. They appear because of bad oral hygiene. The oral cavity is home to many microorganisms which we take in while eating. If for any reason plaque is stockpiled, gums may react with an inflammation.

What can influence gum diseases?

Next to dental plaque accumulation, gum diseases can be caused or worsened by other diseases, smoking, some medicine, stress, diets, hormone changes (pregnancy, puberty, menopause) . Causes can mechanical in nature such as teeth grinding.

Gingivitis is a problem that occurs in almost 80% of the adult population. Gingivitis is most often the result of poor oral hygiene. It is caused by dental plaque that is full of bacteria that damage tooth enamel. They cause caries, but also an infection that leads to periodontitis. In this process, “pockets” full of harmful microorganisms are created, and over time, infections from the pockets infect the surrounding tissues, which actually leads to gingivitis, or gingivitis.

Symptoms of gingivitis

Symptoms of gingivitis are very difficult to notice, because this disease is “quiet” and often turns into diseases that end in wobbling and tooth loss. The disease develops slowly but shows almost no symptoms. Some of the symptoms of gingivitis are soft, red and swollen One of the clear symptoms is bleeding gums when brushing your teeth.

Gingivitis is only the first stage. If you ignore it, it leads to gum retraction, bone loss, stripping of the tooth neck and other links that lead to generalized periodontitis. Then there is the loss of supporting structures of the teeth.

Pulling the gums is moving the level of the edge of the gums (gingiva) towards the root of the tooth. Gum retraction can affect all or almost all teeth (generalized gum retraction), and can affect only individual teeth. Withdrawal of the gums from the teeth can be of different sizes and shapes.

The initial stage of periodontitis is inflammation of the gums (gums bleed, red and enlarged), and after that stage, the gums decay and the roots of the teeth are exposed, as a result of which the teeth appear elongated. This is an advanced stage of periodontitis and then there is a withdrawal of the gums from all teeth or from most. Withdrawal of the gums not only means the loss of soft tissue, but also the loss of bone tissue. Over time, bone tissue is damaged so much that clinically healthy teeth grind and fall out. This is the terminal stage of periodontitis. Therefore, generalized gingival withdrawal does not only occur on the outer (vestibular) side of the tooth, but also affects the entire soft tissue around the tooth. Calculus is caused by the deposition of minerals in soft dental plaque (dental plaque). This is the main cause of gum withdrawal and loss of bone tissue that “runs away” from this irritation.

Withdrawal of the gums, which is not manifested on all teeth, but only on one or several, is most often characterized by exposure of the roots from the outside.

Treatment of gum withdrawal

How to treat gum withdrawal? There is no universal cure for gum withdrawal. The causes of gingival recession (gum withdrawal) need to be removed so that the gums can recover. Depending on the cause, you should:

-Remove traumatic contact by selective grinding of teeth;

-Correct incorrect tooth position, orthodontic therapy;

-Replace poorly done prosthetic works;

-Surgically correct highly placed frenulum and blister;

-Properly maintain oral hygiene;

-Prosthetic rehabilitation.

Lobe surgery has proven to be the best way to solve periodontitis.

Periodontitis is a disease of the supporting apparatus of the tooth, ie the connection between the root of the tooth and the bone. At the beginning, it is manifested by inflammation of the gums, later by pulling the bones, in the last stages by clenching the teeth and their loss. Calculus is the main cause of periodontitis and with it comes the necessity of flap surgery. You can read more about this in an educational article on periodontitis.

Lobe surgery is used in the advanced stage of periodontitis. It involves a surgical method, in which your gums are lifted and pathological changes are removed. If bone retraction and tooth decay are pronounced, it is obligatory to insert artificial bone and membrane in order to compensate for the defects in the bone. It is important to note that periodontitis is not treated, but the condition is stopped. With good oral hygiene and regular check-ups, periodontitis is maintained at the level after the intervention. The bone level cannot be raised to the level you once had, but you get the opportunity to stop further bone loss.

We often advise to tie your teeth in a block after the operation, if we estimate that this is the best solution for your current condition, because it stabilizes the teeth and prevents their further disintegration. Periodontal pocket – PDP is the space between the gums and teeth. full of bacteria, their toxins lead to inflammation of the gums and destroy the bone structures in which the tooth is. Periodontitis does not give or gives minimal symptoms, no pain.

In periodontal surgery, one of the basic procedures is flap surgery. Cleaning of bone pockets and application of artificial bone leads to the creation of new bone and regeneration of the periodontal apparatus.

Visible gums while smiling is a relatively frequent phenomenon.Such people avoid laughing and feel uncomfortably in company. They consider it an aesthetic imprefection. Problems like these are easily solved nowadays.

In gummy smile cases big teeth are usually small. Diastemas (gaps between teeth) are also possible. It is necessary to remove some of the excessive gum tissue.

The procedure is short, it lasts for about 20 minutes.

Patients leave our Clinic with a brand new smile and the results are visible immediately.

Ofcourse, after the intervention your gums will need a few days to calm down. Regular hygiene should be maintained.

There are cases where Gummy smile is too big and a large part of your gums needs to be removed and then a prosthetic rehabilitation is recommended (the best choice are nonmetal ceramic crowns) .

Free mucogingival autograft is a graft taken from the palatal tissue or edentulous alveolar ridge.

The goal of taking the graft is to position it on another region in the jaw, in order to cover the recess (pulling the gums), ie to compensate for the missing tissue, protect the exposed tooth roots and change the biotype of the existing tissue.

It is a connective tissue transplant, which does not contain epithelium. The region from which we take the transplant can be in the area of the palate and the edentulous ridge.