Dentist1Gum inflammation and periodontitis are chronic conditions that are normally not preceded by pain or any other considerable symptom. The bacteria most commonly associated with gum inflammation and periodontitis are predominantly gram-negative anaerobic bacteria that constantly form “plaque” on the teeth and gums. These bacteria damage the soft tissue and the bone that supports the teeth.

If dental plaque is not removed by the patient or the periodontist in a timely manner it builds up and leads to severe gum inflammation and bone loss (periodontitis). The anaerobic bacteria that makes up dental plaque is often resistant to antibiotics and mechanical plaque control is the only existing way to remove it completely. As the plaque continues to accumulate and mineralise, it eventually transforms into tartar that has to be periodically removed by a dental practitioner, usually every 3 to 4 months, twice a year or annually, depending on the patient’s condition. Tartar retains more plaque that attaches to the teeth enamel, as well as below the gum line.

A major symptom of gums inflammation is bleeding, especially the gingival bleeding noticed by the dentists upon gentle gum probing (a procedure performed with a special instrument, called periodontal probe). The presence of bleeding indicates a problem that requires professional treatment. Several clinical and laboratory tests are performed to diagnose the affected site, as well as the efficacy of your personal dental hygiene. The treatment of periodontitis requires the full engagement of the patient and is done in three stages.

1. Phase I (Initial, i.e. cause-related therapy) includes:

The number of visits and the intervals between them are defined individually, based on the severity and speed of development of the underlying conditions and the level of cooperation by the patient. Following a post-therapy re-evaluation and provided that there is considerable improvement of the condition, it is safe to continue the treatment with Phase Three (the so called Restorative Therapy). If gums inflammation persists despite your improved oral hygiene, the treatment must continue to Phase II (Surgical Therapy).

2. Phase II aims at:

You should be aware that active periodontal treatment, similar to all surgical procedures, may lead to:

3. Phase III (Maintenance Phase).

Preservation of the periodontal health of the treated patient is as important as the elimination of periodontal disease. In the maintenance phase, patients are placed on a schedule of periodic recall visits for maintenance care to prevent recurrence of the disease. The intervals between recall appointments are varied according to the patient condition. The long-term success of periodontal treatment depends on the patient’s effort to maintain the results achieved in the other phases of the periodontal treatment plan. Negligence to follow all recommended practices and recall visits may result in deterioration of the conditions and further complications. In such cases, the responsibility lies within the patient. This mandates a lifelong relation between the patient and the treating dentist or periodontist.