Periodontics

We all want to show off out best smile, and rest assured that our oral cavity is healthy. In order to ensure this, it is not enough to visit a dentist when a tooth is aching. In fact, it is necessary to take care of the gums and the tissues that surround our teeth.

It is the periodontologist’s task to help patients overcome their bleeding and aching gums or infected tissues around the tooth roots. If not, treated infections caused by plaques, nutrition, harmful habits like smoking, lack of dental care, may damage tissues that maintain teeth in the jawbone or become a reason of teeth bone dissolution.

Professional oral hygiene and regular visits to the dentist is the best prevention of periodontic diseases. If the patient does not request in time, conservative medication treatment is applied and if the case is even more difficult when the disease is advanced surgical procedures may be performed.

Bleeding, swelling, painful gums, bad breath and deep – drawn tooth pain – are all symptoms that indicate worsening conditions of the gum tissues which surrounds teeth. If the infection is advanced, festers might appear. In order to avoid serious consequences and stop disease from evolving, patients must visit a periodontologist as soon as the symptoms are noticed.

The elements of successful periodontal treatment performed in our clinic

  • Diligent and observant dental hygienist: at City Clinic dental, the hygienist pays a lot of attention to the individual evaluation of a patient‘s dental state and performs dental hygiene using innovative and safe scaller. Properly performed regular dental hygiene is the best prevention for periodontic diseases.
  • Experienced periodontologist: at City Clinic patients with periodontic diseases are taken care of by dr. Adomas Rovas, who brings the latest, most up to date knowledge of periodontics into practice as he is the member of professionals uniting associations in the USA and the EU. Due to constantly his ever evolving qualifications and expertise, this doctor is capable of suggesting advanced treatment solutions for periodontic diseases.
  • Carefully selected methods of treatment: at City Clinic primary stages of periodontic diseases are treated using conservative medication method, difficult cases of advanced diseases are solved by surgical method. Dr. Adomas Rovas specializes in both of them. The doctor has gained experience, which allows him to diagnose the stage of disease precisely and set the treatment plans benefiting patient’s  individual needs and requirements.
  • Care and collaboration with a patient: at City Clinic patients’ health is the top priority. Periodontic treatment requires patience as well as close collaboration between patient and doctor. Dr. Adomas Rovas pays a lot of attention to this aspect, as he applies professional knowledge for every case individually it is the only way to achieve maximum results along with the patient.

Stages of periodontal treatment:

  • Primary examination and diagnostics 

During the first visit to the periodontologist, he uses a special tool called periodontal probe to examine the teeth surrounding tissues, tooth pocket and diagnosis the stage of disease regarding the damage that was identified. If the tooth pocket is not very deep, the most common diagnosis is the gum inflammation called gingivitis. This disease repeats itself and if not treated timely may cause periodontitis, also known as parodontosis, which is a lot harder to treat because deep – drawn teeth surrounding tissues are infected and it may lead to eventual tooth loss. After the examination, the doctor decides on further treatment, its methods and means.

  • Set up of treatment plan

Based on results of periodontal probe examination, panoramic X-Ray photos and symptoms  described by patient, the doctor makes a decision on treatment method.

Conservative treatment method is applied in the early stages of the diseases as there is no irreversible consequences. At this stage a performance of professional dental hygiene is the right solution for most patients. During the procedure dental plaque and calculus from tooth pockets smooth the root surfaces which prevent further build – up of calculus. This cleaning is more in – depth that a routine cleaning. The doctor may also prescribe medication. Periodontal re-evaluation is performed between 6-8 weeks after the initial treatment has been completed. If the treatment is successful meticulous daily dental care and performance of regular dental hygiene is all patient has to do in order to preserve achieved results.

Surgical treatment method is applied in the advanced stages of disease – the infection is not only spread widely, but also has damaged gum and deep – drawn dental tissues around tooth root or jaw’s alveolar bone. In these situations, conservative, non – surgical methods might not be enough. Periodontal surgery can facilitate access to remove plaque and calculus that is located deep under the gum and also provide the opportunity to reshape the gum and bone in order to minimize or even eliminate tooth pocketing. In the advanced stages of the disease, it might be necessary to remove teeth, because due to the damage it is impossible to keep it stable in the jawbone. Surgical procedures are carried out under local anesthesia therefore patients do not feel pain or discomfort.

The progress of disease, reaction to treatment, intermediate results determine the number of procedures and the length of treatment for it to be successful. Taking these factors in to consideration, the periodontologist decides on every case individually in order to perform successful treatment.

  • Follow up care

Whether conservative or surgical treatment is completed or not, it is very important for patients to keep on collaborating with their doctor and follow the set recommendations. Meticulous daily dental care becomes crucial in terms of preventing oral cavity from renewal of the disease, because with every new episode of disease the successful treatment is harder to implement. In order to secure the achieved results, professional dental hygiene must be performed every 3-6 months, ensuring plaque is removes and minimizing the risk of infection or inflammation. Doctor may also prescribe probiotics as it helps to balance good bacteria proportions in oral mucosa.

Preventive visits to a periodontologist also is a necessary part of follow up care. During the consultation, a doctor will evaluate the maintenance of achieved results, will run tests for ruling out cancer, check the dental fillings, and examine to see if there are no signs of decay. Doctor will also provide recommendations on personal dental care.

Mutual efforts by doctor and patient are vital in order to prevent patient from possible tooth loss or removal, therefore patience, willing to collaborate and discipline of following doctor‘s orders become the most important guidelines.