What is paradontopathy?
 

parodontopatija, parodontologija, parodontalni džep, povlačenje desniIt is a disease that affects the soft and hard structures that support the teeth, gradually leading to loosening of teeth and their eventual falling out.  

Main causes of periodontal disease are:

  • Dental plaque and calculus
  • Inadequate fillings
  • Orthodontic anomalies and prosthetic work
  • Genetic predisposition
  • Hormonal imbalance – pregnancy, thyroid gland disorders
  • Diabetes
  • Stress
  • Smoking

In the majority of cases, the parodontopathy is caused by a combination of factors.


Gum disease symptoms


Dental plaque induces the gum inflammation. If not removed on time, minerals from saliva accumulate and form calculus on the teeth surface. This causes inflammation which is progressive and causes gingiva to start bleeding at the lightest touch. The gums pull away from the teeth.  At the very beginning, the tooth necks get exposed and very sensitive to external stimuli – mostly sweet and cold. As a consequence, periodontal pockets appear in which the infection continues to soar. In time, bacteria penetrate deeper, spreading to the bone and other parts of the teeth supporting structures. The teeth become less firm in the bone due to the bone resorption (destruction), loosen up, and fall out eventually.  


Periodontal disease - treatment


There are two types of treatment of periodontal disease, which are established as protocols.


1. Causative treatment – elimination of the causative agents of the disease. It implies:

- Educating patients about proper oral hygiene routine, which will significantly diminish the accumulation of dental plaque.
- Removal of calculus using manual excavator and ultrasound.
- Treatment of periodontal pockets
- Replacement of inadequate fillings and prosthetic work
- Orthodontic therapy
- Treatment of general conditions – causative agents


2. Surgical treatment – If a causative treatment fails to deliver timely results, surgical treatment is needed.

- Gingivectomy is a surgical procedure to remove the soft walls of periodontal pockets (part of gums). It is always performed with local anaesthesia.
- Gingivoplasty is remodelling of the gums, usually performed after each gingivectomy, to achieve an optimal end result of the treatment.  
- Modified Widman surgery – When a periodontal pocket is in an advanced stage, and cannot be cured using causative treatment, the best option is a so called modified Widman surgery.

The course of the procedure is the following – after administration of the local anaesthetic, the surgeon will lift the gums and remove pathological tissues. Sometimes it is necessary to use the artificial bone to compensate for the removed bone, to decrease the defect.


Modified Widman surgery – price


Periodontal disease treatment begins with your first appointment at the dentist. It is important to be aware that this disease is not fully curable, but with an adequate treatment plan, it can be successfully kept under control.

The price of gingivoplasty and gingivectomy per tooth in our Clinic is RSD 1,500. The price of modified Widman surgery per tooth is RSD 2,500.


Call us and schedule your appointment on time, so we can fight off the periodontal disease together!







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