PERIODONTICS

Healthy gingival tissue has a unique appearance. It is lively pink. Despite the soft tissue of the gum, it grips the tooth completely and firmly and prevents the tooth from shaking.

Gingival diseases can develop due to many reasons such as unbalanced nutrition, hygiene problems, genetic transfer, aging and microbial diseases. The most common gingival disease is periodontitis. Regular dentist control is very important in the prevention and treatment of gingival disease.

Gingival diseases, which are diagnosed by symptoms such as bad smell, bleeding, tenderness, shaking of the teeth, can cause loss of all teeth if not treated. When the gum gets sick, receding gum generally occurs, the periodontal pockets that provide an environment suitable for bacterial growth deepen and the bone resorption begins.

Both aesthetically and operationally, very successful results are obtained in gum treatments today. Early diagnosis and treatment of gingival disease prevents tooth loss. Gingival treatments are planned with protective, surgical and aesthetic processes according to the process of the disease.

In early interventions, progression of the disease is prevented by deep cleansing (periodontal curettage). With the curettage process, dental scale and dental plaques in an around sick area are  effectively cleaned and so the suitable environment for microbial ailments are removed,  the granule  tissues are cleaned, the root surfaces are polished. Caries that threaten gum health are removed and bad fillings and old prostheses are replaced at this stage. To make the effect of curettage prolonged, wisdom teeth can be extracted. Curettage may take 3-4 sessions to obtain more effective results, depending on the dentist’s planning and the conditions about patient.

In the treatment of early gingival diseases, curettage can provide sufficient environment for the gum to be healthy. However, in advanced cases, surgical interventions such as gingivectomy and flap are needed for effective treatment. With the surgical procedure called gingivectomy, the depth of the periodontal pockets, which are suitable for bacterial growth, is reduced and enlarged gums are removed. Thus, environments suitable for the development of microbes are removed from the mouth.

In the flap operation planned for patients who accompany gum disease with bone resorption, the tissues under the gum are reached, diseased tissues, root surfaces are cleaned and deep periodontal pockets are intervened. Bone graft is applied in cases with bone loss.

For the protection of gum health, effective oral hygiene, regular dentist control and non-smoking are recommended.