Periodontology | Different treatments | Sana Oris Dental Clinic, formerly Prédentis, Paris 8

Periodontics

Periodontology, or periodontics, is the discipline dedicated to the prevention, diagnosis, and treatment of diseases of the periodontium, the tissue that supports the teeth (the gums, supporting bone, and ligaments).

The conditions concerned are gingivitis and periodontitis, which lead to "loosening" of the teeth and ultimately tooth loss.

The Sana Oris clinic has a team of practitioners and assistants dedicated to periodontology.

  • Periodontal Assessment

    Periodontal Assessment

    The periodontal assessment allows the dentist to identify during the consultation whether the gums are infected by examining a sample of dental plaque under a microscope, which enables a diagnosis of periodontal disease to be made.

  • Laser disinfection

    Laser disinfection

    Disinfection is one step in the treatment of periodontal disease. Its purpose is to disinfect periodontal pockets and reduce gum inflammation.

  • Gum graft

    Gum graft

    Gum grafting is a surgical procedure that restores thickness and height to damaged gums in order to correct gum recession.

  • Descaling

    Descaling

    Scaling can only be performed on healthy gums that are free from periodontal disease. It removes plaque that has accumulated on the tooth enamel, which serves as a refuge for various pathogenic bacteria.

  • Brushing teeth / hygiene care

    Brushing teeth / hygiene care

    The periodontics team at our clinic will guide you in adopting the right habits and offers consultations dedicated to dental hygiene.

The different types of periodontal disease

Periodontal disease occurs when the tissues supporting the teeth become infected.

Gingivitis and periodontitis are two types of periodontal disease and are usually caused by infection. Prompt treatment is essential because the progression of the disease leads to tooth mobility and tooth loss.

GINGIVITIS

Gingivitis is the first stage of periodontal disease. The gum-tooth junction is colonized by bacteria that trigger gum inflammation. Red, swollen, and painful, the gums recede from the teeth and tartar accumulates under the gums. In advanced stages and without treatment, gingivitis progresses to periodontitis.

PERIODONTITIS

At the periodontitis stage, the destruction affects the jawbone and the supporting ligaments that anchor the teeth (alveolar ligament). Periodontal pockets form and bacteria accumulate in them, with varying amounts of pus. Eventually, the loosening of the tooth can lead to its loss, sometimes accompanied by a very painful purulent collection.

Different gum abnormalities

Certain abnormalities in the gums can be indicative of a disease. It is important to have a periodontal examination carried out quickly to identify the cause of these symptoms or associated pain, and treat the disease at its source.

Ulcerations

Mouth ulcers are sores that form on the surface of the mucous membrane in the mouth. These lesions are identified by their white or yellow center surrounded by a red, inflamed border. Caused by poor dental hygiene, certain foods, or biting, they often appear on the inside of the cheeks, on the lips, under the tongue, on the floor of the mouth, or at the base of the gums.

Although these mouth ulcers are rarely dangerous, they can be very painful. It is therefore recommended to treat them quickly with a mouthwash.

Abscesses

A periodontal abscess is a pocket filled with pus that develops in the gums. This infection can be caused by a build-up of dental plaque, food particles, or a lack of brushing. Without treatment, it can have serious consequences for the teeth and jawbone.

Chronic bleeding

Gums may bleed occasionally and temporarily after eating certain hard foods, brushing aggressively, or using a hard toothbrush. In these cases, the bleeding stops on its own and is not dangerous.

However, if your gums bleed regularly, it may be gingivitis, in which case you should seek medical advice quickly: untreated gingivitis eventually leads to periodontitis and then tooth loss.

Gingival recession

Gum recession, also known as "tooth exposure," is a change in the gum tissue at the neck of the tooth. It corresponds to the gradual loss of gum tissue, eventually exposing the root of the tooth.

Gum recession must be treated as early as possible to prevent it from progressing. This is because recession is irreversible, and lost gum tissue cannot be recovered.

How can this type of condition be prevented?

In order to prevent the development of periodontal diseases, they must be identified as early as possible.

Regular periodontal checkups can identify potential periodontal infection through the following steps:

  • Clinical examination of the mouth
  • Microbiological examination of dental plaque, which is interpreted instantly by the practitioner, who can detect pathogenic bacteria in the mouth.
  • Radiological assessment to examine possible bone loss and the progression of periodontal disease;

Treatments for periodontal disease

In the case of gingivitis or periodontitis, it is necessary to eliminate all pathogenic bacteria. The practitioner will then propose a customized treatment plan that includes the following elements:

  • LASER disinfection. The laser is a beam that penetrates gum tissue and allows for deep decontamination by eliminating pathogenic bacteria responsible for periodontal disease, particularly antibiotic-resistant strains.
  • Development of a personalized disinfection program to follow at home that contributes to healing
  • Deep periodontal pocket cleaning (lithotripsy)

These procedures are painless and generally do not require local anesthesia.

Results of periodontal treatment in a patient with periodontitis.

Results of periodontal treatment in a patient with periodontitis.

The cost of a dental prevention consultation

The cost of a periodontal examination is €120.

The various procedures performed by the Sana Oris dental clinic are subject to precise and fair pricing, which will be communicated to you at the end of your consultation based on the treatment you require.

What is a periodontist?

Periodontists, experts in gum and dental tissue problems, effectively diagnose and treat periodontal diseases such as gingivitis and periodontitis. Their key role ensures the preservation of gum health, prevents tooth loss, and promotes optimal chewing. At Sana Oris, they incorporate innovative approaches, such as the use of lasers, to assess and treat patients, ensuring dental stability, smooth chewing, and a radiant smile. Their range of treatments includes scaling, periodontal pocket treatment, and regular maintenance, guaranteeing advanced and contemporary oral health.

FAQ

What is periodontics/periodontology?

Periodontics is the discipline dedicated to the prevention, diagnosis, and treatment of the gums and underlying bone. It treats tooth loss and gum disease.

What is periodontitis?

Periodontitis is an inflammatory disease of infectious origin. It spreads to the gums and alveolar bone. It is often caused by the accumulation of bacterial plaque along the gum line.

What are the risk factors for periodontal disease?

It is crucial to understand that periodontal disease is not simply a matter of poor dental hygiene. Although plaque and tartar buildup can contribute to their development, many other factors come into play, such as genetic predisposition, heredity, pre-existing medical conditions, stress, smoking, diet, and even hormonal changes.

When and why should you see a periodontist?

It is recommended that you consult a periodontist as soon as you notice signs of gum problems such as bleeding, swelling, or sensitivity. In addition, if you notice loose teeth, a growing gap between your teeth and gums, or persistent bad breath, it would be wise to consult a periodontist. By acting quickly, you can prevent these problems from worsening and maintain the health of your gums and teeth.

What are the possible treatments for periodontal disease?

At our clinic, periodontal diseases receive special attention thanks to the use of advanced techniques such as lasers. These lasers enable effective disinfection of the gums, ensuring long-lasting and optimal results, even in the most advanced cases. Our team of surgeons is qualified to treat the most severe cases, offering the possibility of gum grafts.

How can periodontal disease be prevented?

Preventing periodontal disease requires rigorous oral hygiene, including thorough brushing twice a day and flossing. A balanced diet, limiting sugars and acidic foods, promotes healthy gums. Avoiding tobacco and limiting alcohol also contribute to gum health. In addition, regular visits to the dentist allow gum problems to be detected and treated at an early stage, thus preventing serious complications.

What happens during a consultation with a periodontist?

During your first consultation with one of our periodontists, we will perform a During your first visit to our periodontists, we will perform a comprehensive analysis of your gums through a thorough periodontal examination. This diagnosis allows us to assess the condition of your gums, detect any problems, and establish a personalized treatment plan based on your specific needs.

How to maintain oral hygiene after periodontal treatment?

After periodontal treatment, maintain strict oral hygiene by brushing your teeth twice a day, flossing, and eating a balanced diet. Avoid tobacco and limit alcohol consumption. Follow your periodontist's recommended follow-up visits for professional cleanings and regular evaluations. This approach will help you maintain the results of your treatment and prevent future dental problems.

What is the difference between gingivitis and periodontitis?

Both are inflammatory diseases of infectious origin. Gingivitis is an infection of the gums, while periodontitis is a more advanced stage, as the infection also affects the bone that supports the teeth. Periodontitis follows untreated or poorly treated gingivitis.

What is a periodontal abscess?

A periodontal abscess is an accumulation of pus resulting from a bacterial infection. This pus can develop in the gums or bone. The gums are red, swollen, and painful. This infectious lesion may be accompanied by fever or even nausea. It is not uncommon to see pus draining from the gums.

How to treat a periodontal abscess?

The treatment of a periodontal abscess takes place in two stages. First, antibiotics are prescribed to eliminate the existing infection. Then, depending on the severity of the infection and its progression, local laser disinfection may be performed. This method specifically targets the affected area, allowing for thorough disinfection of the gum tissue around the abscess.

What is a periodontal pocket and how is it measured?

A periodontal pocket is an abnormal space between the gum and the tooth caused by gum disease. It can lead to the deterioration of the tissues supporting the teeth. The depth of a periodontal pocket is measured using a periodontal probe, a thin, calibrated instrument. The periodontist gently inserts the probe into the space between the gum and the tooth to determine the distance between the gum line and the bottom of the pocket, thereby assessing periodontal health.

What are scaling and root planing, and what are they used for?

Scaling is the process of removing plaque and tartar (calcified plaque) from tooth surfaces. Curettage, on the other hand, involves deep cleaning of periodontal pockets under the gums to remove bacteria and infected tissue. These periodontal procedures aim to reduce inflammation, prevent the progression of gum disease, and promote periodontal health.

What are the symptoms of gingivitis?

Symptoms of periodontitis include red, swollen, and tender gums, bleeding, gum recession, persistent bad breath, pockets forming between the teeth and gums, and tooth mobility. If you notice these signs, it is important to consult a dental professional for proper diagnosis and treatment.

What are the symptoms of periodontitis?

Symptoms of periodontitis include red, swollen, and tender gums, bleeding, gum recession, persistent bad breath, pockets forming between the teeth and gums, and tooth mobility. If you notice these signs, it is important to consult a dental professional for proper diagnosis and treatment.

What are the consequences of untreated gingivitis?

Untreated gingivitis can progress to periodontitis, a more serious condition that damages the tissues supporting the teeth and gums. This can lead to the formation of deep pockets between the teeth and gums, bone loss around the teeth, tooth mobility, and even tooth loss.

What are the risks of poorly treated periodontitis?

When periodontitis is poorly treated, there is a risk that the infection will not be completely eradicated, which can lead to a recurrence of the infection in the long term. In addition, poor management of periodontitis can promote the development of a more severe infection, which can further damage the supporting tissues of the teeth and gums. A persistent infection can also lead to increased gum pockets, gum recession, and even tooth mobility.

What are the consequences of untreated periodontitis?

Untreated periodontitis can have serious consequences for oral and general health. It can cause the gradual destruction of the tissues supporting the teeth and gums, leading to the formation of deep pockets, gum recession, tooth mobility, and tooth loss. Uncontrolled periodontal infection can also spread bacteria throughout the body, increasing the risk of heart disease, diabetic complications, and other health problems. It is crucial to treat periodontitis effectively to avoid these potentially serious consequences.

What are the risks of periodontitis on overall health?

Periodontitis can affect overall health due to its link to chronic inflammation. Bacteria from periodontal infection can spread into the bloodstream, increasing the risk of heart problems, less controlled diabetes, and complications during pregnancy. In addition, chronic inflammation can aggravate other inflammatory conditions such as arthritis. It is therefore crucial to treat periodontitis to prevent these potential risks to overall health.

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