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Do you have problems with your gum? Does your gum bleed when brushing you teeth? Do you suffer from receding gum? Do you think that you have bad breath? Is your gum inflamed? If yes, you should obtain the advice of your dentist as your teeth are endangered. Periodontosis results in a loss of teeth! However, by taking the proper preventive measures ( <prophylaxis>) you can preserve your teeth all your life - even after a periodontosis treatment.
Investigations show that gum inflammations - gingivae - and diseases of the periodontium - periodontosis - are amongst the diseases human beings suffer from most frequently. Practically every adult has inflamed gum on one or several teeth.
How are gingivae and periodontosis treated?
If your gum is diseased you should not just give up and do nothing. Often the gum can still be treated! Even if the periodontosis has already advanced, mostly your teeth can still be saved.
Treatment of gingivae: see <prophylaxis>
Treatment of periodontosis:
Dentists distinguish between early stages of periodontosis - periodontal pockets of up to approximately 4 mm - and advanced stages of periodontosis - pockets of more than 4 mm. Treating periodontosis at an early stage is easy. First the patient is locally anaesthetizised, then dental calculus and plaque are removed thoroughly from the surface of the roots which are smoothed later on. "Cutting" the gum is not necessary. The patient‘s general condition is not impaired considerably by such a treatment and a medical certificate attesting inability to work is not necessary for the following day. The prospects of succeeding are very good.
Treating advanced stages of periodontosis is more complicated. First the patient is locally anaesthetizised, then the gum is removed slightly from the affected teeth. Dental calculus and bacteria are removed as otherwise they would remain in the deep pockets and on the roots. After completion of this treatment the gum might atrophy slightly.
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If the bone loss has already advanced very much, this defect can be cured partly by means of certain treatment methods which are called guided tissue regeneration (GTR). A membrane which is well tolerated by the body is implanted below the gum. It covers the defective spot and makes it possible for the periodontium to regenerate. Sometimes the defective spot is also filled up with bone augmentation material. Over the months this artificial material is converted into real bone by the body itself.
Exposed tooth necks are a special kind of periodontosis resulting from wrong methods of toothbrushing. If the front teeth are affected, the aesthetics is spoiled. Such exposed tooth necks often react sensitively to cold or sweet meals. This problem can be solved by means of plastic periodontal surgery. A small tissue transplant is taken from the palate and used as a cover for the exposed tooth necks.
After a periodontal treatment a regular aftercare which is called Recall is important. Right after the treatment is should take place every 3 and later on every 6 months in order to ensure a long-term successful preservation of the tooth. The patient‘s cooperation is of great importance in that case; see <prophylaxis> .