Periodontics

About tooth decay and tooth loosening

The various diseases of the gum can cause destruction and loosening and falling of a tooth. A chronic inflammation of the gum, can develop as a result of bone breakdown, atrophy and retraction of the tooth. Symptoms include not only loosening of teeth, but also tooth inclination, migration, protrusion. This problem occurs in the elderly as a result of the natural physiological process, but unfortunately it also does occur rarely in the younger age.

Dental loosening can be detected by X-rays, but the bigger problem is when tooth loosening can already detected by physical examination. Thus, bone loss can be monitored because, in a mild case, the dentist can measure the extent of bone loss between the gum and the tooth. This is called pouch depth measurement. The sachet can develop between the tooth and the gum because there is no proper bone base, so bacteria found in plaque and saliva can cause inflammation and further break down the bone. The consequence is tooth loosening and then tooth loss. Sachets need to be cleaned regularly by the dentist, so it is important that it is checked by a reliable dentist.

Teeth coloring

In case of tooth loosening, you do not have to think about the worst right away, because in this case it is still possible to fix loose teeth. One solution is to fix the existing teeth with a retainer. This means that the teeth are beeing enclosed with a fixed unit and this unit also fixes the loose teeth. If some teeth are loose, they can also get enclosed with a dental bridge. Of course, even more emphasis should be placed on brushing your teeth and brushing your teeth - in this case, the teeth can remain in the mouth for many years.

Paradontological treatments

Periodontal disease is not a reversible process, but it is possible to stop bone loss and inflammation. As a preparatory treatment, ultrasonic tartar removal is usually performed both above and below the gum. Abdominal tartar is primarily performed with an ultrasonic depurator, while abdominal tartar removal is mainly done by hand instruments, a procedure called curettage. Closed curettage is used to clean the gums under the skin, whereby inflamed tissue, sachet wall and infected root cement layer are removed with a special tool.

During open curettage, deep, inaccessible pouches are cleaned and root surfaces smoothed. Incisions on the outside and inside of the tooth need to be made in the gum to form a lobe for better visibility and more effective cleaning of the areas under the gum. Finally, the surgical area is sutured at the end of the procedure. Curing is performed under local anesthesia so that the procedure is painless for the patient.

It is often the case that a dental practitioner turns to the dentist with such a large caries that the border of the prepared cavity or crown falls deep below the gum. Instead of tooth extraction, it is now possible to rescue these teeth by slightly lifting the tooth out of the gum, resulting in the elongation of the crown and the safe restoration of the tooth. There are two types of procedures for crown extensions: braces for a few weeks, which can result in the tooth being supported on adjacent teeth. Another option is local small surgery, where the gum around the tooth is lowered.

About Mucosal Problems

A large part of oral inflammation can be prevented by thorough oral and dental care. The treatment of existing oral inflammations can be treated with antibiotics according to the type of inflammation, in addition to topical treatment with local disinfectant brushes and mouthwashes. Healing is mainly based on topical treatment with a variety of antiseptic mouthwashes. During treatment, dentists strive to rid the mouth of infected epithelium, but of course this can only happen gradually.