Periodontology

Periodontitis is an inflammation of the periodontium, i.e., the tissues that support the tooth in the bone. It is an extremely common disease, affecting over 50% of adults in one form or another.

Unfortunately, periodontitis is often ignored or treated superficially, even though it is one of the main causes of tooth loss.

Many patients do not realize that the disease has set in and are unaware of the long-term consequences of not treating it.

What causes periodontitis?

Periodontitis generally occurs due to an imbalance between the oral bacterial flora and the immune system’s response, with genetics playing a key role.

Over time, bacteria penetrate under the gums and end up affecting the ligaments that support the tooth and alveolar bone. The tissues deteriorate progressively, and the tooth loses its stability.

Without treatment, the teeth begin to move and eventually fall out.

Contributing factors:

  • Genetic predisposition 
  • Smoking
  • Chronic stress or intense emotional episodes
  • Certain medications used in chronic treatments
  • Oral contraceptives or hormonal changes (e.g., pregnancy) 
  • Malocclusion (incorrect bite)
  • Medical conditions such as osteoporosis, diabetes, or cardiovascular disease 

What are the stages of periodontal disease?

  1. Gingivitis – superficial inflammation of the gums, reversible with proper treatment;

  2. Superficial periodontitis – when the inflammation begins to affect the supporting structures of the tooth;

  3. Deep (advanced) periodontitis – with bone loss, tooth mobility, and increased risk of extraction.

Can periodontal disease be treated?

Periodontal disease cannot be completely cured, but it can be kept under control.

The goal of treatment is to stop the disease from progressing, prevent complications, and preserve teeth in the long term. That is why it is essential to intervene early, under the guidance of a periodontist.

Periodontal procedures at the Liren clinic

  1. Assessment and diagnosis
  • Thorough clinical examination of the gums and teeth

  • Measurement of periodontal pocket depth by probing 

  • X-rays and CBCT to assess the condition of the alveolar bone 

  1. Professional cleaning
  • Ultrasonic scaling to remove tartar

  • Air Flow for cleaning stains and deposits

  • Perioflow – a special powder technique for deep cleaning of periodontal pockets and stimulating healing

  1. Gingivitis treatment
  • Professional cleaning tailored to the stage of the disease 

  • Personalized instructions for proper oral hygiene

  • Application of local treatments, if necessary

  1. Treatment of periodontal disease
  • Subgingival curettage – deep cleaning of periodontal pockets 

  • Laser-assisted therapy – for selected cases

  • Periodontal surgery – in advanced cases, for bone regeneration and reduction of pocket depth 

  1. Gingival remodeling and treatment of retractions
  • Gingivoplasty – surgical reshaping of the gums, including for a smile with excessive gum display

  • Mucogingival surgery – covering exposed roots with gingival grafts, performed in microsurgery

  1. Maintenance and prevention
  • Personalized monitoring programs

  • Tailored recommendations for daily oral hygiene 

  • Regular maintenance sessions to prevent recurrence

At Liren, periodontal treatments are performed with magnification (magnifying glasses or microscope) and isolation with a dam – a special foil that ensures a dry field and excellent visibility for the doctor.

This approach increases the precision, safety, and efficiency of interventions, offering patients the best chance of keeping their natural teeth for as long as possible.

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