Estediş Oral and Dental Health Gum Diseases Treatment

What is Periodontology?

Periodontology (gingiva) is a branch of dentistry dealing with the diagnosis and treatment of alveolar bone (bone around the tooth), cement (tooth root covering layer) and periodontal ligament (soft tissue connective tissue). It surrounds and supports the tooth

Who is a Periodontist?

For the expertise of this branch, which deals with the diagnosis, treatment and surgery of gum diseases, dentists receive a five-year period of doctorate and at least 3 years of specialization in addition to their 5-year education. Periodontology specialist (periodontologist) together with gingival surgery receives training on dental implant surgery.

What is Periodontal Disease?

Periodontal disease is caused by bacteria in dental plaque, the sticky substance that forms on your teeth a couple of hours after you have brushed. Interestingly, it is your body’s response to the bacterial infection that causes most of the problems. In an effort to eliminate the bacteria, the cells of your immune system release substances that cause inflammation and destruction of the gums, periodontal ligament or alveolar bone. This leads to swollen, bleeding gums, signs of gingivitis (the earliest stage of periodontal disease), and loosening of the teeth, a sign of severe periodontitis (the advanced stage of disease).

Why Gum Disease Occur?

Plaque is the primary cause of gum disease. However, other factors can contribute to periodontal disease. These include:

  • Hormonal changes, such as those occurring during pregnancy, puberty, menopause, and monthly menstruation, make gums more sensitive, which makes it easier for gingivitis to develop.
  • Illnesses may affect the condition of your gums. This includes diseases such as canceror HIV that interfere with the immune system. Because diabetes affects the body’s ability to use blood sugar, patients with this disease are at higher risk of developing infections, including periodontal disease and cavities.
  • Medicationscan affect oral health, because some lessen the flow of saliva, which has a protective effect on teeth and gums.
  • Bad habits such as smokingmake it harder for gum tissue to repair itself.
  • Poor oral hygiene habits such as not brushing and flossing on a daily basis, make it easier for gingivitis to develop.
  • Family history of dental disease can be a contributing factor for the development of gingivitis.

How Do I Maintain My Teeth and Gums?

Our patients usually use the best toothpaste and mouthwashes, even they use the most expensive toothbrushes. What is important is not brushing with the most expensive toothbrush, but the most accurate technique (moving from the gingiva to the tooth) and brushing all the surfaces of the tooth, including the front-back and top. The effect of toothpastes on gum disease is limited. Toothpaste is not a medicine .The most important things, rather than using the most expensive paste and brushes, are the use of the brush, the duration of the brush (3 minutes), the timing (morning, evening) and the interface care products used in combination with the brush (dental floss and / or interface brush) prevent the prevention of gingival .

Is it enough to just brush your teeth?

The use of an intermediate brush or floss in addition to normal brushing after treatment is one of the most important tools to prevent recurrence of the disease. These tools, which should be used once a day after the treatment and should be used regularly, should not be left after gingival health and should be used regularly for life. The normal toothbrush cleans the front, back and front of the teeth when brushed with the right technique. However, most caries and bone loss cannot clean the interface. To clean these dental interfaces, a dental floss or an interface brush should be used. If the patient’s dental interfaces are enlarged due to bone loss resulting from gum disease, the dentist may have an intermediate brush (0.5 mm, 0.6 mm, etc. of various sizes) or dental floss if there is no loss and no narrow interface 1 should be used after brushing with normal toothbrushes.

What is flap operation?

The aim here is to stop the destruction of the bone around the teeth by cleaning the inflamed tissues.

What it does?

It is performed in cases of advanced gum disease and loss of bone supporting teeth.

What are the benefits?

After the procedure, the destruction of the bone supporting the tooth stops, and even if good hygiene is provided, some new bone may also be formed. Bad bad breath caused by gum disease is eliminated. The gingiva changes from dark red to pink. Gingival bleedings are minimized or completely eliminated. Fatigue and weakness due to inflammation in the mouth is eliminated.


After flap operation, the amount of warm, cold, sour and sweet sensitivity in teeth is normal.In order to eliminate this condition, our patients should be able to use sensitizing paste.There is some gingival recession after the operation. This is because the gums are edematous due to preoperative inflammation. The gingival level that is formed after the surgery is actually at the level that should be and hygiene can be provided. Postoperative mobility of the teeth may increase slightly. It should not be forgotten that this situation will return to full time in the long term and the teeth will become less active than before the operation.

What is Deep Gingival Abortion?

The aim here is to stop the destruction of the bone around the teeth by cleaning the inflamed tissues.

What is the Treatment Content?

After regional anesthesia, inflammation under the gums with the hand tools are curable.Root surfaces are flattened. In the control sessions the process is repeated if necessary. A certain amount of sensitivity is normal after the procedure.

What is Free Gingival Graft?

The aim is to prevent bone destruction and tooth loss by grafting gum healthy gingiva in healthy adherent gingival areas due to gingival recession, and to close some of the open root surfaces aesthetically.

What is Treatment Content?

The procedure begins with regional anesthesia on the area where the gums are placed and on the palate. In the area where the gums will be placed, an incision is made with the scalpel and the bed is prepared. The gum is removed from the palate. A piece of tissue about 1-1.5 mm thick is removed from the palate. The taken piece is placed in the previously prepared and non gingival region and the suture is removed. Both the recipient and donor sites are placed in a pat to protect the operative sites. After 1 week the pat is removed. A minimum of 4-6 weeks is required for complete recovery.

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