Periodontology

K+31 dentists perform complex treatment and prevention of periodontal disease.
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About the disease

Caries is diagnosed in almost 98% of patients, regardless of age. However, besides it, there are other diseases of the mucous membranes and gums. Periodontal disease negatively affects not only the condition of the oral cavity, but also the health of the body as a whole.

Periodontology is a branch of dentistry that deals with the diagnosis, treatment and prevention of such diseases (periodontal diseases). Periodontium is the tissue that surrounds the tooth and holds it in place. It includes:

  • Gums
  • Dental gingival ligament
  • Bone tissue
  • Periodont
  • Tooth root cement

Periodontal diseases affect a person’s quality of life and bring a lot of inconvenience. Therefore, it is recommended to monitor oral hygiene and undergo annual preventive examination by a doctor in order to promptly begin treatment in the event of the development of any pathologies. Also, treatment of periodontal diseases must be carried out before placing dentures. You can make an appointment at the K+31 medical center by phone or leave a request for a call back. We will call you back within 15 minutes.

About the disease

Causes of disease development

  • Insufficient oral hygiene. Plaque constantly accumulates on the teeth. And, if you don’t brush your teeth at least 2 times a day and don’t follow other care rules, plaque turns into tartar. It is the breeding ground for bacteria that lead to inflammation.
  • Bad habits (especially smoking)
  • Lack of vitamins in the body
  • Decreased immunity. The oral cavity is a place of constant opportunistic microflora. And, in case of decreased immunity, the body cannot cope with bacteria and suppress their growth
  • Among the common factors in the development of periodontal diseases, doctors note hormonal changes (for example, pregnancy), trauma to the mucous membrane, age, diabetes mellitus, cardiovascular diseases, gastrointestinal pathologies, long-term use of certain medications, etc.

Periodontal diseases

The list of gum diseases is very long. They can be diagnosed in both children and adults. The most common pathologies are:

  • Gingivitis. A disease in which inflammation of the superficial gum tissue occurs. Mainly occurs due to insufficient oral hygiene. If left untreated, it can penetrate deeper and become a real threat to the patient’s health
  • Periodontitis. It consists of inflammation of periodontal tissues. It causes destruction of gums and bone tissue. Develops due to tartar or periodontal pockets. It can lead to tooth loss. Treatment of periodontitis eliminates inflammation and associated symptoms. In this case, it is necessary to carry out high-quality removal of subgingival dental plaque. Doctors at our clinic use a modern non-contact method - ultrasound
  • Parodontosis. A rare disease that is diagnosed in only 8% of cases. Periodontal disease is not an inflammatory or infectious pathology. It becomes the cause of dystrophic changes in the gums, bone tissue and tooth mobility. In some cases, orthodontic correction is performed to eliminate the problem - special braces are installed on the teeth

At the K+31 medical center, the treatment of periodontal diseases is carried out in various directions: conservative therapy, orthodontics, surgery. The treatment method is determined by the doctor after a thorough diagnosis.

Symptoms of diseases

Periodontal diseases have very broad symptoms. And each pathology has its own characteristic features. But, unfortunately, in most cases, the disease in the early stages is practically asymptomatic and patients simply they don't pay enough attention to them. Specialists at the K+31 clinic recommend seeking advice if the following warning signs occur:

  • Bleeding gums (even minor)
  • Inflammation of the gingival papillae (soft tissues localized in the spaces between the teeth)
  • Losing or overgrowth of periodontal tissue
  • Bad breath
  • Swelling and redness of the gums
  • Plaque and tartar
  • Formation of periodontal pockets
  • Exposure of the neck of the tooth
  • Mobility of one tooth or several at once
  • Increased tooth sensitivity, etc.

The symptoms of periodontal disease cannot be ignored. They can lead to a serious threat to the patient's health. The best option is to be examined by specialists at least several times a year.

Treatment methods for periodontal diseases

When treating gum diseases, specialists at the K+31 periodontology clinic adhere to an integrated approach. It is important not only to relieve the symptoms of the disease, but also to eliminate the cause of its development. Otherwise, the inflammatory process may return again. The choice of treatment methods is determined by the doctor individually in each specific case.

Professional oral hygiene

Any periodontal treatment should begin with a comprehensive cleaning. To remove dental deposits, manual scalers, ultrasound or air-abrasive treatment (Airflow) are used.

After removing the plaque, the teeth are polished and polished with a special paste, which contains fluorine. If the patient is diagnosed with hypersensitivity teeth, during professional hygiene, local anesthesia can be used.

Curettage of gums

It consists in deep cleansing of the gums and is used in cases where plaque and tartars are located under them. Cleaning of gum pockets is open and closed.

Closed curettage involves cleaning periodontal pockets with a depth of up to 5 mm. It is used when the inflammation has not yet affected the bone tissue. In this case, an ultrasonic scaler and a curette (a sharp hook that removes plaque under the gums) is used for cleaning.

Open curettage is a complete surgical intervention. It is necessary when dental deposits are located in the gum pockets deeper than 5 mm, and the inflammation spread through the dental roots and began to destroy the bone tissue.

Hardware treatment

Treatment with the device "Vector". It involves the removal of bacterial plaque using ultrasound. This is a modern method of treatment that allows you to qualitatively clean the oral cavity and gum pockets from dental deposits. In some cases, this option can replace curettage.

Splinting

It is used for the mobility of one tooth or the entire dentition. Splinting of mobile teeth allows you to strengthen your teeth with thin splints. They are attached from the inside of moving teeth to healthy teeth. This method is used only in complex therapy and allows periodontal tissues to recover.

Surgical intervention

Most often, periodontal surgery involves a patchwork operation (several incisions are made on the gum, to remove granulation tissues and deposits that are deeply located). Surgical treatments also include gum plasty (gingivoplasty). Such an operation on the gums is used in case of reduction in the volume of periodontal tissues. (gum augmentation is performed using a small piece of mucous from the palate) or voluminous gum pockets.

Before the operation, it is mandatory to carry out medical treatment of the periodontal pocket. The procedure can significantly reduce discomfort and prevent the growth of bacteria. Besides, instrumental or ultrasonic treatment of the roots is performed. For the purpose of biomodification (preparation of the root surface) additionally use various medicinal agents.

After any surgical intervention, a therapeutic periodontal bandage is applied to the patient. The same dressings are used in the treatment of periodontal diseases: they prolong the effect of drugs, which the pocket was processed.

Additionally, various biological products and injections can be used to treat periodontal diseases. They help to restore the gums and bone tissue, relieve inflammation and increase the resistance of the gums to various aggressive factors. The choice of drugs is determined by the attending physician in each case.

General information about the treatment of periodontal diseases

Which doctor should I contact for periodontal diseases

The periodontist deals with the diagnosis, treatment and prevention of periodontal diseases. He conducts a comprehensive examination and prescribes the most effective treatment plan in each specific case. Particular attention is paid to individual oral hygiene. In situations where the cause of the development of gum pathologies are common factors, the doctor may send the patient for consultation with other specialists.

Also, the periodontist, in addition to diagnosing and treating periodontal disease, carries out the following manipulations:

  • Professional hygiene of the entire oral cavity
  • Teeth whitening
  • Individual selection of products for home care of teeth and gums
  • Training on proper brushing of teeth, etc.

Diagnostic features

At the diagnostic stage, the specialist examines the patient’s oral cavity and conducts a questioning. This is necessary to collect anamnesis and identify the reason why the disease began to develop. The patient must talk about complaints, concomitant diseases, bad habits, heredity, etc. Diagnosis of gum disease also includes a computed tomography (image of the jaw) and a panoramic image of the dentition. This is necessary in order to determine how damaged the tissue around the teeth is. In some cases, the patient may be referred to undergo laboratory tests (LAC) or bacterial culture of the contents of the gum pockets to determine which bacteria have become the causative agents of the inflammatory process.

Prevention of periodontal diseases

The main preventive measure is careful oral hygiene:

  • Brush your teeth at least twice a day
  • Use dental floss and irrigator
  • Carry out antiseptic treatment of the oral cavity using special preparations or decoctions of medicinal herbs (chamomile, sage, calendula, etc.)
  • Have an annual preventive examination
  • Visit a specialist at least twice a year to remove tartar and plaque
  • Quit smoking

Modern dentistry can cure periodontal diseases of any severity. The main thing is to seek help from qualified specialists and strictly follow their recommendations. The doctors of the K+31 medical center have extensive experience in the field of periodontology and will help patients cope with any gum disease. Call us at the number provided or leave a request on the website. We will call you back shortly.

Our doctors
Shcherbakova
Valentina Frantsevna
Head of the Department of Dentistry, dentist
Egorova
Natalya Vasilevna
Head of the Department of Dentistry, dentist-therapist
Elfimova
Natalya Vladimirovna
Head of the dental department, dentist-surgeon, implantologist
Cherkasov
Alexei Andreevich
Dentist-surgeon, implantologist, therapist
Samoilova
Nana Nugzarovna
Dentist-therapist, microscope
Ivashkevich
Sergei Georgievich
Dentist-surgeon, implantologist
Samartseva
Natalya Victorovna
Dentist-surgeon, implantologist, therapist
Korneeva
Evgeniya Sergeevna
Dentist-surgeon, periodontist
Bagaev
Omar Makhachevich
Dentist-therapist, pediatric
Grigoryeva
Regina Bogdanovna
Dentist-therapist, endodontist
Najaryan
Liana Artyomovna
Dentist-surgeon, implantologist
Kholina
Evgenia Nikolaevna
Dentist-therapist, pediatric
All specialists
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Reception
Price
Primary appointment with a dentist-therapist (periodontologist)
from 4 600 ₽
Online consultation with a dentist-therapist (periodontist)
from 5 360 ₽

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Reviews 10
I would like to express my deep gratitude to the doctor, surgeon Georgy Zakharyan, for the correct approach, the jewelry removal of a wisdom tooth (a difficult case), for confidently doing his job. Thank you !!!
01.04.2024
Siginevich Yulia Alekseevna
I removed a tooth from Artur Tamerlanovich Eloev; the upper part of the tooth was practically gone. I thought it would be a difficult extraction, but the doctor managed to remove the tooth quickly and painlessly. Huge gratitude!
20.03.2024
Belonozhkina Irina Viktorovna
We can say that Valentina Frantsevna Shcherbakova is my discovery of the year. They say about such people - Doctor with golden hands. I definitely recommend this wonderful doctor. I am sure that Valentina Frantsevna’s professionalism is at the highest level. I visit dentists and good clinics quite often, but now I realized that I was not there. I am very grateful to Valentina Frantsevna. Sincerely, Yamashkina Elena
29.02.2024
Yamashkina Elena
Yanislav Aleksandrovich is a responsible and professional specialist. The quality of his work is beyond doubt. In my case, I had to change previously installed (by less qualified doctors) fillings and eliminate new problems. All my problems were resolved very delicately, sensitively, and professionally. Even the treatment of caries seven on the cheek side was not difficult for him. He is open in communication, will explain and advise everything. I recommend to everyone! My best dentist-therapist❤️
28.02.2024
Svetlana Gennadievna Pekhtereva
I express my deep gratitude to Dr. Liana Artemovna! She had her wisdom tooth removed. An excellent specialist in her field, I did not feel any discomfort either during the procedure or after. Skillful fingers! Thank you, doctor! In addition, Liana Artemovna is positive, friendly and attentive.
20.02.2024
Catherine
Nana Nugzarovna is a doctor from God! I came to her in 2020 with a panic fear of dental treatment, 1 tooth was for removal (3 doctors in other clinics said so, but I didn’t give up!), but the doctor’s magical skill saved him, and also treated the rest of his teeth! This problematic tooth has been in place for 4 years, so my opinion is well-reasoned))) After treatment, a fiberglass pin was installed, Dr. D.A. Matevosyan. Then I wore braces, got veneers, and now I have a Hollywood smile! :) I recommend Dr. Nana Nugzarovna to everyone, and especially to those who have a panicky fear of dental treatment due to past bad experiences. (Past experience was not in K+31, but in the district clinic of the city of Samara)))
16.02.2024
Osadchenko Maria Alekseevna
A qualified and pleasant doctor, I had my teeth cleaned with air-flow on 02/15/25, I was very pleased, my teeth were like new! :) Initially I wanted to make an appointment with Sanikidze N.N., but the next window to see the doctor was in 3 weeks, the clinic manager Olga assured me over the phone that I could without a doubt go to a new doctor, I trusted and was completely satisfied with the quality of the service provided and the attitude! And it’s difficult for me to trust a new specialist. Thank you. I recommend!
16.02.2024
Osadchenko Maria Alekseevna
Mariana is very attentive to her patients! I am very grateful with the approach and love for her work that she cured all my teeth! Very neat and beautiful! Thank you very much for my beautiful smile.
13.02.2024
Nicole
I have been suffering from toothache for several years now. Due to the fact that I did not cure my tooth in time, I had to get prosthetics. I turned to Valentina Frantsevna on the advice of my sister, who recently had her teeth treated. We had prosthetics done in several sessions; during the examinations and procedures I did not feel any discomfort in my mouth, everything was done efficiently and carefully. For this, a huge like to the doctor.
12.02.2024
Alla
For a long time I couldn’t decide to have my wisdom teeth removed, and now the time has come. I think I found a very good doctor. The process was as quick and painless as possible (although the teeth were difficult). Rehabilitation is going very well, without pain. They explained everything and gave recommendations. I'll go again.
11.02.2024
Nikolay
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K+31 on Lobachevskogo

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+7 499 999-31-31

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