Treatment of periodontal disease

Periodontal disease is a chronic disease of the periodontal tissue, which is characterized by a decrease in the bone tissue of the jaw and soft tissue of the gums, and tooth loss. The disease develops gradually and often does not cause significant symptoms in the early stages. This makes timely detection and treatment difficult. Periodontal disease significantly reduces the quality of life of patients, as it leads to difficulty chewing food and discomfort in the oral cavity.
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Stages of development of periodontal disease

Periodontal disease progresses over several years.

Damage to periodontal tissue can be both acute and chronic. In addition, depending on the area of ​​damage, there are 2 types of the disease.

The localized type is manifested by exposure of the dental necks in a specific area. The generalized type is characterized by pathological changes covering the entire dentition.

During the diagnostic process, the following stages of pathology are detected:

  • Initial It often goes unnoticed, as there is almost no pain. Some patients notice slight gum bleeding when brushing their teeth. Also, in the early form of periodontal disease, slight swelling and redness of the gums is observed. Inflammation does not yet affect deep tissues, and teeth do not become loose
  • Moderate Increased bleeding of the gums even with a light touch (for example, when eating hard foods), sensitivity of the gums, change in their color to a darker one. Inflammation progresses, periodontal pockets begin to form, in which food debris and microbes accumulate
  • Heavy Significant retreat of the gums from the teeth, exposure of the roots of the chewing units. The teeth begin to loosen and change their position in the row. The bone tissue of the jaw is gradually destroyed

Treatment methods

Drug treatment

Drug therapy involves taking medications.

Such treatment is carried out in the early stages of periodontitis. The patient is prescribed:

  • Antibiotics (for example, amoxicillin)
  • Antiseptic solutions (chlorhexidine)
  • Anti-inflammatory drugs (ibuprofen)

In the most severe cases, new classes of antibiotics (for example, tigecycline or linezolid), antiseptics and probiotics are prescribed.

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Surgical treatment

Surgical intervention is necessary in cases where conservative treatment is ineffective. In particular, this approach is relevant in severe stages of periodontitis, characterized by the presence of deep pockets and significant bone loss.

One of 2 operations is assigned:

  • Flap operation. During this procedure, the gums are peeled away from the teeth, allowing access to the roots and bone tissue. The purpose of the operation is to destroy tartar and deep bacterial deposits. This reduces inflammation and promotes gum healing
  • Regenerative. The main goal of the intervention is to restore lost bone tissue. The procedure involves the use of bone substitutes or membranes that stimulate natural bone growth and improve the attachment of gums to teeth

The result of the intervention is the restoration of healthy gum architecture and improved functionality of the teeth.

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Physiotherapy

Physiotherapy treatment is used to activate restoration processes in the gums and reduce inflammation. Physiotherapy methods include:

  • Laser therapy. Low-level laser helps reduce pain and inflammation, improve microcirculation and tissue regeneration
  • Electrical stimulation. Used to improve blood supply and accelerate regeneration of affected areas

Such procedures accelerate tissue healing. They are carried out independently, after surgery and in combination with drug therapy.

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Splinting

This is a modern dental approach. The process of stabilizing mobile teeth using special splints is used for moderate to severe tooth mobility. In the process, the teeth are connected using metal or plastic splints. This reduces their mobility and promotes healing and tissue stabilization.

The result of splinting is to reduce tooth mobility and prevent their loss.

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Advantages of periodontal disease treatment in dentistry “K+31”

Our clinic’s specialists use digital design and 3D modeling in their work. This ensures high accuracy and quality of therapy. Doctors at the K+31 center treat the most advanced stages of the disease. All stages of therapy are carried out in our center. In addition, the clinic provides a guarantee of infection safety during the appointment.

Answers to popular questions

Doctors at K+31 (Moscow) answered the most common questions about this pathology.

Can I get braces if I have periodontal disease at the age of 45 or older?

Installation of braces is possible even if there is damage to the periodontal tissue, but under certain conditions. In particular, it is recommended to use passive self-ligating bracket systems and superelastic archwires. These technologies minimize pressure on the gums and bone structures. It is also important that the specialist conducting the therapy has the necessary experience.

Is it painful to treat periodontal disease?

It all depends on the method. Pain occurs during deep cleaning under the gums (scaling and rooting). To reduce it, local anesthetics are used. Postoperative pain that occurs during surgery is controlled with painkillers.

Is treatment possible with traditional medicine?

Damage to the periodontal tissue cannot be treated with home methods. Folk remedies are used, if necessary, exclusively after medical intervention and only on the recommendation of a dentist.

How long does treatment take?

The duration of therapy depends on the degree of pathology. The condition at the initial stage stabilizes in 1-2 months. More complex cases requiring surgery take more than a year.

How to prevent the development of periodontal disease?

Prevention of periodontal disease begins with proper oral hygiene. You need to brush your teeth with a good toothpaste (it can be purchased at a very affordable price) after each meal. It is also necessary to use dental floss and antibacterial rinses. You should have dental checkups and professional cleanings every 6 months.

Modern methods of diagnostics and dental treatment at "K+31"

Our doctors

Shcherbakova Valentina Frantsevna
Experience 30 years
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Shcherbakova
Valentina Frantsevna
Head of the Department of Dentistry, dentist
Elfimova Natalya Vladimirovna
Experience 12 years
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Elfimova
Natalya Vladimirovna
Head of the dental department, dentist-surgeon, implantologist
Cherkasov Alexei Andreevich
Experience 18 years
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Cherkasov
Alexei Andreevich
Dentist-surgeon, implantologist, therapist
Bogdashin Sergey Vladislavovich
Experience 25 years
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Bogdashin
Sergey Vladislavovich
Orthopedic dentist
Artyomov Yanislav Alexandrovich
Experience 12 years
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Artyomov
Yanislav Alexandrovich
Dentist therapist
Samoilova Nana Nugzarovna
Experience 13 years
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Samoilova
Nana Nugzarovna
Dentist-therapist, microscope
Ivashkevich Sergei Georgievich
Experience 30 years
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Ivashkevich
Sergei Georgievich
Dentist-surgeon, implantologist
Podshekoldina Elena Nikolaevna
Experience 16 years
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Podshekoldina
Elena Nikolaevna
Dentist Therapist
Matevosyan David Aramovich
Experience 11 years
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Matevosyan
David Aramovich
Dentist orthopedist
Samartseva Natalya Victorovna
Experience 19 years
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Samartseva
Natalya Victorovna
Dentist-surgeon, implantologist, therapist
Eloev Arthur Tamerlanovich
Experience 13 years
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Eloev
Arthur Tamerlanovich
Dentist surgeon
Vataev Vladislav Olegovych
Experience 16 years
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Vataev
Vladislav Olegovych
Dentist orthopedist
Pivovarova Natalya Sergeevna
Experience 6 years
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Pivovarova
Natalya Sergeevna
Dentist, hygienist
Bagaev Omar Makhachevich
Experience 19 years
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Bagaev
Omar Makhachevich
Dentist-therapist, pediatric
Zakharyan Georgy Karenovich
Experience 16 years
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Zakharyan
Georgy Karenovich
Dentist-surgeon
Kuznetsova Larisa Nikolaevna
Experience 28 years
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Kuznetsova
Larisa Nikolaevna
Hygienist
Sukhareva Darima Tsyrenovna
Experience 10 years
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Sukhareva
Darima Tsyrenovna
Dentist therapist
Grigoryeva Regina Bogdanovna
Experience 23 years
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Grigoryeva
Regina Bogdanovna
Dentist-therapist, endodontist
Melkumyan Ivan Mikhailovich
Experience 5 years
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Melkumyan
Ivan Mikhailovich
Dentist-surgeon
Golubev Vitaly Viktorovich
Experience 23 years
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Golubev
Vitaly Viktorovich
Dentist-orthodontist
Pavliy Yulia Vitalievna
Experience 14 years
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Pavliy
Yulia Vitalievna
Dentist-therapist
Najaryan Liana Artyomovna
Experience 5 years
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Najaryan
Liana Artyomovna
Dentist-surgeon, implantologist
Sharifov Eldar Rasimovich
Experience 6 years
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Sharifov
Eldar Rasimovich
Dentist-therapist
Sanikidze Nino Nugzarovna
Experience 13 years
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Sanikidze
Nino Nugzarovna
Dentist Orthodontist
Ibragimova Olesya Kayinbekovna
Experience 17 years
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Ibragimova
Olesya Kayinbekovna
Dentist-therapist, microscopist
Sahakyan Arpine Argishtovna
Experience 8 years
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Sahakyan
Arpine Argishtovna
Dentist, pediatric dentist
Geraskina Inna Igorevna
Experience 10 years
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Geraskina
Inna Igorevna
Orthodontist
Nikolaeva Irina Yuryevna
Experience 30 years
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Nikolaeva
Irina Yuryevna
Dentist surgeon, periodontist
Avdeeva (Sokolova) Anastasia Eduardovna
Experience 11 years
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Avdeeva (Sokolova)
Anastasia Eduardovna
Dentist, pediatric
Shapran Sergey Olegovich
Experience 9 years
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Shapran
Sergey Olegovich
Dentist-surgeon
Lebedeva Natalia Mikhailovna
Experience 5 years
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Lebedeva
Natalia Mikhailovna
Orthodontist
Ozerova Elena Valerievna
Experience 23 years
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Ozerova
Elena Valerievna
Dentist
Lebedeva
Taisia Mikhailovna
Dentist-therapist, pediatric dentist
Gulyutkin Alexander Mikhailovich
Experience 5 years
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Gulyutkin
Alexander Mikhailovich
Dentist-therapist
Mitroshenkov Pavel Nikolaevich
Experience 40 years
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Mitroshenkov
Pavel Nikolaevich
Maxillofacial surgeon
Dergunova Anna Olegovna
Experience 10 years
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Dergunova
Anna Olegovna
Dentist-therapist
Pavlovskaya Evgeniya Olegovna
Experience 12 years
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Pavlovskaya
Evgeniya Olegovna
Dentist-orthopedist, dentist-therapist
Khachatryan Ripsime Grigorievna
Experience 7 years
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Khachatryan
Ripsime Grigorievna
Dentist-therapist
Zakharova Ksenia Sergeevna
Experience 7 years
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Zakharova
Ksenia Sergeevna
Dental surgeon, periodontist
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Reviews

Everything was perfect
09.12.2025
L. Liliya Damirovna
Our favorite doctor. Our daughter has been going to him for several years since childhood.
02.12.2025
V. Elizaveta Vladislavovna

About doctor:

Bagaev Omar Makhachevich

My son is 3 years old, we had a great conversation, the doctor put me at ease with himself and the procedures. My first visit to the dentist went great!
29.11.2025
Ch. Roman Vitalievich

About doctor:

Bagaev Omar Makhachevich

Wonderful doctor! He was compassionate and attentive, explained each step of the treatment in detail, and answered all my questions. I had no discomfort after the treatment. Thank you for your professionalism!
25.11.2025
Oksana
I had an appointment with Artur Tamerlanovich. He thoroughly discussed everything before (he had a wisdom tooth removed), during the surgery, and aftercare measures to speed up recovery and minimize pain. The tooth extraction itself took less than 10 minutes and was completely painless. I highly recommend Artur Tamerlanovich as a highly qualified specialist!
24.11.2025
S. Nikolay Alekseevich
The appointment went great! They did a cleaning and created a treatment plan. I received comprehensive answers to my questions.
23.11.2025
F. Eduard Floridovich
Thank you for the professional treatment, the reception, the friendly and easy-going atmosphere during the treatment!
18.11.2025
M. Olesya Nikolaevna
The doctor was very caring during the appointment, there was no pain.
16.11.2025
S. Maksud Rustamovich
A wonderful doctor, with a gentle touch and expert treatment. It's immediately obvious that he knows what he's doing and what he's talking about. The treatment immediately brought relief to a long-troubling tooth, and any pain or discomfort disappeared. The treatment is performed under a microscope, and the doctor always monitors the results with interim dental x-rays and is very thorough in assessing the results. I plan to have all my problematic teeth treated again with Eldar Rasimovich. I especially want to note how empathetic he is, how he connects with everyone, and how he always has a very positive attitude.
14.11.2025
G. Diana Ivanovna
I am very satisfied and will return to the doctor again!
11.11.2025
K. Olga Valerievna
Почему К+31?
К + 31 — full-cycle multidisciplinary medical centers, including the possibility of providing medical services of European quality level.
К + 31 — are leading doctors and diagnostics using high-tech equipment from world manufacturers (Karl Storz, Olympus, Siemens, Toshiba, Bausch&Lomb, Technolas, Zeiss, Topcon).
К + 31 — is ethical. The staff of K+31 clinics maintain open relationships with patients and partners. An individual approach to each patient is the basis of our service standards.
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K+31 on Lobachevskogo

st. Lobachevskogo, 42/4

+7 499 999-31-31

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11
Prospect Vernadsky Station
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Lobachevsky, we pass the first barrier (security post of the City Clinical Hospital No. 31), turn right at the second barrier (security post K+31)
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Mon-Fri: 08:00 – 21:00
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Sunday: 09:00 – 18:00
K+31 Petrovskie Vorota

1st Kolobovsky pereulok, 4

74999993131

Subway
9
Tsvetnoy Bulvar
10
Trubnaya
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Moving along Petrovsky Boulevard, turn onto st. Petrovka, right after - on the 1st Kolobovsky per. Municipal parking
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Mon-Fri: 08:00 – 21:00
Sat-Sun: 09:00 – 19:00
K+31 West

Orshanskaya, 16/2; Ak. Pavlova, 22

74999993131

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Molodezhnaya
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01.11: 09:00—20:00

02.11—04.11: 09:00—18:00

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