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 9 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
Ponomarchuk Anastasia Sergeevna
Experience 6 years
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Ponomarchuk
Anastasia Sergeevna
Dentist-surgeon, periodontist
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
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Reviews 10

I would like to say a HUGE thank you to the doctor!!! Removal under sedation is the best thing that happened to me during dental treatment! Doctor 10 out of 10! Top
21.08.2025
G. Arnold Karenovich
Thank you very much, beyond all praise.
21.08.2025
L. Sergey Germanovich
Wonderful doctor - professional in his field. Very careful attitude towards patients and high-quality dental treatment
18.08.2025
O. Pavel Andreevich
Excellent specialist and a pleasant person
09.08.2025
P. Liliya Alexandrovna
Sensibly, attentively, without any stress, the tooth extraction went smoothly, although the healing took more than 3 weeks.
04.08.2025
O. Evgeniy Anatolyevich
Wonderful doctor. Everything is top notch. Thank you.
22.07.2025
T. Violetta Nikolaevna
The doctor is just incredible, probably the best doctor I've ever been to.
21.07.2025
M. Andrey
Many thanks to Eldar Rasimovich. The treatment went great, all the teeth were put in order. I recommend!
20.07.2025
B. Diana Yuryevna
Excellent doctor: explains everything in detail and answers all questions, performs all manipulations carefully and as painlessly as possible. Radiates confidence and optimism, which is very important in the medical profession.
18.07.2025
K. Evgeniy Dmitrievich
I have already left a review. I will repeat: the doctor is wonderful!!!
01.07.2025
R. Marianna Maratovna
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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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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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K+31 Petrovskie Vorota

1st Kolobovsky pereulok, 4

74999993131

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Orshanskaya, 16/2; Ak. Pavlova, 22

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