Periodontal disease or periodontitis is an infectious disease that destroys the supporting tissues of the teeth.
In most cases, this disease is due to the build-up of tartar and biofilm (dental plaque) at the surface of the teeth, underneath the gums.
The supporting tissue slowly detaches himself from the teeth, resulting in medium-term mobility and a progressive root-exposure: The teeth look longer.
Because it’s usually totally painless, the periodontal disease is a particularly insidious disease. Indeed, in the case of patients who do not consult their hygienist or dentist, the diagnosis is placed too late and is seen through the symptoms of severe intensity, such as teeth mobility, bad breath or root exposure. Moreover, even if the treatment of the cause is essential, it is also crucial to follow a regular check-up maintenance to avoid any relapse of the disease.
There are three phases in periodontitis: mild, moderate and severe.
The treatment of periodontal diseases is done in 5 steps at CHD Lausanne :
- General scaling to reduce the inflammation.
- Dental hygiene instructions and demonstrations to help you understand-in your particular case-how to prevent the accumulation of dental plaque around your gums.
- Probing of the periodontal pockets around each tooth. This allows us to have a complete charting of your mouth, locate the exact location of periodontal pockets, and individualize the follow-up.
- Tartar and diseased tissues removal around roots through curettage. The number of sessions depends on each case.
After this re-evaluation, several cases arise :
- Periodontal disease is stabilized.
The patient enters a maintenance phase or periodontal follow-up: The sessions of dental hygiene with the hygienist are required, slightly more often than a regular patient without periodontitis.
- Periodontal disease is stabilized but has lead to a very significant loss in the supporting tissues of the teeth.
It is then necessary to reconstruct the bone and gums, and it is the job of our specialist in periodontology to set with you realistic objectives.
- Despite all the care given to the causal treatment of the disease, there are still active periodontal pockets and localized intervention is needed. Once again, the specialist in periodontology is responsible for this part of the treatment and sets with you long-term goals.
In all cases, curettage is not performed unless you agree to consider the personalized advice provided by the hygienist regarding your oral hygiene at home: toothbrush and brushing type, use of interdental calibrated brushes, etc.
If not, the treatment is doomed and we don’t want you to take the risk of wasting your time and money unnecessarily.