Periodontitis (Pyrea)

When inflammation cause lasting damage to the tooth-support, we call it Periodontitis (pyre). The first sign of the disease may be gingivitis (gum inflammation). The disease may also have a more insidious onset and the patient does not notice anything until it has formed deep pockets along the tooth root. In these pockets bacteria will irritate and damage the gums and jawbone. 

This can cause the teeth to lose their grip (teeth becoming loose) and makes the jawbone gradually reduct. If you get pockets, it is difficult to keep gums clean on their own and it is therefore important to regularly go to the dentist.

The diagnosis Periodontitis is made by the patient's medical history about irritations inside the mouth, x-rays and laboratory tests. It is very important to determine what type of bacteria lies there to achieving a good and successful treatment.

Unfortunately, many types are difficult to detect and treat, so among dentists the treatment and investigation of Periodontitis is its own speciality. 

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In the treatment we start with removing all bacteria coatings and any dental calculus on teeth and around the roots. This will allow us to start quickly right after your initial consultation.  

Our clinic has a determined focus on prevention and treatment of gum disease and uses several techniques for treatment, among other ultrasonic instruments. This is used on the calculus and the plaque detaches when the ultrasound tip comes in contact. We also flush simultaneously with water to cool it down. In addition, we also use conventional hand instruments to scratch the tooth.

In cases where the disease has progressed very far we perform surgery of the gums and jaw under local anaesthesia. The aim of such operations will be to reduce pocket depth around the teeth, so they can easily be kept clean. The disease will in fact cause a gap between the tooth and gums, due to inflammation, necrosis and bacterial growth. 

In the period after the operation, while the wound is tender, it will be important to use bactericidal rinse water because brushing will be difficult. Since some of the tooth root may be visible after such an operation, the teeth will look further out afterwards. Not all types of Periodontitis can be treated with mechanical, surgical intervention. In these cases, antibiotics is a possible solution.