Gum Diseases

Gum Diseases

If the bacterial plaques accumulated on the teeth and between them are not cleaned properly, they turn into calcified calcification after a while. This makes cleaning even more difficult. The bacterial plaque that spreads deeper over time causes an inflammatory reaction manifested by redness, swelling and bleeding in the gums. The disease at this level is called gingivitis. If the disease continues to progress, first the gums and then the bone tissue surrounding the tooth root melts and pulls out, losing the tooth support and falling off by shaking. The disease at this level is called periodontitis. As a result, gingivitis and periodontitis, which cause tooth loss, are generally an insidious disease that progresses slowly. However, in some cases, it may develop suddenly and progress rapidly in ways called ANUG (acute necrotizing ulcerative gingivitis) and ANUP (acute necrotizing ulcerative periodontitis).

What Should Be Done To Prevent Periodontal Diseases?

First of all, ideal oral hygiene should be provided, the teeth should be brushed at least twice a day, and the interfaces should be cleaned with dental floss once a day. Due to factors such as insufficient oral hygiene, smoking, some systemic diseases and the character of salivary secretion, some people may have an intense dental calculus accumulation. These tartar should be cleaned every six months.

How Is The Treatment Of Gum Diseases Done?

For simple gingivitis, the process of removing stains called tartar cleaning and polishing is applied. Then, the patient is given oral hygiene training and is advised to come for a check every six months. If gum disease progresses and pockets begin to form between the gums and teeth, the deep tartar cleaning process called curettage is performed in a few sessions. In more advanced cases, the gums are removed and the bone and root surfaces are cleaned. In acute periodontal diseases (ANUG and ANUP), the same procedures are carried out together with antibiotic treatment.

Is Dental Calculus Cleaning A Harmful And Painful Procedure?

Tartar cleaning called detertraj is done with ultrasonic tips and hand tools. The removal of stains called polishing is done with a special brush and pastes. When the procedure is done carefully and correctly, it does not cause any harm to the teeth. However, if it is not done ideally, scratches can occur on the tooth surfaces, resulting in the teeth being stained much more easily later on. It is normal to have sensitivity in the teeth during and after tartar cleaning. In some patients, if there is too much sensitivity and pain during the procedure, the relevant area may be numbed.

What Is Deep Calculus Cleaning (Curettage)?

As a result of gingival recession and inflammation, deep pockets are formed in the gums and then these pockets are densely filled with tartar. If these deep tooth stones are not cleaned, gum disease progresses and the tooth does not support and can be lost by shaking. Therefore, dental stones in this situation are cleaned with special hand tools for a few sessions. During this process, the relevant area is necessarily anesthetized.

What Is A Flap Operation?

If the gingival pockets are very deep and full of dental calculus, the gums are surgically removed and the roots of the teeth are cleared of tartar and root and bone correction is performed. At the end of the treatment, the gums fixed by stitching are followed for recovery.

What Is A Gingivectomy?

In some people, the gums are too long and disrupt the smile aesthetics in the anterior region. This situation is called a gummy smile. In such patients, the gums are surgically cut from the ends, realigned and contoured.