A common question. The answer is not simple. How loose is the tooth? Is it just the gum that's holding it or is it the bone? Has the bone retracted evenly around the entire circumference of the tooth, or is the bone pocket deeper in some places? Is there a general health problem, medication, osteoporosis or not?
These are just the most basic questions, we have not yet gone into the depths of gum treatment diagnosis. As you can see, there is no clear answer, there are as many possible solutions as there are cases.
One thing is certain, and it is true for all gum treatments in general! Gum decay, even if it cannot be stopped, can be slowed down in most cases. Time is working against you. The sooner you act, the more options you have and the more bone you have that can be saved. The question with gum treatment is not whether it can be saved, but when to start!
There can be reasons for bleeding gums, from the most minor to the most severe. So the first step is always diagnosis. Fortunately, in more than half of the cases, a thorough ultrasonic scaling is perfectly sufficient to eliminate bleeding gums. This basic gum treatment removes the tartar and therefore the bacteria that cause inflammation.
If there are more serious gum pockets around some teeth or several teeth, a gum brushing or laser treatment may be needed after the ultrasonic scaling. If there is a serious recurrent gum infection without serious tartar build-up, then antimicrobial photodynamic therapy may be necessary, which kills 99% of the pathogenic bacteria without drugs or side effects!
A thorough oral examination, X-ray and in some cases 3 D CBCT scan is required before gum treatment. The first step is always to make a diagnosis. The oral examination can determine the cause of the bleeding gums, the presence and approximate depth of any gum pockets and the mobility of the teeth. A two-dimensional panoramic X-ray gives a general overview of the situation and can be used to determine whether there is generalised periodontal disease, i.e. destruction of the entire tooth. If the process involves only one tooth, an intraoral X-ray is taken of that tooth, allowing a more thorough examination. If a more serious diagnosis is required, a 3-dimensional CBCT of the tooth may be performed.
Dental curettage is gum treatment under dental anaesthesia. It is therefore not painful. Before the treatment, an ultrasonic scaling is performed, during which the larger and supra-gingival calculus is removed. Dental curettage is used to remove calculus deposited in the deeper gum pockets and on the root surfaces. These are the places where the ultrasonic device can no longer reach, so it cannot remove fine build-up. The curette is essentially a sharp instrument in the shape of a speculum, which the dentist or dental hygienist works with by stroking the surface of the root deep inside the pouch. The aim of curettage is to make the root surface completely smooth. A smooth surface allows regeneration to begin. In many cases, laser gum treatment is recommended after curettage to tighten loose tissue.
With the Biolitec surgical laser, we destroy bacteria and vaporize granulation tissue deep inside the gum pockets. The laser light has a biostimulating effect in the bone, which means regeneration. Laser treatments can achieve good results for slightly loosened teeth. The bone does not rebuild, but the tissues that support the tooth are firmer after treatment.
Laser treatment is not a stand-alone therapy, but part of a series of treatments. It is a stage before and after which further gum treatments can be given. The first step is always a thorough scaling. For deeper pockets, the gum treatment continues with a gum brushing, when the build-up in the smaller, deeper areas is also removed. The next step depends on the depth of the pockets, the general health and the initial cause. In many cases curettage is followed by laser treatment, in others antimicrobial photodynamic therapy is sufficient.
Before laser gum treatment, it is necessary to determine exactly what kind of gum disease you have. It is not worth sticking to a particular treatment, but to first find the cause of the problem and choose the right treatment. Laser treatment is never the first step in gum treatment. If it is necessary - for example, in the case of loose teeth, but only if there is still enough bone to hold the tooth in place after treatment - the first step is always a thorough ultrasonic scaling. Laser treatment can only be performed in a clean environment with a smooth tooth surface, otherwise it is useless.
So, if you believe in laser gum treatment, it's great and will work very well if you follow the necessary treatment steps, which in most cases are as follows:
1. ultrasonic scaling
3. laser gum treatment
Of course, you are not alone in this problem. Around one in 20 patients are sensitive to plaque, so they are treated under anaesthesia. It is worth trying Guided Biofilm Therapy, which is performed by our staff using the Swiss EMS ultrasonic machine. This ultrasound machine is much more gentle than the basic machine, so pain is not typical for more sensitive patients.
Tooth splinting is the process of fixing loose teeth together to make them hold better against the forces of chewing and the tongue. Before splinting, it is always necessary to have an ultrasonic scaling, sometimes a dental curettage or laser gum treatment. Clean, slightly moving teeth can then be bonded.
There are several ways of splinting, but in general it is true that the splint never touches the gum and the teeth around the splint can be cleaned. The effect of splinting is to stabilise slightly moving teeth. It is important that home care of splinted teeth and regular dental check-ups (at least every 3 months!) are emphasised to ensure that the condition is as durable as possible!
The method of choice according to patients. Painless treatment, Less Pain ultrasonic technology, not only for plaque removal but also for the prevention of tartar build-up. The most effective method of preserving teeth and dental implants, based on the latest science.
Developed to treat persistent, recurrent gingivitis effectively and safely, without side effects. Antimicrobial photodynamic therapy kills 99% of inflammation-causing pathogens, painlessly and without drugs. It is also effective in cases of antibiotic resistance!
Laser light destroys pathogens in tissues to a depth of about 1000 nm, vaporizes inflammatory tissues, and has a biostimulative effect, i.e. it has a beneficial effect on bone regeneration processes. After mechanical cleaning of the deeper gum pockets, laser therapy helps to tighten the gums.
Simply: start now! Most gum disease is preventable. Even at later stages, for example with slightly mobile teeth, there is still a chance to make the gums firmer and the teeth more stable. The point is that both in-office, professional treatments and home care suggestions should be started as soon as possible. A new scientific concept Guided Biofilm Therapy is a new method for the prevention and treatment of gum disease. The treatment is linked to education and continuous monitoring. The treatments are painless and comfortable. It can be started at any time and is always effective. It is also effective in preserving implants!
Ostrich policy has a price! A biofilm is a film-like layer of bacteria that grows on the surface of teeth or dental implants. If this is not removed regularly, it becomes organic and the gums become inflamed. Inflammation is dangerous because it causes the tissue surrounding the tooth or dental implant to die. The tooth becomes slow to move If the process is not stopped and the tooth surfaces are not cleaned smooth, the bone in the depths supporting the tooth will begin to degenerate. As a result, gum pockets form and the tooth slowly becomes mobile.
Less Pain technology The first step in the treatment of any gum disease is ultrasonic scaling. There are traditional and advanced methods, such as Less Pain technology. With ultrasonic scaling and thorough polishing, 60-80% of gum disease can be cured. It is a method for the long-term preservation of teeth and dental implants. Laser gum treatments We go beyond the treatment of persistent inflammation with antimicrobial photodynamic therapy. And for teeth that are already mobile, periodontal curettage, laser gum treatments and special splinting procedures are recommended.
When you act, you act on time. In fact, there are patients who come in with gum disease where it is no longer worthwhile to start gum treatment and the tooth has to be removed. In such cases, it is important that you take action as soon as possible, rather than despair and ostrich politics! The inflammation must be eliminated as soon as possible! In this case, the aim is to preserve the remaining bone! You need bone for a tooth replacement with dental implants! So, if you say goodbye to an unsalvageable tooth as soon as possible, you can save bone for a fixed tooth replacement! Whatever! Take action! Inflamed gums are a dental abscess! It also compromises your overall health!
Many people are unsure about how to get started with gum treatment. An assessment is not treatment. It helps to set the record straight and outline the way forward. It is the first step for you, for the long-term health of your teeth and gums.
A digital panoramic X-ray gives a clear view of all the teeth and the condition of the bone that holds the tooth in place. Bone pockets and the extent of gum atrophy can be examined in two dimensions. The X-ray helps to establish a diagnosis and treatment plan.
The basic therapy for gum treatment is thorough scaling. Several variations are available: the standard ultrasonic technology or the Guided Biofilm Therapy method, which is completely painless and offers a new concept in tooth preservation.
If gum inflammation recurs after plaque removal, with smooth tooth surfaces, there is probably an immunological problem. In such cases, the infection must be minimised, and antimicrobial therapy is a drug-free method of doing this.
The next stage of gum treatment is when deep pockets of gum tissue are diagnosed alongside individual teeth. Our aim is to mechanically clean the pockets of tartar using a painless periodontal curettage under anaesthesia.
Also a therapy for deep gum pockets. Pockets that have been previously mechanically cleaned are treated with laser light. The laser vaporises the remaining inflammatory tissue, the gums can become firmer and the mobility of the teeth is reduced.