The main cause for tooth loss is periodontitis. More than 60% of the adult population suffers from periodontitis, but degree and extent can vary greatly.
Periodontitis is a bacterial inflammation that manifests as extensive, irreversible destruction of the periodontium (which consists of the dental gum, root cementum, dental fibres and alveolar bone). The main cause alongside wrong diet, smoking, physical and psychological stress and a genetic susceptibility, is bacterial plaque.
Bacterial plaque is accumulated on the edges of the gums and underneath the gingivitis on the surface of the dental roots, the so-called gingival pockets. Bacterial plaque causes a reaction of the immune system. Thereby an inflammatory reaction is triggered and the perdiodontium gets irreversibly destroyed. The consequences are bone destruction, the loosening of teeth and finally tooth loss Periodontitis is not only dangerous for teeth. Periodontitis also harms general health. Studies as well as experience have shown that periodontitis coincides with a 3-4 times higher risk for heart attacks and a higher risk for infectious diseases of the respiratory airways. Further, negative impacts on diabetes have been proven; with regard to pregnant women, a higher early birth rate has been observed.
The development of periodontitis is very subtle and develops unnoticed in the first years, that means that those concerned do not mention experience of pain or any other discomfort. Through a thorough examination with special probes and x-rays it is possible to identify existing destruction of alveolar bone and gums despite absence of any discomfort.
Thanks to exhaustive research and significant scientific advances in that area of periodontology we are no longer powerless in the face of the disease, as was the case previously: Through modern, systematic and cause-specific treatment we are able to prevent ongoing bone destruction from progressing and the resulting tooth loss.
In order to achieve a sustainable and lasting result the active and committed cooperation of the patient is indispensable. Patients can influence the progression of the disease positively through cleansing the teeth regularly and undergoing a professional oral hygiene treatment every 3-6 months at the dental office. Aside from active cooperation of the patients, treatments like gingival pocket cleansing, rootplanning and further dental surgical interventions are promising.
In the realm of periodontology, it is indispensable to embed the complete treatment into a well executed prophylaxis scheme. We are happy to consult you with regards to periodontology here in Kitzbühel, Tyrol.
A further treatment option for periodontitis is the so-called “full-mouth-disinfection”-concept. It takes into account that periodontitis is an “opportunistic” infection. The disease affects the gingival pockets and the tooth-supporting tissue. The best results can be achieved through complete decontamination (cleansing) and dis-infecting of all oral niches.
This systematic treatment, which ideally takes no more than one session, aims to avoid a reinfection of the gingival pockets through other gingival pockets or niches. The purpose is to eliminate the infection in the tooth-supporting tissue, in order to avoid the destruction of the tissue (bone destruction, receding gums) as much as possible.
It’s worth noting that a positive side-effect of this systematic approach is that through the elimination of the progression of the infection the negative effect of periodontitis on one’s general health can be inhibited.
Depending on the degree of the periodontitis, its treatment is separated into at least 5 separate phases:
1. Exhaustive compilation of a periodontal diagnosis:
Gingival pockets are being evaluated, x-rays, casts and pictures are made; determination of oxidative stress.
1-3 sessions of 60-90 minutes of professional oral cleansing done by one of our qualified and trained prophylaxis-assistants
3. Full – mouth – disinfection:
Deep cleaning of the dental roots. The duration is between 1 and 3 hours; the treatment is done under local anaesthesia
4. Post-Treatment or curation phase:
In this phase it is necessary to regularily apply anti-bacterial mouth washes. This phase can last up to a couple of months. In parallel, daily dental care at home and professional mouth cleansing at the dental clinic are indispensable for optimal results.
5. Evaluation of the treatment result:
Gingival pockets will be evaluated anew and new x-rays will be taken to evaluate the success of the treatment.
Depending on the results and individual needs and desires, further periodontal treatments can be conducted after consultation with the doctor in charge.
This list of the 5-6 phases of a periodontal treatment are designed to provide you with a basic orientation to appropriate and promising conduct. In individual cases, there can be adaptations after consultation with the doctor in charge.