Complications in the postoperative period. Informed consent of the patient

AT last years periodontal disease rightfully attracts increased attention dentists, since after 35 years this is the most common cause tooth loss. There are many periodontal diseases. The nature of the disease is also different, for example, dystrophic, inflammatory or tumor. It should be noted that 90-95% of periodontal diseases are related to inflammatory diseases such as gingivitis or periodontitis. Periodontology is the branch of dentistry that deals with the treatment of periodontal diseases. A section of periodontology - surgical periodontology - deals with the surgical treatment of periodontal diseases. Currently, it is believed that in the moderate and severe form of periodontal disease, it is necessary to use surgical methods of treatment. Namely, resection of gum pockets, including with the use of a laser, regeneration of bone tissue, lengthening of the tooth crown, the use of soft tissue grafts. Let's take a closer look at some of them.

Gingival pocket resection- this is surgery, the purpose of which is the removal of gums that have exfoliated from the tooth. This is done in order to eliminate the gum pocket, which is both a consequence of periodontitis and periodontal disease, and the cause of the progression of these two diseases.

bone regeneration procedure- This is another surgical method for the treatment of periodontal tissue disease, in cases where bone resorption is noted. The essence of the bone tissue regeneration procedure is that a special protein is installed in the place where this bone tissue is damaged by a pathological process, which stimulates bone tissue regeneration.

bone grafting performed under local anesthesia through an incision in the gum. During the operation, the patient is performed bone reading from the affected tissues by curettage or using ultrasound. Installed in place damaged tissue protein has different goals: either it does not allow the gum to grow into the area of ​​​​absent tissue, or simply provokes the growth of bone tissue.

Tooth crown lengthening is not to lengthen the tooth itself, but to lengthen the so-called clinical crown tooth - that part of it that is visible above the gum. This procedure is the opposite of soft tissue grafts.

And so common manipulation in periodontitis as the application of soft tissue grafts. When the gums are resorbed and can expose the tooth to the root, which makes the tooth more sensitive and the possibility of tooth loss increases. In this case, a soft tissue graft is taken, that is, a small area of ​​the sky, which is transplanted into the affected area. Thus, the tooth becomes protected from external influences.

Surgical periodontology also includes operations for the prevention of periodontal diseases, during which soft tissue plasty is performed, and aesthetic and hygienic operations (flap closure of recessions).

The main task surgical periodontology is the struggle for each tooth, the maximum preservation of the patient's own teeth. But at the same time, patients should remember that surgical treatment aimed at removing infected lesions, as well as restoring destroyed bone tissue, makes sense only if the patient intends to maintain thorough oral hygiene.

When therapeutic treatment turn out to be powerless, we turn to methods surgical treatment periodontal diseases. Usually these are severe conditions, characterized by an extensive inflammatory process of the soft periodontal tissues surrounding and holding the tooth in the alveolus. In the Center for Dentistry "Mother and Child" Kuntsevo, the treatment of periodontal diseases with the help of surgery occupies a significant place.

Tasks of surgical periodontology

• elimination of gingival and periodontal pockets;
• removal of pathological content;
• elimination of acute chronic foci infections;
• stimulation of regeneration processes;
• decrease in the body's sensitization (immunologically mediated increase in the body's sensitivity to allergens);

In our activities, we adhere to a multidisciplinary approach that involves close cooperation all specialists to solve every dental problem. In case of acute serious condition we are in urgently convene the necessary specialists to carry out the operation.

Emergency surgical periodontal care

Experienced dental surgeons and periodontists are on duty at the Mother and Child Dental Center in Kuntsevo, ready at any time to provide assistance in case of an aggravation of the inflammatory process. The specialist performs necessary measures to reduce inflammation. Emergency intervention prevents a breakthrough of purulent accumulation into neighboring tissues. the main task specialists in providing emergency assistance- to preserve the patient's dental health and ensure the restoration of the dentogingival attachment.

Planned surgical periodontal care

Planned surgery allows you to carry out all the necessary manipulations that facilitate the operation. Our specialists perform a comprehensive hygienic and anti-inflammatory preoperative preparation, which includes:

• sanitation of the oral cavity;
• removal of supragingival dental deposits;
• elimination of local traumatic factors;
• prescription of anti-inflammatory drug therapy.

Correct Application surgical methods significantly improves the quality and effectiveness of treatment, and also reduces the risk of recurrence of periodontal tissue diseases. The Center for Dentistry "Mother and Child" Kuntsevo treats periodontal diseases using a variety of surgical methods - both traditional and innovative devices.

Types of surgical treatment

• curettage: this is one of the common methods of surgical treatment. The operation is aimed at removing pathological contents from the periodontal pocket by cleaning its walls and treating the surface of the tooth root;
• flap surgery: flap surgery is performed when multiple deep periodontal and bone pockets. During the operation, the gums are opened with the formation of a flap, lifting which you can perform all the planned manipulations;
• gingivotomy: used for deep periodontal pockets in the area of ​​one or more teeth. There is a linear dissection of the pocket, opening of the abscess and washing with antiseptic preparations;
• gingivectomy: this is the excision of the gingival pocket to its entire depth, as a result of which the tooth crown is lengthened. If necessary, carry out the processing of bone tissue.
• soft tissue plasty: manipulations with the help of which the gingival attachment (gingival zenith) is restored in the neck of the tooth. In the treatment of periodontal diseases caused by anatomical features, operations are performed to form the vestibule of the oral cavity and move the frenulum of the lips and tongue.

Any surgical intervention at the Kuntsevo Center for Dentistry "Mother and Child" involves the use of drugs and techniques that allow you to create optimal conditions for the speedy restoration of periodontal tissues. This helps to prevent relapses and possible complications after treatment.

If you are worried about redness and swelling in the gum area, bleeding when brushing your teeth, or bad smell from the mouth, you should immediately contact a specialist. Such urgency is necessary to prevent complications of such seemingly harmless symptoms. It is especially dangerous if the periodontium is affected.

A branch of dentistry that studies the pathology of the tissues surrounding the tooth (bone, gum and ligamentous apparatus) is called periodontology. This area medicine focuses not only on treatment, but also on the prevention of possible diseases.

AT modern society The problems that periodontology studies have acquired a social character. And it is not surprising, because most pathologies arise due to a general violation of the food culture, poor hygiene oral cavity and abuse of things like tobacco products and alcohol.

Diseases to be aware of

Depending on the nature pathological process distinguish the following diseases periodontal: gingivitis, periodontitis and periodontal disease.

The first is inflammatory in nature and affects only the superficial tissues of the gums. Among the symptoms, attention should be paid to hyperemia, soreness and swelling of the mucous membrane.

Periodontitis is a more severe disease characterized by involvement in inflammatory process absolutely all periodontal tissues. At the same time, the dentogingival connection is gradually destroyed and changes progress. alveolar processes bottom and upper jaw teeth become mobile. In fact, these two diseases are interconnected, and if the first is not treated, it will eventually turn into the second.

Periodontal disease proceeds as a degenerative-dystrophic process, the causes of which can also be hereditary factors. The patient in this case complains about the exposure of the roots of the gums due to its subsidence, itching and pain in the oral cavity.

Surgical and therapeutic care

The choice of tactics for the treatment of these diseases depends on the stage of their development and the state of the patient's body as a whole. In Moscow, the increasing popularity began to gain laser therapy which is already widely used in our clinic. And it's not surprising, because this procedure eliminates endotoxins and granulation tissue, smoothes the surface of the gums and thoroughly removes tartar. Damage to enamel is minimized.

However, this is not the only service we can offer you. Our dental clinic is known for using the latest German device Vector. This is truly a breakthrough ultrasound treatment periodontal diseases. It has a beneficial effect on soft tissues gums, and with the help of a suspension containing microparticles, it improves the quality of root cleaning by several points. The price of this procedure depends on the amount of work and the severity of the disease.

Do not neglect the prevention of these diseases. Daily oral hygiene proper nutrition products containing necessary margin vitamins and microelements, as well as regular visits to the dentist - this is a reliable basis for healthy and strong teeth.

Bad breath, bleeding, itching or swelling of the gums are a clear signal that you should see a periodontist. Many people try to save the situation with improvised means: a solution of soda, rinses from the mass market, an anesthetic pill.

But without full treatment In the dentist, over time, inflammation leads to the destruction of the tissues that support the teeth. A pathological space is formed between the crown and the gum, which is gradually filled with various dental deposits, thereby destroying the bone supporting the teeth. As a result, the teeth begin to loosen and fall out.

Why does gum disease occur?

Gingivitis, periodontitis, periodontal disease are the most common forms of periodontal inflammation. The main cause of diseases harmful bacteria accumulated in the form of a colorless film. This film adheres to the teeth, promoting the formation of plaque. Over time, it hardens and forms a rough growth of a porous type - tartar.

The pathological process is accelerated with:

• malnutrition;
• prolonged stress;
• bad habits;
• poor oral hygiene.

Aesthetic (plastic) periodontics

Experts say that a harmonious smile is 75-100% of the exposed surface of the upper incisors and an even marginal gum line. plastic surgery in periodontics are designed to eliminate congenital or acquired defects of the periodontium, alveolar mucosa and bone tissue.

For cosmetic effect the doctor can:

• eliminate gum recession;
• to correct the alveolar process;
• build up bone tissue;
• lengthen the coronal part;
• do frenuloplasty (removal of the frenulum of the lips or tongue);
• vestibuloplasty (increase in the width of the gums);
• gingivoplasty (elimination of excess soft tissues).

Surgical periodontology

At serious illnesses soft tissues, when local therapy is ineffective, the dentist has to arm himself with an operating microscope, a scalpel and a thin suture material. By using surgical intervention infected soft tissues and gum pockets are removed.

Pericoronitis is acute inflammation gums caused by problematic wisdom tooth growth. For treatment, a complete excision of the gingival "hood" is performed.

average price in St. Petersburg 2000 rubles

The average price in Moscow is 2000 rubles

Average price in Nizhny Novgorod 660 rub

Surgical periodontics is also indispensable for preparing the oral cavity for prosthetics or implantation.

Innovative technologies that are actively used in modern dental clinics allow you to quickly, painlessly heal gums without damaging healthy tissues.

On our website you can find a trusted periodontist in your area. To do this, specify the appropriate parameters in the search system.

The periodontium is the area of ​​soft and hard tissues that hold the tooth in place. These include: bone tissue, ligaments and gums. When harmful microbes enter and accumulate on the periodontium, inflammation occurs, which results in various diseases.

Periodontology deals with the treatment of three main types of diseases: periodontitis, gingivitis and periodontal disease. First of all, gingivitis occurs - an inflammatory process that covers only the gums. Periodontitis is a derivative disease in which the infection spreads over more than deep structures: ligaments and bones.

Periodontology department prices

Flap operation in the oral cavity (plasty of the vestibule of the oral cavity according to Edlan) 33866 P

Closed curettage for periodontal diseases (treatment of the periodontal pocket using the Vector apparatus, 1 quadrant) 7671 P

Closed curettage for periodontal diseases (treatment of the periodontal pocket using the Vector apparatus, all teeth) 23013 P

Temporary splinting for periodontal diseases (1 tooth) 4032 P

Gingivectomy in the area of ​​the 1st tooth to lengthen the clinical crown of the tooth 12488 P

Flap surgery in the oral cavity (plasty with a free mucous flap of 1-2 teeth or implants) 20106 P

Flap operation in the oral cavity (coronary flap in the region of 1-2 teeth or implants) 17782 P

Flap operation in the oral cavity (transplantation of a connective flap from the palate) 29633 P

Closed curettage for periodontal diseases (surface treatment of 1 implant with the Vector ultrasonic system) 1842 P

Periodontology specialists

Weitzner Elena Yurievna

2006 - Graduated with honors from the Moscow State Medical and Dental University. Evdokimova

2006-2007 - Internship at the Department of Dentistry general practice and Anesthesiology MGMSU

2007-2009 - Clinical residency at the Department of Hospital therapeutic dentistry, Periodontology and Geriatric Dentistry MGMSU

Three types of treatment are used in periodontology: surgical, laser and medical. The appointment of the technique is made only after consultation with a specialist and a thorough examination of the patient. The cost of procedures depends on the method of restoration of the periodontal tissue.

Indications for treatment by a periodontist

• You began to notice that the gum is moving away from the tooth. "Pockets" appear between soft and bone tissue.
• From the mouth began to appear bad smell for no significant reason.
• There is blood when brushing your teeth. Last symptom characterizes many diseases that are not related to periodontology, but if blood flows even when you touch the gum with a finger, you should immediately seek the help of a dentist.
• Permanent bad taste mouth speaks of large cluster bacteria or the presence of food debris clogged in holes or periodontal pockets.

Video about periodontology

What happens if the disease is not treated?

If you constantly put off your visit to the periodontist, the consequences can be detrimental not only physical health but also the family budget. By itself, the disease affects the condition of the teeth and does not cause new diseases, but it can complicate other negative processes in the body or make it difficult to recover.

• A periodontal dentist should be visited during pregnancy: harmful microorganisms can contribute to premature birth.
• Accumulated bacteria form plaque inside coronary arteries, which complicates the treatment of angina, heart attacks, ailments of the SS.
• According to patient reviews, the inflammatory process worsens well-being in the presence of pneumonia. However, such reviews come only from older people.

Photos with examples from periodontology

Stages of periodontal treatment

• Stage 1.

  Cleaning the roots of teeth from plaque. Specialists polish the bone tissue so that bacteria do not remain on it. The procedure is carried out quite quickly, the technique requires the use of funds local anesthesia. Ultrasonic cleaning guarantees the quality of processing and the whiteness of the teeth.

• Stage 2.

  Surgery. Conducted selectively in each individual case. The stage begins after 1-2 months from the end of the first stage. Over the allotted time, pockets shrink and may disappear altogether. If this does not happen, re-cleaning is carried out using surgical intervention. At the same time, the replacement of tissues destroyed by the disease is performed.

• Stage 3.

  Supportive recovery is essential to avoid recurrence. The procedure includes diagnostic examinations by a doctor, taking prescribed medications.

Photos with examples of periodontal treatment Before and After

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Our network of clinics offers treatment at affordable prices. You can learn about the quality of work, the courtesy of the staff, the convenience of the appointment schedule and other features of our activities from the reviews of patients and check their photos with impeccable smiles.

Reviews of treatment in the center of periodontology All reviews Leave feedback

Thanks to the staff of the Deutsche Welle Clinic

per fast diagnostics and high-quality procedures for brushing teeth - in the photo I look like a different person and do not hesitate to smile.

In this dental clinic I have been in therapy for over two years.

I have been treating at this dental clinic for more than two years. My doctor Mametiev Evgeny Sergeevich. I never thought that you can visit a doctor and not be afraid about the pain. The staff at the clinic are very friendly and knowledgeable. In addition, I was surprised by the adequate prices for splinting of teeth, their ultrasonic cleaning and other procedures. It is worth saying that I chose the clinic for quite a long time. I went for consultations to many doctors (I had periodontal disease). Here, I almost immediately liked everything. The doctor carefully examined me, explained the process of the upcoming treatment, promptly reminded me of the upcoming visit. By the way, I signed up with him for a week, so I think this also speaks of the demand for him as a specialist. In general, if you are waiting for a sincere relationship and professional treatment Come here and you won't regret it. I am sure that I will recommend you and all my family. Thanks a lot.

I really like this clinic

I really like this clinic. I was there earlier on insurance, now I definitely go every half a year to Lidia Goncharova at hygienic cleaning. I did crowns and implants there, five years have passed and everything costs like a glove. The main cleaning is not to forget to visit. Cozy and wonderful atmosphere, thank you all!

Questions and answers about periodontology

Tell me, please, a month ago I accidentally discovered that my lower front teeth were barely noticeably loose, and one was especially strong - noticeably staggering back and forth and darkened a little, went to the clinic there they took a picture and said that I had to either remove and to put an implant, or to do a root resection. Are not only these two methods possible? the tooth absolutely does not hurt, biting even hard writing does not hurt, there is no caries, the picture shows that the tooth itself is absolutely normal, but there is a little circle around the root in the gum dark spot such, they said that this is inflammation due to trauma (although I don’t remember something at all to hit) and that the tooth dies and will fall out soon. But resection is a complex and painful operation, there are complications, is there any other way, let's say, to relieve inflammation with medication, strengthen the gums, etc. ???
Thanks.