Periodontist: what he does and what he treats

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In dentistry, a periodontist deals with the diagnosis, treatment and prevention of periodontal pathologies. This word refers to all those tissues and structures that surround and fix the tooth in a certain place. Thus, the periodontium includes the bone tissue of the jaws, which contains the tooth root, the ligamentous apparatus located around it, as well as the soft tissue of the gums. According to statistics, periodontal diseases today occur in approximately half of all dental patients.

When is it necessary to see a specialist?

The following symptoms should be the reason for making an appointment with a periodontist:

  • bleeding from the gums during brushing your teeth, while eating, or even occurring without any apparent reason;
  • purulent discharge from behind the gum edge;
  • sore gums when chewing food;
  • change in the shade of gum tissue or swelling;
  • the appearance of bad breath;
  • mobility of one or more teeth, their looseness in the socket;
  • exposure of the dental neck, which leads to pathological sensitivity and pain upon contact with hot, cold, etc.;
  • buildup of plaque or tartar.

Diseases treated by a periodontist

Now let’s look at what exactly a periodontist does and what he treats. People turn to this specialist primarily for problems with gums. Here are the most common pathologies within his area of ​​expertise:

  • gingivitis is an inflammation of the gums, which usually precedes any pathological process that penetrates deeper into the soft tissue. In this case, the mucous membrane turns red, swells, pain and bleeding appear,


    The photo shows gingivitis

  • Periodontitis is a deeper and more serious inflammatory disease that leads to functional changes in the periodontium, causing severe pain, especially during meals. Bleeding becomes more intense, and in advanced stages teeth begin to loosen, which can ultimately lead to their complete loss,


    The photo shows advanced periodontitis

  • periodontal disease - the disease itself is a non-inflammatory pathology in which degenerative processes occur in the soft tissues. The cause of the development of the disease is usually internal disorders, including those related to the functioning of the endocrine system. Gum recession is observed, the necks of the teeth are exposed, and their mobility appears. But in some cases, this term refers to an advanced stage of periodontitis, when, if left untreated, the infection penetrates deeper into the tissue and provokes even more serious structural changes.


    This is what periodontal disease looks like

“Based on my life experience, I can only recommend visiting a periodontist at least once a year. All my life I have taken care of my health, brushed my teeth, and never developed caries. And then, at the age of 45, I was diagnosed with periodontal disease! Nothing hurt, my gums didn’t bleed, and the therapist didn’t notice anything. And if I had gone to a periodontist at least once, they could have noticed and slowed down the process...”

Lyudmila V.D., Nizhny Novgorod, from correspondence on the forum www.32top.ru

  • root cyst - in this case, the help of a periodontist may also be required, since the pathological phenomenon leads to a pronounced weakening of the ligaments. The neoplasm usually develops without pronounced symptoms, but over time, aching pain occurs in the depths of the gums, swelling appears and the mucous membrane turns red. More often it occurs due to infection entering the tissue, which causes the formation of a cavity with fluid. In the acute stage, it can develop into periostitis, a purulent abscess, and therefore requires mandatory treatment,
  • stomatitis is an infectious lesion of the oral mucosa, which is the result of the penetration of a bacterial infection into the tissue, often through wounds and minor injuries. A fungal infection can also cause the development of pathology, and in this case we will be talking about candidal stomatitis. Usually the disease manifests itself in the form of redness and soreness of the mucous membrane, itching and burning, and the formation of ulcers in the mouth.


    The photo shows a fungal infection

This is not a complete list of possible pathological conditions in which one cannot do without the help of a professional periodontist - he treats completely independently or involves a therapist/surgeon to help, it all depends on the situation.

But if you discover unpleasant symptoms such as swelling of the gums, pain and bleeding, you can immediately contact a specialized specialist or a dental therapist, who, if necessary, will give the necessary referral.

What services does a periodontist provide?

At the first appointment, the specialist asks about complaints, examines the oral cavity, and assesses the health of the maxillofacial area and surrounding lymph nodes. Next, he prescribes an instrumental examination and computer diagnostics of the periodontal condition. It will include, at a minimum, x-rays of the dentition and jaw bones.

After the consultation, the periodontist will be able to talk about the identified problems and propose a treatment plan, for example, techniques such as:

  1. Laser treatment of periodontal diseases. In this case, the gums and identified pathological pockets near the teeth are treated with a laser. Laser radiation removes areas of inflamed tissue, sterilizes the pocket and activates healing processes.
  2. Vector therapy. For treatment, the Vector device is used, which acts on tissues using a combination of ultrasound and a special suspension that fills the pockets. Vector therapy allows you to quickly and painlessly remove inflammation, reduce gum bleeding, remove dental plaque and polish the surface of the roots.
  3. Carrying out flap surgery. It can consist of either removing excess tissue or transplanting a mucosal flap from another area. Thanks to this, the doctor fills the bone pockets that have arisen as a result of receding gums (recession) and also restores its contour.

How to make an appointment with a periodontist on the Meds.ru portal

Today in Moscow, a large number of clinics offer dental services. With such a wealth of offers, it is not so easy to find a periodontist who provides quality services at an adequate price. However, this problem does not exist for users of the Meds.ru portal.

The Meds.ru information base contains information about the best Moscow clinics and specialized specialists with a good reputation and positive patient reviews. To find a competent periodontist, you need to open the “clinics” tab on the Meds.ru main page and select the “dentistry” specialization in the column on the right. Then on the page that opens, also on the right, select “periodontist consultation” and enter the area of ​​the capital or metro station of interest in the top control panel. After this, you will see a list of clinics that meet your requirements and are attended by a periodontist. You can make an appointment with him by filling out the feedback form on Meds.ru, or by calling the portal’s call center.

How will an appointment with a periodontist help?

Periodontitis is the most common problem in dentistry. Its main danger is the high risk of irreversible tooth loss. And not only the one around which tissue inflammation manifested itself most strongly. If you do not see a doctor in time, the inflammatory process can spread to the jaw bone. And this complication will lead to severe loosening and loss of neighboring, completely healthy teeth. Periodontists at SM-Dentistry will help prevent such an unpleasant development of the situation.

Periodontology

Most people dream of snow-white teeth and almost always forget about an essential component of a beautiful smile – pink, healthy gums. Many people consider gum problems to be an unpleasant little thing that does not require medical consultation or treatment. In recent years, much evidence has accumulated that gum disease leads to rheumatoid diseases, and the risk of myocardial infarction, stroke, gastritis and stomach ulcers increases. Among the most common diseases of the oral cavity are periodontitis.

and
periodontal disease.

Why does your dentist refer you to a periodontist?


If a dentist believes that your gums require special treatment and refers you to a periodontist, then he is taking exceptional care of your health.
Most people bravely endure bleeding gums, pain after eating, and a slight taste of blood in the mouth. Such symptoms occur periodically, and then the inflammation subsides. But this is only apparent well-being. IMPORTANT: Symptoms of periodontitis

different forms differ in the degree of severity and spread of the inflammatory process, as well as the reasons that caused it.

Who is a periodontist?


Only a specialist can understand all the nuances of diseases of the tissues surrounding the tooth (periodontium).
Which dentist in dentistry is best familiar with this problem, and who should you contact, a therapist or a surgeon, if there are signs of bleeding gums. There is an opinion among patients that a hygienist is a periodontist. This is a deep misconception.

A periodontist is a dentist who deals with the pathology of the tissues surrounding the tooth. Periodontics is a separate branch of dentistry.

Periodontist at Chistye Prudy

is a specialist who has full command of all


modern techniques aimed at stabilizing and improving the situation with periodontal tissues.

What does a periodontist treat? A periodontist is a doctor who specializes in the diagnosis, prevention and treatment of gum (periodontal) diseases. Assessing the color and density of the gums, tooth mobility, and the amount of lost bone tissue, the periodontist will discuss with the patient and propose the optimal treatment plan.

What methods of treating periodontitis are available to a periodontist?

In the early stages of gum disease, it is often enough to:

  • closed curettage,

  • laser application.
  • smoothing the root surface using the Vector system.

In most cases, these manipulations are sufficient to achieve a satisfactory result. In later stages, surgical intervention may be required, which remains the leading option in complex treatment. It includes:

  • open curettage technique
    ,
  • patchwork operations.
  • gingivoplasty.

What tasks does a periodontist face?

  • Elimination of inflammation - however, this is not the biggest


    a problem faced by a periodontist!

  • Restore damaged bone tissue.
  • Elimination of cosmetic defects of gums.

IMPORTANT

: Only a professional periodontologist can solve these problems, since periodontal surgery requires special precision, delicacy of execution and the ability to use the latest techniques.

Reviews.

Anzhelika Vardanyan
March 07, 2022 16:04
For 6 years, my family and I have been visiting the Dentist! Doctors greet you like family. Galina Alekseevna is a very experienced and competent dentist, she thoroughly examines the oral cavity and takes pictures of the teeth. He will always tell you what the problem is with a photo or diagnostic. Freed me from a serious gum problem. The clinic has the best impressions, the best doctors, total care for clients, you feel that you are valued! sokolttta
April 05, 2022 21:18
Completed the course of treatment at the Dastyst dentistry. I would like to express my gratitude to Galina Alekseevna and Valentina Vladimirovna! For treatment and prosthetics. I didn’t expect that my gums could be healed and veneers installed so quickly. I recommend this dentistry to those who need high-quality services in a short time...

Cost of admission.

Periodontist in Moscow is a sought-after specialty, since


Diseases of the tissues surrounding the tooth, in terms of prevalence, occupy the second position after caries. Prices for treatment depend not only on the qualifications of the specialist, on the level of equipment of the clinic with modern equipment, but also on the doctor’s ability to use modern techniques.

The use of laser equipment, “Vector Systems” in the treatment of gums, requires additional material costs, but is the most effective in difficult situations. This fully applies to patchwork operations that require high professional skills and knowledge from a specialist.

IMPORTANT:

Therefore, contacting a periodontist in the early stages of periodontitis will allow you to avoid expensive treatment and get a positive result in one visit.
In our clinic "Dentist" near the Chistye Prudy metro station, a unique information computer system "FloridaProub"
.

Moscow is a huge metropolis, so in order not to waste time searching for a center, you can sign up for a consultation at the Dentist clinic. In this case, your problem will be dealt with by one of the best periodontists in Moscow, who thoroughly knows all modern techniques.

Periodontist's recommendations

The reason for the development of pathological processes in gum tissue is often associated not only with hygiene, but also with a lack of minerals and vitamins, addiction to bad habits, diseases of other organs, and injury to oral tissues.

To reduce the likelihood of periodontal damage, experts recommend:

  • quit smoking and alcohol;
  • treat any diseases in a timely manner;
  • do not cause dental diseases;
  • Healthy food;
  • Periodically take vitamin and mineral complexes.

According to patient reviews, the A-Medic periodontology clinic is one of the best in Moscow. However, specialists are not magicians, and if a patient presents with advanced pathology, it should be understood that treatment will take a long time. It will not be possible to restore the periodontal condition in one visit, even with a mild degree of damage. To achieve a full recovery, the patient must be determined to regularly visit the periodontist’s office.

How is diagnostics carried out?

As part of the diagnosis, a visual examination of the oral cavity is first performed. Next, the doctor refers the patient to the necessary examinations. Let's look at the activities that may be required to make an accurate diagnosis:

  • interviewing the patient regarding complaints, current condition, past and possible chronic diseases,
  • examination of the oral cavity, search for foci of caries and inflammation, assessment of the volume of dental plaque. By palpation, that is, feeling, the doctor assesses the condition of the gums and lymph nodes,
  • examination of inflamed areas - assessment of the degree of bleeding and swelling, possible signs of atrophic processes,
  • cytological and microbiological analyzes of microflora,
  • determining the depth of periodontal pockets - allows you to identify the stage of periodontitis (mild - up to 3.5 mm, medium - up to 4-5 mm, severe - more than 5 mm),
  • X-ray examination, functional diagnostics,
  • collection of blood tests if necessary.


For examination, you may need to take blood tests.
In each individual clinical case, a set of diagnostic procedures is selected individually. The periodontist must carefully examine the current condition of the oral tissues and take into account all associated factors in order to make an accurate diagnosis and prescribe the necessary treatment.

Prevention

Unlike many pathologies, gum disease can be prevented quite successfully. Preventive measures are simple and do not require any special effort.

Prevention is divided into two types:

  • independent;
  • professional.

Independent preventive measures include mandatory regular brushing of teeth using dental floss, rinses and other oral hygiene products. If signs of gum inflammation appear, it is recommended to rinse with antiseptic solutions.

Professional prevention consists of hygienic cleaning in a dental clinic. It is recommended to carry out such hygiene at least 2-3 times a year. Procedures can be carried out to cleanse soft and hard plaque from tooth enamel or strengthen teeth and gums through remineralization or polishing. There are other innovative techniques aimed at strengthening the periodontium.

Tips for choosing a good periodontist

In your search for a good, experienced specialist, reviews from real patients will help you - you can find them on the Internet or ask your friends for recommendations. When choosing a doctor, you should pay attention to the following points:

  • length of service and work experience,
  • status of the dental clinic,
  • availability of modern equipment in the institution,
  • variety of services offered.

It’s good if the specialist has a certificate of advanced training in “periodontology”, and it’s better than the state standard. This is confirmation that the doctor has completed specialized courses lasting at least 144 hours and has a specialized education.


Choose a specialist responsibly

It is important that the doctor is able to find a common language with the patient, win him over, and inspire confidence. To do this, you should pay attention to his communication skills, sincere interest in the problem and its solution. The psychological aspect actually plays an important role when choosing a doctor, although many do not attach much importance to it.

Stages of periodontal treatment

Comprehensive treatment by a periodontist includes:

  • Diagnostics, including radiography and probing.
  • Professional hygiene for removing traces of tartar.
  • Periodontal cleaning.
  • Curettage of periodontal pockets.
  • Splinting.
  • Fight against inflammatory foci.
  • Laser correction.
  • Surgical assistance during exacerbation.
  • Professional recommendations on home hygiene.

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Specifics of children's specialists

Children also experience periodontitis. The disease is diagnosed in approximately 3-5% of young children and adolescents, although most often it develops at the age of 9-10 years1. The problem is that the tissues of the oral cavity are still immature, constantly changing and rearranging, which is why they can react sharply to the slightest inflammation. In this case, the therapy will be little different from the treatment of an adult patient. Professional hygiene and physiotherapeutic measures will be required. Sometimes the lip frenulum is corrected if it has become one of the prerequisites for the development of periodontitis. In general, an integrated approach to diagnosis and treatment is required, since the causes may also lie in systemic pathologies.


Recently, lasers have been increasingly used to correct frenulums.

Cost of services

Service Price

Injections of drugs 1,200 rubles

Antiseptic treatment of pathological gum pockets, sclerosing therapy 750 rubles

Application of medications (Solcoseryl, Metrogil-denta) - fragment 700 rubles

Excision of hypertrophied papilla in the area of ​​the 1st tooth (without anesthesia) 800 rubles

Therapeutic bandage in the area of ​​a multi-rooted tooth 800 rubles

Treatment of gums for bleeding (1 session) 500 rubles

Flap surgery in the area of ​​the periodontal pocket of one or two root teeth (1st tooth) 5,100 rubles

Flap surgery in the area of ​​a multi-rooted tooth (in the area of ​​the 1st tooth) 5,900 rubles

Medical treatment of periodontal pockets in the area of ​​2 teeth (Demixide, Chlorhexidine) 250 rubles

Periodontal cleaning 500 rubles

Retraction of hypertrophied gums in the area of ​​1 tooth 750 rubles

Frenuloplasty (with anesthesia) 5,800 rubles

Frenulectomy (with anesthesia) 5,500 rubles

Splinting of 1 tooth with light-curing composites 3,050 rubles

Periodontal cleaning, deep scaling from one jaw 1,500 rubles

Ultrasonic treatment of a pocket (1 tooth) 500 rubles

Taking a free connective tissue graft 2,200 rubles

Vestibuloplasty (including anesthesia and suturing) 8,000 rubles

Open curettage in the area of ​​the 1st tooth 4,130 rubles

Gingivoplasty in the area of ​​1 tooth 2,600 rubles

Surgical lengthening of 1 tooth with osteoplasty 12,980 rubles

Surgical lengthening of 1 tooth without osteoplasty 7,080 rubles

Coronal, laterally displaced flap 5,910 rubles

Gum plastic surgery in the area of ​​one implant using local tissues 5,080 rubles

Expert of the article you are reading:

Akhmedkhanov Said Rashidovich

Dental surgeon, general dentist, implantologist, orthopedic dentist, dental therapist.

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