The use of a diode laser in the complex treatment of aggressive periodontitis

HomePeriodontologyTreatment of periodontal disease with SIEMENS laser

The main reason patients visit a dental clinic is severe pain. Different diseases of the teeth and gums may have similar symptoms, and only a specialist can make an accurate diagnosis. The most common is periodontal disease. If treatment is not started in a timely manner, the development of the disease leads to inevitable tooth loss. Therefore, it is necessary to contact a dentist when the first symptoms of the disease occur.

Causes of periodontal disease development

The appearance of periodontal disease occurs for various reasons. As a result of examining more than 750 thousand patients, US scientists found that the disease primarily develops due to bacterial plaque on the teeth and a decrease in the body’s immune defense. It has been established that microorganisms that live in deposits and plaque on teeth are directly related to the development of the disease. It is the waste products of these microbes that have a negative effect on the gums and dental tissue, causing their destruction.

First, a person notices bleeding gums while brushing their teeth, which can also be accompanied by pain. Therefore, the process of oral and dental hygiene becomes more careful and of lower quality. As a result, plaque only increases, turning into tartar. At the same time, the environment for the development of microorganisms becomes especially beneficial.

During this time, inflammation and periodontal condition only worsens. Moreover, the negative process affects the activity of microvessels, which reduces nutrition, accelerating destruction. After this, the inflammatory phenomenon affects the bone tissue.

Another reason for the development of periodontal disease lies in the disruption of immune defense. The human body can be subject to disruptions due to stressful situations, trauma, and hormonal problems. As a result, immune cells perceive periodontal tissues as foreign and attack them. Such exposure causes aseptic inflammation of the gum tissue with subsequent death. Then the negative process moves to the bone tissue. The third stage of the disease is characterized by loosening and loss of teeth.

The following factors can aggravate the course of the disease: diabetes, smoking, gastrointestinal disorders, stress, hormonal imbalances, advanced caries, poor dentures and malocclusion.

Indications for laser treatment of periodontitis

Many patients with gum health problems are willing to undergo laser periodontitis treatment. Prices

acceptable for such a procedure. In addition, this method of treatment is painless and low-traumatic, and does not require long-term rehabilitation after the procedure. Let's consider for what signs a doctor may recommend laser treatment.

Indications:

• bleeding gums;
• discoloration of gum tissue;
• dental plaque, tartar;
• purulent discharge from under the gums;
• separation of soft tissues from the crown of the teeth;
• exposure of the tooth root;
• loosening of teeth;
• the appearance of putrid odor from the mouth.

The effectiveness of laser treatment is observed at almost any stage of the disease. But, there are some contraindications for which this treatment method cannot be used.

Laser treatment of periodontitis is not performed on patients:

• those suffering from severe diabetes mellitus;
• for autoimmune disorders;
• for oncological diseases;
• if there are serious diseases of the cardiovascular system;
• endocrine pathologies;
• tuberculosis;
• poor blood clotting;
• after a heart attack and surgery.

If the patient has a history of diseases included in the list of contraindications to laser treatment, the doctor will select an alternative method to combat the inflammatory process in periodontal tissues.

Periodontal disease - symptoms and signs

The first signs of the development of the disease include:

• Itching and discomfort in the gums;
• Bleeding while brushing teeth;
• Swelling and change in the shape of the gums;
• Unpleasant odor;
• Specific salty taste in the mouth.

If therapy is not started in a timely manner, purulent lesions will soon form in the gums. Pain increases, its color, shape and structure change.

In such cases, enlarged lymph nodes cannot be ruled out. And x-rays will show pathological changes in bone tissue with inflammatory foci and destruction of interdental septa.

Examples of work “Before” and “After”

Gap between the front teeth - diastema
Case: Gap between the teeth and complaints about the aesthetics of the smile Work: 6 Empress Esthetic veneers on the front teeth and a metal-ceramic bridge on the lateral chewing teeth on the left Time: 6 days Number of visits: 3 Cost: 135,000 rub.

Restoration of anterior teeth with Empress veneers

Case: the patient complained of unsatisfactory aesthetics of the front teeth and a gap between the teeth.

Restoration of front teeth with ceramic veneers (May 2012)

Case: I went to the clinic with a complaint about the unsightly shape and position of the central incisors on the upper jaw.

Aesthetic restoration - lumineers (July 2013)

Case: the patient complained of unsatisfactory aesthetics of the anterior teeth (enamel color, crooked incisors).

Periodontal disease - how is it diagnosed?

Correct treatment of periodontal disease is possible only after a thorough diagnosis. However, one examination by a dentist will not be enough. You should undergo tests using modern equipment and drugs.

In the dental practice of the Bionic Dentis clinic, the German protocol is used to examine patients. This allows you to conduct a full examination and accurately make a diagnosis.

This examination includes:

• Inspection using an optical system that allows you to significantly enlarge the inspected surface and not miss even the slightest damage;
• Testing for hidden plaque on teeth. To do this, a special preparation is applied, which indicates the places where harmful microbes accumulate;
• Determination of inflammation using a marker drug that can indicate lesions;
• Bana testing, which helps identify microorganisms that cause the development of the disease. Thanks to this technique, a competent selection of antibacterial therapy occurs. Specialists from the Bionic Dentis clinic were among the first to conduct bana testing in Russia;
• An X-ray and orthopantomographic examination procedure that allows you to assess the condition of all dental tissues that are not visible during a simple examination. This helps prevent and prevent further development of inflammation.

After reviewing the results of a complete diagnosis of the patient, specialists at the Bionic Dentis clinic draw up a treatment plan. This approach allows us to completely cure 99% of patients suffering from periodontal disease who contact us.

Stages of a unique technique:

• 1. Begin therapy with ultrasonic cleansing of the entire tooth and its root. This removes plaque and stones. The use of ultrasound allows you to thoroughly clean even the most difficult to reach areas without pain or injury to the enamel. Specialists at the Bionic Dentis clinic perform this procedure using a special Sirosonic Sirona Siemens ultrasound device, manufactured in Germany. In this case, the level of processing is selected individually, which significantly increases work efficiency.
• 2. The second stage includes the removal of pigmented plaque and microscopic deposits located in hard-to-reach places. For this, the Air Flow technique is used. The method is implemented using a Prophyflex dental handpiece from the German company Kavo, from which mixed air and abrasive are released under high pressure. This mixture allows you to effectively eliminate the remains of infection and other contaminants. The peculiarity of the method is the use of calcium carbonate, which has a gentle effect on the gums and root system of the tooth. In combination of this drug with the Prophyflex device from Kavo, the procedure is performed with the utmost quality.
• 3. At the third stage, laser sterilization of the root pockets and gum edges is performed. Doctors at Bionic Dentis use the Sirolaser Sirona Siemens dental laser (Germany). The laser tip is inserted into the gum pockets, which leads to the complete destruction of pathogenic bacteria that cause the disease. The unique laser setting allows not to damage the gums, but to have a detrimental effect on microbes.
• 4. The fourth stage includes drug therapy using calcium copper hydroxide. The medicine is placed in the gum pockets, leaving it there for a long time. The drug relieves inflammation and sterilizes periodontal pockets in which the pathological process has begun. Our specialists use a patented original drug from the German company Humanchemie. This manufacturer is also the developer of this medicine.
• 5. At the fifth stage, the metabolism in the gingival tissues is corrected. For this purpose, the active tissue regeneration complex prf is used. The patient first donates blood from a vein, which is subjected to special treatment. This makes it possible to isolate specific prf proteins. It is these substances that can trigger tissue restoration and healing processes in the human body. Due to the fact that the proteins are obtained from the blood of a specific patient, there are no side effects or allergic manifestations. The process of obtaining active proteins for regeneration is an important and responsible procedure, which is performed under strictly sterile conditions. For this purpose, Bionic Dentis specialists use a method invented by scientists from the Munich and Charité clinics (Germany).

Dental implantation

• — cutting the gums to install implants,
• — opening of implants after their engraftment,
• — antiseptic treatment of the implant bed,
• – treatment of peri-implantitis – inflammation around installed artificial roots

Dental restoration through implantation is one of the main indications for the use of a laser device. “Laser scalpel” allows you to create not only aesthetics of the gums, but also significantly reduce the rehabilitation period due to less tissue trauma: swelling and pain are reduced, bleeding from the wound stops, tissues heal 2 times faster.

What antibiotics are prescribed for the treatment of periodontal disease?

When contacting a specialist in a severe stage of periodontal disease, you cannot do without prescribing antibacterial therapy.

Antibiotics must be prescribed if:

• Pus was found in periodontal pockets;
• There are putrefactive-necrotic inflammations of the gingival tissue;
• The bone tissue is affected by purulent foci.

Antibacterial agents with a wide spectrum of action are used in dental practice. They show rapid activity in pathologies of any complexity, causing the death of harmful microorganisms.

The Bana test, which is used at the Bionic Dentis clinic in diagnosing periodontal disease, allows you to select effective drugs taking into account a specific clinical case.

Doctors rush to help

Despite the fact that the treatment of periodontal disease is not very common today, there are cases when patients with this most dangerous disease come to our clinic. Doctors immediately come to the rescue, applying talent and skill to eliminate problems. We employ competent and knowledgeable physicians who have not only a higher education, advanced training courses, knowledge of modern methods of treating periodontal disease, but also vast experience. Without it, it is impossible to gain the patient’s trust and cure the gums completely and irrevocably. Our visitors note a special, very friendly and sincere attitude on the part of doctors, anesthesiologists, nurses, and service personnel. Without it, success in the treatment of periodontal disease is impossible. Inviting doctors of related specialties for consultation allows you to take an objective look at the picture of the disease and choose the best option for eliminating problems. At all stages of treatment of periodontal disease, the patient is aware of the manipulations being performed, which allows him to be conscious about his health. There are 3 stages of the disease.

• At the initial stage, the symptoms are not clearly expressed. The patient may experience pain while eating and increased bleeding during hygiene procedures. Sometimes there is slight itching, tingling, and the gums become covered with a sticky film of a light yellow hue.
• At the height of the disease, noticeable gaps form between the teeth, which increase over time. Food debris accumulates in periodontal pockets. Tartar makes itself felt. An unpleasant odor appears. The roots are exposed, which is why a person reacts painfully to cold and hot.
• At the stage of resolution of the disease, the gum peels off from the tooth, and purulent discharge appears. Elements of the row begin to wobble, chew, especially hard food becomes painful, soft tissues become denser and change color. If help does not come, the process of gum abscess begins.

Successful treatment of periodontal disease in our clinic is achieved thanks to powerful diagnostic and treatment equipment installed in each of the branches. Our own laboratory allows patients not to waste time and effort searching for similar institutions in other areas. Our convenient location is popular with visitors who come for treatment of periodontal disease: our offices are located near metro stations. The always smiling staff makes adults and children feel at ease and at home. The price of periodontal disease treatment in each case depends on specific conditions: the condition of the gums, the amount of work, and further procedures. All nuances are discussed and agreed upon with the client, after which a formal contract is concluded. Payment is accepted by any method, discounts apply, and there is an installment plan option. It is important that some services can be obtained free of charge upon presentation of a compulsory medical insurance policy. If you notice primary signs hinting at the need for treatment of periodontal disease, do not delay your visit to the dentist! The doctors at the VivaDent clinic will do everything possible to solve problems quickly and painlessly.

The process of treating periodontal disease at home includes:

• Mandatory brushing of teeth after each meal with Parodontax medicinal periodontal paste, widely used at any stage. The best tool for cleaning teeth is the Sensodyne medium toothbrush, which has medium hardness. You should also use a thin and flexible dental brush for the morning and evening procedures;
• Daily use in the evenings of an oral irrigator - a special device that cleanses the teeth and massages the gums using a stream of water and air. This improves blood flow in the vessels, has a positive effect on the condition of the periodontium, and reduces inflammation of the gingival tissue. The best irrigator is Braun Oral-B.
• Rinse your mouth thoroughly after eating using a special product;
• Lubricating the gums with Asepta gum balm, which eliminates pain and inflammation, exhibiting a disinfectant and healing effect.
• These products can be used as prescribed by a specialist, after the procedure for treating periodontal disease with ultrasound and active prf regeneration proteins has been carried out.

An integrated approach in the form of a clinical and home therapeutic course will ensure a positive result and maximum effect.

A smile not only brightens the day

High-quality treatment of periodontal disease and other pathologies of the soft tissues of the oral cavity has one goal - to preserve the dentition intact. Not all people realize that the condition of their teeth is directly affected by the health of their gums. Proper oral care involves not only the regular use of brushes and toothpaste, but also the use of rinses that have a beneficial effect on the state of microflora. You can get rid of the need for treatment of periodontal disease if you do not neglect your gums and regularly carry out preventive examinations within the walls of the clinic. This is a question of the psychology of people who are either afraid or do not find time to care for their gums. But without this it is impossible to achieve serious life goals! The possibility of treating periodontal disease cannot be ignored: many oral ailments are invisible at first, and only a specialist can determine their presence, not only through a visual examination, but also based on the results of laboratory tests. Without healthy teeth, it is difficult to succeed in any field. Why exactly is effective prevention and treatment of periodontal disease necessary?

• To achieve professional heights. Without a beautiful smile, it is difficult to win the trust of potential business partners; it is difficult to count on the respect of the team at a prestigious job.
• To create a harmonious personal life. A snow-white smile is a powerful tool for attracting the attention of the opposite sex; without this, the dream of finding love and building a strong family will remain unfulfilled.
• To attract interest. Speakers, teachers, teachers, all people who speak publicly in one way or another and have a wide audience of listeners are required to look beautiful and aesthetically pleasing - this is the only way to maintain attention to their speech.

INTERESTING! Many public people: politicians, sports and show business stars pay great attention to the cleanliness of their teeth and the whiteness of their smile. Almost every popular personality has their own dentist. It is known, for example, that Maria Sharapova has as many as three personal doctors on her staff!

Periodontal disease treatment cost

To determine the cost of the entire course, it is important to know what mandatory procedures it includes:

• Diagnosis of gum condition, selection of medications and products for home use;
• Deep laser cleaning of gums;
• Course therapy with laser and injections of active regeneration proteins prf.

If necessary, additional measures are prescribed:

• Splinting of mobile teeth using fiberglass;
• Making a relaxation mouthguard.

As a result, the average cost of mandatory procedures that are included in the course of treatment of periodontal disease with laser and prf is 140,000 rubles.

The price of splinting teeth on one jaw using fiberglass is 35,000 rubles.

Production of a relaxation mouth guard – 20,000 rubles.

Why is periodontal disease treatment expensive?

Course treatment of periodontal disease is a high-tech process, which is performed by highly qualified specialists. In their work, doctors use expensive modern equipment and original medications produced in Germany.

The Bionic Dentis dental clinic has a full arsenal of high-tech equipment: a laser, a dental orthopantomograph, a blood processing system for isolating active prf regeneration proteins, the cost of which is several million rubles.

At the Bionic Dentis clinic, patients are guaranteed the authenticity of all equipment and medications. This is confirmed by certificates of conformity and registration certificates of Roszdravnadzor.

To provide affordable treatment to a wide range of patients, the Bionic Dentis clinic offers interest-free installments for a year.

The down payment is 30% of the total cost of treatment. The remaining amount is distributed evenly over 12 months.

Russian citizens aged 18-70 years can apply for an installment plan in just 15 minutes.

How to find a specialist to treat periodontal disease?

Carrying out full treatment of periodontal disease requires modern equipment and imported drugs. But the main thing is a specialist with the necessary knowledge and experience. Therefore, when choosing a periodontist, it is important that he has a certificate confirming the specialist’s qualifications. Also, the doctor must be trained in the treatment of periodontal disease using a laser and active prf regeneration proteins.

The specialists of the Bionic Dentis clinic are highly qualified and have specialized medical education. They have certificates confirming that they have completed training with German specialists.

The average experience of our periodontists is 10 years. They regularly participate in international conferences on clinical periodontology.

When choosing a periodontist, an important point is confidential communication with the patient. If a specialist explains the main features of the procedures, talks about the effects of the drugs used, possible side effects, contraindications and other aspects, then you have found your doctor!

Werner Elena Vladimirovna

Dentist periodontist

More details

What is important in the work of a periodontist?

For a successful result, it is important to identify obvious causes and choose the right method of treating periodontal disease. In the absence of complaints from the patient, which often happens in the initial stages, the dentist’s work becomes extremely difficult. After all, if you waste time, you can bring the process to the extreme stage, when drug treatment of periodontal disease will be ineffective, and surgical intervention will harm other organs. Pathologies of the heart, liver, and kidneys can not only be the causes, but also be consequences of the treatment of periodontitis. Almost 80% of people on Earth have encountered gum pathologies to one degree or another. Not so long ago, the treatment of periodontal disease was considered futile: the disease was considered fatal. Achievements in dentistry allow us to say: with timely access to a doctor and a professional approach from a specialist, you can cope with the problem! Powerful equipment, the latest generation of medicines, innovative methods for treating periodontal disease are, of course, important, but the main thing is the skillful hands and soul of the doctor, sensitive to the needs of the patient. What are the features of the work of a periodontist?

• The absence of pain and complaints, and subtle visual signs of pathology make it necessary to use additional resources. Each doctor conducts a comprehensive examination before starting treatment for periodontal disease and, based on panoramic radiography and tests, makes one decision or another.
• An individual approach to each visitor is important. It is necessary to draw up a personal treatment plan for periodontal disease depending on the severity, form, and health status of the patient. This is the approach that is practiced in our clinic, which allows us to achieve success in the most difficult situations.
• When using therapeutic methods for treating periodontal disease, we prescribe drugs of the latest generation that do not cause side effects. This allows you to achieve excellent results. If surgical intervention is necessary, preference is given to gentle methods and the use of laser.

REMEMBER! Treatment of periodontal disease is a long process that requires patience from the doctor and the patient. Sometimes it takes several months to recover. During this period, it is important not to overload the body with increased stress, not to overcool, maintain the correct regimen, and limit the consumption of cigarettes and alcohol. Following your doctor's recommendations will create an insurmountable barrier to the penetration of dangerous germs and bacteria.