Objective of periodontitis treatment

Objective of periodontal treatment, treating inflammation of teeth attachment apparatus

The objective of the treatment of the inflammatory attachment apparatus of teeth is to:

• Remove biofilm from and below the gums. 
• Eliminate factors that foster attachment apparatus inflammation (smoking, non-adequate restorations, traumatic occlusion).
• Reduce the percentage of bleeding and plaque.
• Reduce the depth of gum pockets and the number of teeth that have gum pockets >4 mm.
• Stop further spreading of inflammation.
• Achieve re-ossification of bone defects that show up on an X-ray.

The patient and the doctor have equal responsibility in ensuring successful treatment of inflammation of the teeth attachment apparatus. Because the main cause of these diseases is biofilm on the teeth, it is important that the patient persistently removes these layers. To achieve that, it is important to learn together with the dentist the correct hygiene practices and to use them at home every day. It is possible to clean the teeth very thoroughly at a dentist’s practice, but if consistent cleaning is not ensured at home, the situation will soon be the same as at the beginning of the treatment.

Smoking is a very important risk factor in the progression of gingivitis. For sure, giving up smoking or drastic reduction of smoking will help achieve better treatment results. As many factors that cause and foster the progression of periodontal diseases cannot be changed (e.g. the body’s protective mechanisms), the patients must be informed that hygiene habits and smoking can be changed and this is where the patients can do their part in the treatment of inflammation of their teeth attachment apparatus.

Objective of periodontitis treatment

The treatment of the attachment apparatus of teeth comprises 3 treatment phases:

1. Non-surgical phase and check-up;
2. Corrective treatment phase;
3. Preserving treatment phase.

General instructions, after oral surgery

Since there is a risk of bleeding for a week after the surgical intervention, avoid or at least reduce the following during this time:

• Physical exertion (lifting weights, bending forward).
• Visiting a sauna, taking a bath and using a tanning bed, sunbathing, rehabilitation procedures, air travel, long journeys by car.
• Avoid blowing your nose if the doctor said that there was an opening between the oral cavity and the sinus.
• Do not touch the wound with your finger, tongue or any object, do not suck on the wound. Do not put powders, tablets, drops (propolis, tea tree oil) on the wound as this may cause inflammation and bleeding.
• Chew with the other side of the mouth for a few days. Food should be rich in protein, vitamins and minerals and soft, lukewarm or cool. Avoid foods rich in carbohydrates. Harder foods can be eaten when eating them does not cause pain.
• Blood may seep from the wound area for 3–4 days after the operation. The wound will usually start bleeding more 2–3 hours after surgery, as anaesthesia wears off. If bleeding persists, place a sterile gauze swab on the wound for 30 minutes and press the jaws firmly together.
• Keeping an ice pack on the cheek area may reduce swelling.
• Under no circumstances should warm, moist compresses (chamomile, vodka compresses, etc.) be applied to the facial area, as this can cause bleeding and severe swelling.