Periodontitis treatment

Periodontitis is a chronic inflammatory disease of the gums and bone, causing gum recession, tooth mobility, and eventual tooth loss. It is caused by bacteria from plaque and tartar, and is treated with professional cleaning and regular oral hygiene.
 
Periodontitis treatment

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Why treat periodontitis at Centrodent?

We don’t treat periodontitis superficially - at Centrodent, we provide thorough therapy focused on stopping the disease, not just masking the symptoms.
Our goal is not only to preserve the teeth, but to stabilise the condition long-term, with clear guidelines that give the patient confidence and control.
 
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What is periodontitis?

Periodontitis, also known as periodontal disease, is a chronic condition of the gums caused by the buildup of plaque and tartar, poor oral hygiene, and harmful habits such as smoking or mouth breathing. In some cases, periodontitis may have a genetic component, which increases the risk for certain patients.
 
It is a sneaky disease because its symptoms are often mild and go unnoticed until it is too late. Possible signs include tooth sensitivity or pain, frequent gum bleeding while brushing, inflammation and redness of the gums, bad breath, gum recession, and loose teeth.
 
A particularly severe form, aggressive periodontitis, usually appears in adolescence and less frequently in older age, even in patients with good oral hygiene. Genetic predisposition to this form of the disease can lead to sudden loss of supporting structures around young permanent teeth. That’s why fast and decisive treatment is essential, along with improved home hygiene, to stop the inflammation and prevent its return.
 
 

Treatment of periodontitis

Periodontitis treatment is based on removing the factors that cause irritation and promote plaque buildup - the main cause of gum inflammation. This includes removing tartar, cleaning periodontal pockets, removing old or poorly fitting fillings and prosthetic work, and creating new ones that support a healthy environment. In cases of tooth abscess or gum fistulas (purulent infections), antibiotics for tooth inflammation are prescribed to reduce infection.
 
Periodontitis treatment is carried out using two approaches:
  • Conservative methods: These include patient education on proper oral hygiene, deep cleaning of tartar and plaque, and root planning. The conservative approach is the foundation of therapy aimed at stopping further progression of the disease.
  • Surgical methods: When the disease has progressed, surgical procedures may be needed, including the reduction of periodontal pockets, regeneration of damaged tissue and bone, and connective tissue grafts (such as soft tissue from the palate) to restore lost gum tissue. In cases of severe bone loss, bone grafts are also used.
 
The goal of therapy is to eliminate bacterial deposits from the tooth surface both below and above the gum line, control infection, and halt disease progression, ensuring long-term stability of oral health.


 

Treatment of chronic periodontitis

Chronic periodontitis most commonly occurs in older age and progresses slowly over several years. During its development, periods of calm alternate with acute flare-ups, which may be accompanied by swelling, pus, pain, and bad breath. This form of periodontitis causes permanent damage to the supporting structures of the teeth and, if not treated on time, can lead to tooth loss.

Diagnosis is usually made using a panoramic x-ray (orthopantomogram), which allows an assessment of the extent of the damage. The image doesn’t show the inflammation itself but its consequences - most often bone loss around the tooth and exposed root surfaces above the remaining bone level.

This bone loss is the result of prolonged inflammation and reflects the destruction of the periodontal fibres that connect the tooth root to the bone. Because of this, the visible bone loss on the x-ray actually represents a reduction in the tooth’s supporting structure.

Early diagnosis by a dentist is key to maintaining gum and bone health, as the disease often progresses unnoticed in its early stages. Regular removal of tartar from the teeth, ideally once or twice a year, helps prevent inflammation and the onset of periodontitis. It is important to thoroughly remove tartar not only from visible surfaces but also below the gum line, to provide long-term protection of both teeth and gums from bacterial deposits. Without this supporting structure, the tooth loses its stability, which eventually leads to it falling out.
 

Common questions about periodontitis

Advanced periodontitis is a severe condition that affects the tissue anchoring the teeth to the bone.
 
At this stage, there is significant bone loss and gum recession.
 
Teeth become loose, shift position, and may fall out spontaneously.
 
Bad breath, bleeding, and discomfort while chewing are often present.
 
If therapy for advanced periodontitis is not started, tooth loss becomes inevitable

Symptoms of periodontitis develop gradually and often go unnoticed for a long time.
 
One of the first signs is bleeding gums when brushing.
 
The gums may appear red, swollen, and sensitive to touch.
 
Over time, gum recession occurs, and gaps may appear between the teeth.
 
Teeth may become sensitive, loose, or shift position.
 
Persistent bad breath that doesn't go away after brushing is also common.
 
If symptoms are ignored, the disease progresses and can lead to tooth loss.
 
 

The term “parodontosis” are often used in everyday language, but neither is technically accurate. In dentistry, we use the term periodontitis to precisely describe a chronic inflammatory disease that affects the gums, bone, and other supporting tissues that hold the tooth in the jaw.
 
“Parodontosis” is an outdated term that does not refer to any specific diagnosis. It was once used for similar conditions, but today it is no longer in use because it doesn’t describe active inflammation or its cause.
 
In practice, when someone says they have “parodontosis,” they are most likely referring to periodontitis. This is a disease caused by bacteria in dental plaque that triggers inflammation, damages supporting tissues, and, if left untreated, leads to gradual tooth loss.
 
That’s why it’s important to use the correct term - periodontitis - because it clearly defines the nature of the disease and opens the way to proper treatment.
 

 

There is no single “best cure” for periodontitis, because this disease cannot be treated with a tablet or antiseptic rinse - it is treated with therapy that involves thorough cleaning of tartar, removing the cause of inflammation, and long-term control of the condition.
 
The key to success is not a miracle pill or mouthwash, but comprehensive professional cleaning of teeth and roots, along with educating the patient about proper oral hygiene. This includes:

  • removal of tartar above and below the gum line
  • cleaning of periodontal pockets (curettage)
  • in advanced cases, antibiotic irrigation therapy, but only when indicated 
  • regular check-ups and tartar removal every few months

Mouth rinses (such as chlorhexidine) may be helpful in the early stages of therapy, but they are not a substitute for professional treatment. The same goes for natural remedies - they cannot stop bone loss.
 
So, the best “cure” for periodontitis is a structured therapy under the guidance of a dentist and consistent care with daily oral hygiene. This is the only way to slow down disease progression and preserve your teeth.

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