During the examination, we look for redness, swelling, and bleeding of the gums. We also focus on the presence of plaque and tartar and carefully measure the depth of so-called periodontal pockets. We then discuss the findings with the client and recommend an individual treatment plan.
Deep-scaling and root-planing is a method used in the treatment of gum disease, which results in the formation of subgingival (below the gumline) tartar and periodontal pockets. The procedure removes tartar and plaque from the surface of the root of the tooth using special delicate hand instruments (curettes) and subgingival ultrasonic tips and concludes with a rinse using a solution of 3% hydrogen peroxide and 0.2% chlorhexidine to further reduce the number of bacteria in the periodontal pockets. The deep cleaning can be scheduled across several visits. Each deep cleaning is followed by a healing period of six to eight weeks.
Our dental hygiene procedure uses Guided Biofilm Therapy® (GBT), a new, modern, and minimally invasive dental hygiene treatment. As the name suggests, when performing a professional cleaning, the hygienist is guided by a dye marking the location of dental plaque biofilm, which is the main cause of cavities, periodontal disease, and infections around implants. After an initial examination and clinical assessment, the plaque is coloured with a dye, which not only acts as a guide but also lets the client see areas that require better cleaning. This is followed by instruction on proper cleaning techniques and then the procedure, which uses AIRFLOW® and, if necessary, PERIOFLOW®, with fine erythritol powder. The process removes plaque, stains, and freshly mineralized tartar. Any remaining tartar is removed with a PIEZON® device fitted with an extremely sensitive ultrasonic PS tip or, when cleaning around implants, a PI tip. Finally, the teeth are polished, fluoride is applied to their surfaces, and the interdental spaces are calibrated.
PERIOFLOW® is a type of sandblasting using a special tip and a powder suitable for periodontal pockets and the areas around implants. It’s used after deep cleaning to rinse out periodontal pockets and to treat implant infections. The powder contains chlorhexidine, which has antiseptic and antibacterial properties.
AIRFLOW® is a type of sandblasting, during which the surface of the tooth is scoured with a blend of special powder and distilled water propelled by compressed air. The finest powders (particle size 14 μm) are used to remove plaque from the surface of the teeth, gums, and tongue. Coarser powders (particle size 40 μm) are used to remove dark stains resulting from consumption of pigmented foods and beverages.
In-clinic whitening is a type of sandblasting using a special tip and a powder suitable for periodontal pockets and the areas around implants. It’s used after deep cleaning to rinse out periodontal pockets and to treat implant infections. The powder contains chlorhexidine, which has antiseptic and antibacterial properties.
Home whitening begins with a visit to our clinic to have a dental impression made, which is then used in the laboratory to prepare a tray for whitening gel. Next, the client is provided with the tray and whitening gel and given detailed instructions on how to use them. The client performs the whitening at home without having to visit the clinic and without specialist assistance. Home whitening can be done at night or during the day depending on the client’s preferences. Night whitening typically uses a gel with a lower concentration of active substance that acts for up to eight hours (the client wears the tray while sleeping). Daytime whitening typically uses a gel with a higher concentration of active substance that acts for approximately four hours. The entire whitening process takes from one to three weeks. This type of whitening requires more time, but the process is gradual, and the results are very stable.
A combination of home and in-clinic whitening may also be chosen, and in our opinion it delivers the best and most stable results.
Medical/dental history; initial periodontal examination; removal of plaque and stains; supragingival scaling; polishing and fluoridization; motivation, instruction, and practice cleaning; calibration of interdental spaces.
Repeat periodontal examination; assessment of therapy success; removal of plaque and stains; scaling (ultrasound, hand instruments); polishing and fluoridization; recalibration of interdental spaces; remotivation and reinstruction.
Repeat periodontal examination; reassessment of therapy success; removal of plaque and stains; scaling (ultrasound, hand instruments); polishing and fluoridization; recalibration of interdental spaces; remotivation and reinstruction.
Gingivitis is the most common form of gum disease. It’s caused by plaque, which forms on the surface of the teeth and primarily consists of bacteria and their products. If plaque isn’t removed regularly and thoroughly, the gums become inflamed and begin to exhibit typical symptoms such as redness, swelling, and bleeding. In later stages, the gums may become sore or even painful. Gingivitis is the early stage of periodontal disease. Gingivitis is prevented through regular and thorough removal of plaque from the surfaces of the teeth and interdental spaces.
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Implant gingivitis is inflammation of the soft tissues surrounding an implant. As with gingivitis around natural teeth, implant gingivitis is caused by the accumulation of plaque in the soft tissues around a dental implant. Symptoms include redness, swelling, and bleeding. Prevention is through regular and thorough removal of plaque.
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Periodontitis is an inflammatory disease of the periodontium – the specialized tissues that surround and support the teeth and hold them in their sockets. It’s caused by untreated gingivitis and the spread of inflammatory changes to the deeper structures of the periodontium. In the affected area, the bone of the tooth socket and the connective tissue fibres that attach the tooth to the bone begin to deteriorate. Symptoms include bleeding gums, exposed tooth roots, and the deepening of periodontal pockets. In the later stages, teeth become loose and are eventually lost.
If mucositis is left untreated, the inflammatory changes spread to the deeper structures of the tissues immediately surrounding an implant. This, in turn, results in irreversible deterioration of the bone tissue holding the implant in place. Other problems include mucosal bleeding and deepening of the so-called implant mucosal tunnel. In severe cases, the disease leads to the loss of the implant.