Periodontology (Gum Treatments)
Healthy gums are hard and pink and show a harmonious wave profile.
Diseased gums, however, are dark red, bleed easily, and sometimes have a displeasing smell. Gum bleeding, swelling, and reddening are the first signs of a gum infection (gingivitis), which can lead to an infection of periodontal apparatus (periodontitis). In advanced stages, this may lead to the loosening or even loss of teeth. From the age of 40 years onwards, more teeth are lost due to this disease than due to caries.
It is our responsibility to identify and treat this disease at an early stage in order to prevent the loosening or loss of teeth.
Since periodontitis is a disease mainly caused by bacteria, the therapy focuses on reducing or, at best, eliminating the bacteria. In most cases, this is achieved by means of a mechanical cleaning or the removal of hard and soft plaque (biofilm, tartar, concrements) from tooth and root surfaces.
Periodontitis treatment is divided into two stages:
In two sessions at an interval of two to three weeks, hard and soft plaque are cleaned from the teeth above the gums. This is accompanied by instructing the patient on his or her domestic measures needed for oral hygiene and lending support and motivation.
2. Actual periodontitis treatment
Within 24 hours, all gingival pockets and respective root surfaces are cleaned from biofilm and/or concrements. This occurs during local anaesthesia with gentle ultra sound treatment.
DNA test/Pap smears
In cases of chronic and/or particularly aggressive periodontitis, the responsible germs can be determined in a laboratory by means of a DNA test in order to facilitate an individually adjusted antibiotic therapy with a significantly higher chance of success. The antibiotic therapy takes place at the same time as mechanical root planing.
It is always possible to regenerate damaged gum tissue or bones in advanced stages of periodontitis by means of microsurgery. However, the chances of success regarding the bone gain can only be assessed individually.
Correcting Gum Shape/Pink Aesthetics
The deliberate receding (slimming) of gums during and after recovery can lead to impairments.
1. Exposed tooth necks
In case of exposed tooth necks, or if they are very sensitive to cold, the affected tooth neck can be covered by means of a small surgical treatment.
2. Disharmonious gum shape
In case the gums have strongly receded in cosmetically visible areas and the gingival margin looks irregular, cosmetic gum surgery for a more harmonious appearance is possible.
After periodontitis therapy, regular prophylactic visits to our practice, as well as good domestic oral hygiene are especially important in order to guarantee the permanent success of the treatment.
We are happy to support you in choosing the right follow-up/prophylaxis intervals and suitable aids for your dental hygiene.
Dr. Daniela Schramm und
Dr. Thiemo Schramm
Schilfweg 5 - 70599 Stuttgart
Dental emergency service on Sundays and holidays: Tel. 0711. 7877711
8am – 1pm 2pm – 7pm
8am – 1pm 1pm – 7pm
8am – 1pm 2pm – 5pm
8am – 1pm 2pm – 7pm
8am – noon