In dentistry, a distinction is made between gingivitis and periodontitis. A surprisingly large proportion of the population suffers from gingivitis, the acute or chronic inflammation of the gums. The cause is usually poor oral hygiene. It can be recognized by the fact that the gums are red and/or swollen due to dilation of the blood vessels. Bleeding gums can also occur, for example when eating a hard apple, brushing teeth or using dental floss. If the gingivitis is not treated in time, periodontitis (also commonly known as periodontal disease) occurs.
EmunDo® is a photodynamic, non-invasive type of therapy to combat unwanted bacteria in gum disease. We use EmunDo® as an initial therapy for periodontitis to disinfect the pockets and to soften the hard deposits on the roots (concrements), which can then be removed more easily mechanically. In maintenance therapy, EmunDo® prevents rapid repopulation of the pockets by bacteria and thus contributes to maintaining the health of the periodontium. And that is ultimately our goal!
Since the disease is usually painless and is not noticeable in everyday life, an early diagnosis by the dentist is particularly important. Adhering to the recommended six-month to annual cycle is sufficient. Periodontal disease can be easily diagnosed through routine measurements of the bleeding index and the gum pockets (periodontal pockets) and also through x-rays. However, periodontitis can also take an aggressive course. In the advanced stage, a significant recession of the gums can be seen. The teeth loosen and are usually accompanied by stronger bad breath. Early detection is even more important here.
You can usually recognize gum disease when the gums are red and/or swollen due to dilation of the blood vessels. Bleeding gums can also occur, for example when eating a hard apple, brushing your teeth, or flossing.
If gum inflammation is not treated in a timely manner, periodontitis/periodontitis occurs. The term is derived from periodont, which means nothing more than the tooth-retaining apparatus. The periodontium is a very complex structure. It consists of gums, supporting bone, tooth root cementum and fibrous apparatus. The local chronic inflammatory disease caused by bacteria destroys the tooth-supporting tissues over time and, if left untreated, leads to tooth loss. Periodontitis is more common than you think. It actually affects around 50% of the population in mild to moderate severity. Of these, around 5 to 15% suffer from severe forms.
Periodontal disease can also affect overall health and is linked to conditions such as diabetes and heart disease. By far the most common form is chronic periodontitis. It occurs in the second period of life and was therefore previously referred to as “adult periodontitis”. Rare forms include aggressive periodontitis, which occurs as a juvenile form in young people. Implants can also be affected by diseases similar to periodontitis. The inflammation can either affect the superficial mucous membrane around the implants or deeper layers - with bone loss it is referred to as peri-implantitis.
The most important keywords are bacteria and plaque. Our oral cavity usually houses hundreds of bacteria, which is completely normal. What becomes unpleasant is when they form a so-called biofilm, which adheres to the teeth and especially to spaces that are difficult to reach and, after a while, leads to plaque. The bacteria contained in plaque form a symbiotic relationship with one another. The metabolic and decay products ultimately trigger inflammation in the tissue. If left untreated, this inflammation leads to bone loss and loosening of the teeth and even tooth loss. Tartar is nothing more than calcified plaque. Frequent consumption of sweet foods promotes the formation of plaque and also leads to tartar and tooth decay due to the formation of acid.
Other factors can be:
The laser's tasks include the consistent removal of the diseased soft tissue around the tooth roots (and around implants if necessary), including the subsequent biostimulation of the tissue to be regenerated - the cornerstone of successful gum and peri-implantitis treatment. The bags are primarily disinfected using a laser to prevent germs from spreading through the blood (particularly important for immunocompromised patients or those with heart problems). Both the pocket soft tissue and the diseased tooth surfaces are then cleaned and remodeled. The final laser pass is used to form a “biological” wound dressing.
It primarily means the removal of pathogenic (disease-causing) germs and the creation of healthy structures of the periodontium. This allows lost bone to recover. However, this is only partially the case and there are usually residual pockets left, especially with the conservative, non-surgical approach. It is important to keep them low in bacteria or free of bacteria.
The treatment of periodontitis is a balancing act between preserving the tooth-supporting structures and removing bacteria and diseased tissue. If the pockets are very deep, only surgical and sometimes restorative measures can help. And sometimes you actually have to separate severely diseased teeth so that the other teeth can be saved.
In addition to proper oral hygiene, which you should pay attention to at home, we ensure the necessary prevention in our practice using the RECALL system. After checking and assessing your periodontal condition, an individual call plan will be created for you. You will then be contacted at regular intervals about dental hygiene. In cases where periodontal disease is present, a treatment plan tailored to your needs will be created that includes specific measurements and subsequent gum treatments.
Regular aftercare and care instructions are an integral part of the treatment concept and essential for successful periodontitis therapy. It usually also includes professional teeth cleaning and checking oral hygiene at home.
If you have been diagnosed with periodontitis and have been successfully treated, it is important to protect the remaining pockets from recolonization with bacteria. Even if you brush very well, which is the primary goal of oral hygiene education, you still cannot reach the deeper gum pockets. This is where the dental hygienist comes into play with their regular, subgingival (=below the gum line) teeth cleanings. We use photodynamic therapy (EmunDo®) in the recalls where it is appropriate. This means we have very good results in maintenance therapy.
The terms periodontosis and periodontitis are often confused in common usage, which is why we have used both above in the text for better comprehensibility. Strictly speaking, however, the word ending “-ose” in medicine always denotes a degenerative, non-inflammatory disease. The word ending “-itis”, on the other hand, indicates inflammatory diseases. “Periodontitis” is the medically correct term for the more familiar language: “periodontosis”. In contrast to periodontitis, periodontitis is an active inflammation that manifests itself through symptoms such as bleeding gums, bad breath, receding gums and, in advanced cases, loosening of the teeth. Early and effective treatment is crucial to halting progressive bone loss and possible tooth loss.
Clausiusstrasse 31
8006 Zurich
Tel: +41 44 362 14 40
Whatsapp: +41 78 236 86 45
E-mail: [email protected]