Chiuretaj subgingival. Tot ce trebuie sa stii

A surgical subgingival curettage with laser is an intervention performed as part of the treatment of periodontitis that consists of eliminating the infected granulation tissue formed in the periodontal pockets and removing the subgingival bacterial plaque. Surgical subgingival curettage with laser helps considerably in cleaning the subgingival bacterial plaque and microorganisms at the root of the tooth, as well as in eliminating the granulation tissue at this level.

The absolute innovation is the introduction of a dental laser into the treatment protocol , which transforms the classic curettage intervention into one that is much more efficient and has superior long-term results. The dental laser removes infected tissues by cauterization or "vaporization", eliminates disease-causing bacteria from the subgingival area and from deep within the tissues, and stops gingival bleeding and inflammation.

It is worth mentioning that in our clinic, surgical interventions for periodontitis are performed only if non-surgical procedures prove inadvisable or ineffective. In principle, 80% of periodontitis can be treated conservatively, non-surgically with laser, and only 20% require surgical intervention.

 

What is open-field subgingival laser curettage?

 

Open-field subgingival laser curettage is a surgical dental procedure that consists of removing the affected tissue from the gingival pockets. 

Classically, subgingival curettage is performed using a special set of instruments consisting of curettes (spoon-shaped instruments), as well as with the help of ultrasound devices .

The open field subgingival curettage procedure takes place after performing an ultrasonic scaling, in order to act exactly where it is needed. Ultrasonic scaling has the role of eliminating tartar and bacterial plaque deposits, which have a strong irritating effect on the gingival tissue. 

Before undergoing periodontal treatment, #LifeDentists recommend performing a complete professional hygiene package for a deep cleaning, thus eliminating all microbial plaque and tartar deposits.

 

The complete professional hygiene package includes:

1. Ultrasonic scaling – with the help of vibrations with frequencies ranging from 25,000-40,000 Hz, tartar deposits are dislodged from the surface of the teeth.
2. Professional brushing - the circular movements of the toothbrush and the paste specially chosen by the specialist doctor depending on the patient's oral status contribute to smoothing oral surfaces and removing bacterial plaque residues.
3. Air-Flow – using a powerful jet of water with baking soda and a specially designed instrument, the last remaining deposits of tartar and microbial plaque in hard-to-reach interdental spaces are removed, providing a deep clean

 

What does the open-field subgingival laser curettage procedure consist of?

 

Following a complete professional hygiene package, which includes ultrasonic scaling, professional brushing and an Air-Flow procedure, subgingival curettage can be performed in the open field. Initially, the specialist doctor will perform local anesthesia, followed by incisions to lift the gum and then effectively eliminate the granulation tissue with the help of specialized instruments and, especially, with the help of a dental laser.

Ultrasonic curettage consists of using instruments that produce vibrations, which cut the tissue and lift the epithelium. In this way, the affected tissues are removed and a deep cleaning is performed. Curettage can also be performed using manual instruments (curettes), as well as with the help of ultramodern dental laser technology – minimally invasive and completely painless!

 

What are the risks of subgingival curettage?

 

Subgingival curettage is a surgical procedure, which involves more risks than non-surgical treatment. Life Dental Spa specialists pay great attention to informing the patient about the treatment plan that includes all the medical procedures to be performed as part of the surgical treatment for periodontitis.

Following a subgingival curettage, there is a possibility of complications:

• Tooth mobilization
• Gingival retraction 
• Loss of teeth

 

When is subgingival curettage indicated and when is it not?

 

Initially, a consultation with an intraoral camera will be performed, following which the #LifeDentisti team will determine the exact status of your oral health, followed by a treatment plan that will include all the necessary procedures. 

Surgical subgingival laser curettage is recommended in the case of:

• The appearance of periodontal pockets
• Periodontal abscesses 
• Apico-gingival fistulas 
• Recurrences following previously performed periodontal surgeries 
• in the situation where non-surgical, conservative treatment becomes insufficient

On the other hand, subgingival curettage is not indicated in the following cases: 

• Multi-rooted teeth (with multiple roots)  
• Teeth with increased mobility (there is a risk of avulsion during the procedure)

 

How many types of subgingival curettage are there?

 

Subgingival curettage is of two types:

• Open field subgingival curettage (surgical) with or without dental laser: consists of incising the interdental papillae and removing the affected and necrotic tissue. Thus, microflaps can be created that facilitate access for cleaning deep periodontal pockets. Open field subgingival curettage allows for a deep cleaning of the root surface, as well as the removal of affected tissue. Bone grafts and materials that stimulate regeneration can also be applied. The use of a dental laser brings the following benefits:

• • is bactericidal - eliminates bacteria that cause disease
  • is anti-inflammatory - eliminates inflammation
  • "vaporizes" the infected granulation tissue located subgingivally and in periodontal pockets
  • it is a biostimulator - it promotes rapid local healing.

 

• Closed-field subgingival curettage (non-surgical) with or without dental laser: does not involve incision at the dental papilla, being a much less effective method due to the lack of visibility, but can be performed in the case of periodontal pockets of small and medium depth.

 

How do you maintain the effects of the treatment?

 

A very important aspect that Life Dental Spa specialists highlight in their daily practice is maintaining the beneficial results of periodontitis treatment with the help of surgical procedures. 

Following a subgingival curettage, the patient may notice the following positive changes: 

• The gums return to their natural, pale pink color.
• The gums regain their aesthetic appearance, with swollen papillae disappearing. 
• Gingival bleeding decreases, and at some point it stops. 
• Periodontal pockets are reduced 

Following several surgical procedures to treat periodontitis, bone grafting may be recommended in order to limit the bone resorption process. Also, a very important aspect that Life Dental Spa specialists place great emphasis on is the observance of regular visits to the dentist . Regardless of what type of intervention the patient has received, it is essential that they periodically visit a periodontologist for evaluation of their oral status and periodic hygiene.

These periodic visits will take place at intervals of 3-4 months, each consisting of a routine consultation and a complete professional hygiene package, which includes an ultrasonic scaling, a professional brushing and an Air-Flow procedure. In this way, the patient receives a deep cleaning and eliminates the causes that led to the appearance of periodontitis: massive deposits of dental tartar.

 

Patients who choose the Life Dental Spa dental clinic learn how to eliminate the causes that led to the appearance of periodontitis. Thus, patients undergoing periodontitis treatment learn how to improve their lifestyle, how to balance their diet and how to maintain oral hygiene for a long period of time, through periodic visits to the specialist. Thus, patients maintain their oral health in the long term and prevent the recurrence of periodontal disease. 

 

Choose the Life Dental Spa dental clinic and enjoy the best results of periodontitis treatment! Schedule an appointment NOW and learn more about subgingival curettage from the team of professional doctors at Life Dental Spa!