The periodontal pocket and periodontal pocket curettage
Hard Tartar is the cause of development of diseases of tissues of the alveolar bone (gingivitis, periodontitis). Bacterial plaque accumulates at the base of the crowns of the teeth and poor hygiene is gradually mineralized, turning into plaque and then to stone. Deposits on the progression of diseases delve beneath the gingival margin, causing inflammation and exfoliation of the mucous membrane from the teeth. Thus is formation of periodontal pockets.
With the development of periodontitis are formed deep periodontal pockets. In the later stages of the disease there is a suppuration of the gums, teeth become mobile, they become bare the neck and roots.
Treatment of periodontal pockets begins with the removal of Tartar. If the disease is not running much, such a measure is sufficient. Additionally prescribe regular antiseptic rinsing of the oral cavity, application of medicinal ointments and gels on the affected area of the gums. Gives good results therapy herbs and folk remedies in combination with traditional methods. To strengthen the tissues, normalize blood circulation, mineral exchange massages gums.
What is the curettage of gingival pockets, why is it used in dentistry? In more severe stages of periodontitis carried out a special procedure that allows you to clear the formed pockets from the stone, relieve inflammation, to prevent damage of the deeper tissues of the alveolar process.
If the surface of the teeth massive deposits of stone, depth of periodontal pockets more than 3 mm, carry out their cleaning – closed curettage gums. The cleaning is performed under the influence of anesthetics. Next is the cleaning of mineral deposits from the surface of the crown, neck and root. Then the enamel is polished, remove granulation growths, the affected epithelium from the bottom of the pocket.
At the end of the treatment cavity of the gingival pocket is filled with blood clot which eventually transforms into connective tissue, attaching, thus, the gum to the root and neck of the tooth. Healing takes place within 7 days.
Curettage of periodontal pockets can significantly reduce deep pathology and close small. Eliminates inflammation, bleeding gums, prevents the further development of the disease.
The open method of curettage
In the case of ineffective treatment of periodontitis is open curettage of periodontal pockets. Indications for surgery:
- the pocket depth of five millimeters;
- not helped treatment other ways.
Open method of treatment is carried out under the influence of anesthetics. The dentist cuts a flap of gingival tissue in the interdental region with a scalpel or scissors of the gingival. It facilitates access to the deep sediments. Then the stone is carefully cleaned, lay special drugs to stimulate the growth of atrophied bone. The gum is sutured, apply a bandage.
After conducting patchwork operations laid bare the neck of the teeth enamel is more sensitive, so you should refrain from eating hot, cold, acidic foods. To remove the cosmetic defect is carried out the replacement of gingival tissue fragments of the soft palate.
Curettage of periodontal pockets open method is contraindicated in the presence of bone pockets, highly delicate gums in place of the treatment of abscesses and suppuration.
In modern dentistry effectively used cleaning periodontal pockets with a laser beam. This method allows to destroy pathogenic microorganisms, to remove the inflammatory process, to treat gum disease absolutely bloodless.
Therapeutic laser curettage of periodontal pockets contributes to the rapid regeneration of the deep tissue. During the procedure removes the affected areas of the mucous membranes, destroys plaque, suppression of pathogenic microflora. The laser action stimulates local blood circulation and normalizes mineral metabolism.
In the presence of purulent abscesses and deep pockets (more than 5-7 mm) using vacuum-curettage method. Cleaning is carried out under the influence of anesthetics. Tools scraped surface and subgingival deposits of stone, then carry out polishing of the tooth structure.
After granulation scrape and remove damaged epithelium of the inner walls. The bottom of the periodontal pocket is cleaned using a vacuum apparatus, which sucks necrotic masses and fragments of stone. Then, the cavity washed with an antiseptic solution.
The result of the treatment is restore normal blood and lymph circulation in the tissues, reducing the depth of gum pockets, removing inflammation, loose teeth.
After was performed curettage of periodontal pockets in the first 2 hours should refrain from eating and eating. It is impossible at this day to rinse your mouth and brush your teeth. Allowed to take antiseptic baths in the area of treatment.
For baths use a solution Furatsilina, Chlorhexidine, baking soda, or a decoction of medicinal herbs. Warm liquid gain in the mouth and hold near the inflamed area for 2 minutes, then spit. Repeat the procedure 3-4 times. The next day you can do the rinsing with antiseptics.
Brush your teeth with a soft brush, the treatment area clean very neat. Can make application from the pharmacy gels (Asepta, Metrogil Denta, Holisal), these funds provide local pain relief, reduce inflammation, swelling. In the period of remission it is recommended to eat soft, non-irritating mucous membranes. After eating you should rinse your mouth.
From healthy gums depends on the condition of the teeth, therefore, timely treatment of periodontal disease will allow you to maintain a beautiful smile for years to come. Regular visits to the dentist will help to identify the development of pathologies at early stages and to conduct appropriate therapy.