periodontology and endodontology

With our treatments in periodontology and endodontology we are able to stop effectively the progressed gum diseases and can save inflamed teeth. Modern diagnostics and treatment procedures ensure long term tooth retention.

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Periodontitis

In case the gum disease is advanced, additional treatments might be necessary. The type of treatment varies from individual to individual and can require a number of different actions, like gum plastic surgery. We always offer an individual solution to resolve any dental problems, including periodontal issues. In case there is a periodontal problem when one would like to have dental implants, we always start with resolving the original problem.

Oral hygiene has to be optimal before tooth replacement can take place, because if the foundations are not good, then we can’t build on them. If you have periodontal problems, please come and see a periodontologist as soon as possible.

Further information

Every treatment of periodontal illnesses starts with a very thorough dental hygienic preparation. Tartar and hardened plaque above gum surface must be removed by a dental hygienist.
The build-up of hardened plaque underneath the gum is difficult to have an access to and must be removed by a periodontologist.

During this process, the subcutaneous bags around the teeth are being cleaned under local anaesthetic. This way not only the plaque will be removed but also all the infected tissue in the surrounding area.

We distinguish 2 types of curettage: closed and open curettage.

During closed curettage, the gum is not opened only the equipment is being inserted under the gum.
When doing an open curettage the gum is being opened in order to reach the affected tissue for a better cleaning.

After a curettage, a checkup is always needed 3-4 weeks later. During the checkup, the results of the curettage and the current status of the teeth are being checked in order to determine whether the treatment has to be continued. Our periodontologist always gives extensive advice during every session so that the patient can maintain the achieved level of dental health. Several repetitions of the process might be necessary; in the worst case, up to three treatments might be needed. In case of periodontal disease, one should pursue these steps in order to achieve constant dental health and create a good oral environment for a stable, long-term solution like dental implants.

Edodontology

Root canal treatments

If the tooth is chronically inflamed, very sensitive or painful and can’t be saved any more, however, its root is strong enough a root canal treatment is necessary. It means that our dentist removes the vital pulpa and inserts a filling into the root canal. This way the tooth can be saved. Although it is not a vital tooth any more, but it will be suitable to hold a crown or be a pillar tooth for a bridge.

In such cases usually a pin has to be inserted into the root canal to give additional strength to the root to be able to carry the crown. This pin is made of metal or glass fibre.

A tooth usually has 1-4 canals. The front teeth have 1 canal the molars usually have 3 canals but can even have 5 root canals.

Duration of the treatment

Dentists at Evergreen Dental generally use a microscope for the root canal treatment as it is very important that the root be cleaned and filled precisely to the apex of the tooth. If the root canal filling is not proper it entails the risk of inflammation through bacteria attack leading to the loss of the tooth.

In case of a traditional way of root canal treatment it is not possible to determine how long it will last as the treatment might need to be repeated several times. The reason for that is that first the pulpa needs to be removed and the root canals have to be disinfected very thoroughly.

Depending on the situation the dentist will decide whether it can be permanently filled right away or it needs more rounds of cleaning before it can be permanently sealed.