Oral health influences the overall health of the body and the quality of life on the long run. According to the World Health Organization, over 20% of adults between the ages of 35 and 44 suffer from periodontal disease, which is also one of the main causes of premature loss of one or more teeth.

Periodontal disease is one of the most widespread dental condition worldwide and can be identified by inflammation and redness of the soft tissues surrounding the tooth (gingiva). In more advanced stages, these symptoms are accompanied by bleeding during brushing, gingival retraction, pain during mastication and mobility of the tooth, leading to premature loss.


Periodontology – an important branch of dentistry

Periodontology is a very important branch of dentistry. It deals with gingival disorders, such as gingivitis or periodontitis. More specifically, periodontology is specialized in diagnosing and treating diseases that affect the gingiva and supporting tissues of the tooth, always drawing attention on the importance of the proper dental hygiene.

A specialist in periodontology will detect the gum disease, the level of bone loss and recommend a proper treatment depending on the depth of the periodontal pockets and the complexity of the case.

In DENT ESTET clinics, specialists in periodontology use the newest generation equipment (Biolase diode laser, iPlus Waterlase laser, Florida probe) to stop the evolution of periodontal diseases, thus helping the patient to keep his natural teeth on the arch for as long as possible.


The causes of periodontal disease:


Many bacteria live in the oral cavity, that together with other substances and acids from the daily diet, create a sticky layer that deposits on the teeth and forms the bacterial plaque. This is why, the main cause of periodontal disease is poor dental hygiene that favours the accumulation of excess bacterial plaque on the teeth and in subgingival areas. To combat this bacterial layer that deposits on the teeth at any time of day, the body releases substances that lead to inflammation and redness of the gums. This is also the first signal that there is a problem that must be treated with the help of the dentist.
Therefore, the practice of proper dental hygiene at home every day, in the morning and especially in the evening, for a minimum of 2 minutes for each brushing and use of dental floss is the easiest way of keeping dental health.
However, by ordinary brushing we cannot remove the tartar, which is the part of the bacterial plaque that has hardened and remained on the teeth. The tartar can be cleaned from the teeth only through professional hygiene in the dentist's office, by scaling and professional brushing.


The visit to the dental office for the regular prophylaxis meeting is recommended to be made every 6 months.




The first signs of periodontal disease:

  • Persistent unpleasant breath
  • Red, inflamed or bleeding gums
  • Gingival recession
  • Pain while chewing food
  • Teeth sensitivity and mobility
  • Tooth loss

Types of periodontal disorders:


In the initial stage of periodontal disease, only gums are affected. Gingivitis can be identified by the patient by the appearance of red gums, frequent bleeding of gums while brushing or spontaneous bleeding. In this stage bone loss can not be observed.

The local treatment of gingivitis involves performing the professional prophylaxis in the dental office (scaling, airflow, professional brushing), accompanied by adequate daily oral hygiene at home: use of the correct brushing techniques, dental floss and interdental brush, oral irrigator, mouth rinse and so on.



If the gingivitis is not kept under control, the bacterial plaque overcomes the local defense system, leading to almost complete gingival retraction and the discovery of the root, increasing the mobility of the tooth and affecting the integrity of the bone.

In advanced cases of periodontal disease, local treatment is applied by sterilizing the periodontal pockets surgically or with the help of dental lasers, in order to avoid tooth loss.

To stabilize pacients affected by periodontal disease, there are many procedures that can be done: scaling and root planning, antibacterial substance application, local treatments for reduction of the periodontal pockets (classic and lasers procedures). In advanced stages, remanent periodontal pockets are treated surgically and by using guided regeneration therapy.


In order to ensure the success of the treatment for a periodontal disease the collaboration of the patient with the periodontal specialist is vital for obtaining lasting results.

How the diagnosis is established:

In order to establish the diagnosis and the stage of the periodontal disease, it is necessary to visit the specialist in periodontology. He will coordinate the case and ensure the accuracy of the diagnosis by:

• Examination of  the soft tissues and marking of areas that are inflamed
• Paraclinical examinations like digital radiographs and CBCT
• Periodontal measurements using the latest digital technologies( Florida probe)
• The medical history of the patient, vicious habits (smoking) and  information regarding the daily dental hygiene, evidence of long term medical treatments (if the patients is in medical evidence for any disease that requires special medication) etc.
• Performing specific investigations or blood tests necessary to complete the clinical panel


What are the stages of the periodontal treatment?

The periodic prophylaxis session – removal of the supra and subgingival tartar, as well as the bacterial plaque, in some cases decontamination of the subgingival sulcus with the help of lasers might be needed

Measurement of periodontal pockets and establishing the teeth in need of periodontal treatment

Scaling and root planning

Periodontal surgical procedures (periodontal flap combined with scaling and root planning, bone regenaretion) – only in the areas where remanent periodontal pockets are present

The American Academy of Periodontology recommends that all adult patients carry out a periodontal health assessment that includes:

• Complete examination of the teeth, gums and soft tissue
• The level of tartar
• Oclusion ( bite)
• Bone structure


How we treat the periodontal disorders:

The treatment of periodontitis implies, besides the rigorous and correct oral hygiene performed by the patient at home and the use of the latest technologies that offer the benefit of a rapid, efficient and local intervention, without affecting the integrity of the healthy tissues.

The advantages of laser treatments in periodontal disease:

• Minimally invasive
• Painless
• Efficient
• Fast procedures
• Does not affect the integrity of healty tissues
• Decontamination of periodontal pockets
• Gingival biostimulation
• Small number of dental visits

Laser dentistry offers painless and efficient treatment of periodontitis, lowering the number of dental visits and improving the quality of life from the first visit.

Protecting our oral health should be part of our daily routine. If you have gingival or periodontal problems, we are looking forward to see you in our periodontal department in Bucharest, Sibiu or Timisoara.