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General information on medical treatment

What does a periodontist do?

A periodontist is a dentist who specializes in the health of gums and the bones that support the teeth. While general dentists treat more common problems, such as cavities and cleanings, the periodontist focuses on more specific and complex issues, such as periodontitis and gingivitis. They diagnose, prevent, and treat diseases that can directly affect the support of teeth, helping to preserve their long-term health and preventing tooth loss.

Warning signs to see a periodontist

If you are noticing bleeding when brushing your teeth or flossing, this may be a clear sign that your gums are not healthy. Persistent bad breath and swollen, sensitive gums are also indications that something is not right and may be initial signs of periodontal diseases.

Additionally, if you notice looser teeth, receding gums, or changes in the way your teeth fit when biting, it is essential to see a periodontist as soon as possible. The sooner the problem is treated, the greater the chances of avoiding complications and maintaining your oral health.

Diseases treated by the periodontist

The periodontist treats diseases that directly affect the gums and supporting bones of the teeth, specializing in more serious and specific conditions.

Gingivitis

Gingivitis is an initial inflammation of the gums, usually caused by lack of proper oral hygiene. If untreated, it can evolve into more serious problems.

Periodontitis

Periodontitis is a more advanced form of gum disease. It can damage the bones that support the teeth, which, without treatment, can lead to tooth loss.

Gingival recession

Gingival recession occurs when the gums recede, exposing the roots of the teeth. This increases the risk of cavities and can cause increased dental sensitivity.

Periodontal abscesses

Periodontal abscesses are deep infections in the gums or bones that can affect the supporting tissues of the tooth, requiring specialized treatment to avoid major complications.

How the periodontist performs treatments

Treatments performed by the periodontist depend on the severity of the periodontal disease and the health status of the gums and supporting bones of the teeth. Below are the main procedures performed:

Deep cleaning

Deep cleaning involves scaling and root planing, which removes tartar and bacteria present below the gum line. This process helps promote gum healing and prevents the infection from spreading, providing relief and preventing complications.

Curettage

Curettage is a procedure in which the periodontist removes deeper gum pockets, which are areas where bacteria can accumulate. This treatment is crucial to prevent the infection from spreading to other parts of the mouth and causing greater damage.

Periodontal surgery

In more severe cases, periodontal surgery may be necessary. This may involve removing infected gum tissue, bone grafts to restore the supporting structure of the teeth, or correction of gingival recessions, depending on the specific need of the patient.

Dental implants

When there is tooth loss due to periodontal diseases, the periodontist may recommend dental implants. This procedure offers a permanent solution, replacing lost teeth and restoring the function and aesthetics of your mouth.

The importance of prevention: the role of the periodontist

The prevention of periodontal diseases is essential to ensure long-term oral health. The role of the periodontist goes beyond treating existing conditions; they also dedicate themselves to educating patients about best oral hygiene practices. This includes the correct use of dental floss, proper brushing, and the importance of regular examinations to identify problems early, avoiding future complications.

Additionally, the periodontist acts in the control of risk factors that can contribute to the development of periodontal diseases. Smoking, diabetes, and stress are some examples of conditions that increase the likelihood of gum problems. The monitoring and guidance of the periodontist in these aspects are essential to maintain good periodontal health and prevent serious problems in the future.

The impact of periodontal health on general health

Scientific studies indicate that gum health is closely linked to the general health of the body. Untreated periodontal diseases can increase the risk of various serious conditions, such as heart disease, diabetes, and even respiratory problems. This occurs because infections in the gums can affect the immune system and contribute to inflammation in the body, which harms the health of vital organs.

Keeping gums healthy is not only crucial to avoid tooth loss but can also have a positive impact on general health. Properly caring for your periodontal health can reduce the risk of these serious diseases and promote a healthier body in general.

When to see a periodontist?

It is recommended that you consult a periodontist regularly, at least once a year, for a complete assessment of your periodontal health. This helps identify any problems in the gums before it becomes something more serious.

Additionally, if you notice any symptoms of gum problems, such as bleeding, swelling, or persistent bad breath, do not hesitate to seek a specialist. The sooner you seek treatment, the greater the chances of avoiding serious complications and maintaining your oral health.

How to find a trusted periodontist

Finding a trusted periodontist is essential to ensure quality treatment. When choosing a professional, it is important to verify their reputation and experience in the area. A great way to do this is to consult platforms that offer doctor ratings and opinions from other patients. This information can help you choose a well-rated and experienced periodontist.

Additionally, look for a periodontist who uses the latest technologies and treatments available. This ensures that you receive modern, efficient care that is appropriate to your needs, providing better results and a faster recovery.

The evolution of periodontics: new technologies and techniques

Periodontics has advanced with the use of innovative technologies that make treatments more effective and less invasive. Low-intensity laser is one of these innovations, allowing treatment of gum diseases with greater precision and less discomfort, promoting a faster recovery.

Additionally, 3D images and computed tomography have been essential to evaluate the bone and gingival structure in detail, enabling more personalized and effective treatment plans. These technologies help the periodontist make more precise decisions, which results in better outcomes for patients.

Stem cell therapy is emerging as a promise to regenerate damaged periodontal tissues. Although still in the research phase, this approach may offer new alternatives for more advanced and effective treatments in the future.

Training and specialization of the periodontist

To become a periodontist, the professional needs to complete not only a degree in dentistry but also a specific specialization in periodontics. This advanced training usually lasts two to three years after dental school.

During specialization, the dentist acquires in-depth knowledge about gingival anatomy, oral microbiology, and advanced surgical techniques. Continuing education is also essential, as techniques and technologies in the area are constantly evolving.

Relationship between periodontics and implantology

Periodontics and implantology are complementary areas in modern dentistry. Many periodontists are also specialized in dental implants, as both specialties deal with the bone structure that supports the teeth.

Before placing implants, it is essential that the patient has adequate periodontal health. The periodontist evaluates the quality and quantity of available bone, crucial factors for the long-term success of implants.

Periodontitis and pregnancy: special care

During pregnancy, hormonal changes can increase the risk of gum problems, such as gestational gingivitis. Recent studies show a correlation between untreated periodontal diseases and complications such as premature birth.

Recommendations for pregnant women

It is important to perform preventive periodontal consultations during pregnancy planning, maintain regular professional monitoring throughout pregnancy, and reinforce oral hygiene adapted to the specific needs of this period.

Digital periodontics: precise diagnoses and treatments

Digital dentistry has revolutionized the way periodontists diagnose and treat gum diseases. Intraoral scanning allows creating precise digital models of the patient's mouth, facilitating detailed treatment planning.

Specialized software enables the periodontist to visually demonstrate to the patient the evolution of the disease and simulate the expected results after treatment. This approach increases the patient's understanding and acceptance of the necessary procedures.

Oral microbiome and periodontal health

The balance of the oral microbiome (set of microorganisms that inhabit the mouth) is fundamental for the health of the gums. Recent research shows that certain beneficial bacteria help protect against periodontal infections.

A diet rich in probiotics and low in refined sugars can help maintain a healthy oral microbiome. The periodontist may recommend specific supplements or probiotic mouthwashes to complement conventional treatment in cases of bacterial imbalance.

Complementary therapies in periodontics

In addition to conventional treatments, complementary therapies have shown promising results in the management of periodontal diseases. Photobiomodulation uses low-intensity light to accelerate tissue healing and reduce inflammation.

Another innovative approach is the application of platelet-derived growth factors (PRGF), obtained from the patient's own blood. This technique stimulates the regeneration of damaged periodontal tissues and accelerates recovery after surgical procedures.

Systemic diseases and their influence on periodontal health

Conditions such as diabetes, autoimmune diseases, and osteoporosis significantly affect gum health and the progression of periodontal diseases. The periodontist works in collaboration with other medical specialists to ensure integrated treatment.

A multidisciplinary approach is essential in these cases, combining adequate control of the systemic disease by the medical specialist, periodontal treatment adapted to the specific conditions of the patient, and more frequent and personalized monitoring of oral health.

Impact of stress on gum health

Chronic stress can compromise the immune system and increase inflammation in the body, including the gums. Recent studies demonstrate a direct correlation between high levels of stress and greater severity of periodontal diseases.

The modern periodontist considers psychosocial factors when developing treatment plans. In some cases, stress management and relaxation techniques may be recommended as part of the treatment protocol to improve clinical results.

Post-periodontal treatment rehabilitation

After the treatment of advanced periodontal diseases, complete oral rehabilitation may be necessary. This phase involves restoring the aesthetics and function of the affected teeth, using prostheses, veneers, or implants.

The periodontist works together with other specialists in dentistry to ensure a harmonious result. Digital smile planning has become an essential tool in this phase, allowing visualization of the final results even before the procedures begin.

Why choose AvaliaMed for your consultation with a periodontist

Periodontics is an essential area of dentistry to maintain the health of the gums and supporting bones of the teeth. With the advancement of technologies and treatments, its results are increasingly effective and less invasive.

When seeking a qualified periodontist, the AvaliaMed platform offers a reliable solution, gathering registered professionals with detailed evaluations from real patients. This tool facilitates the informed choice of the best specialist for your specific case, ensuring that you receive quality dental treatment based on the latest innovations in the area.

Frequently Asked Questions

What is the difference between a periodontist and a regular dentist?
A periodontist is a specialist focused on treating the supporting structures of teeth, such as gums and bones. They receive three additional years of training after graduating from dental school, allowing them to perform more complex treatments like tissue regeneration and surgical interventions. A regular dentist (general practitioner) deals with more basic procedures, such as restorations and routine cleanings.
How often should I see a periodontist even without apparent symptoms?
Even without visible symptoms, it is recommended to consult a periodontist every two years for healthy adults and annually for those with risk factors, such as a history of periodontal disease, diabetes, or smoking. Many periodontal diseases progress silently, and preventive consultations help detect problems before they become more serious.
Is periodontal treatment painful?
Thanks to technological advances, periodontal treatments are more comfortable. Most non-surgical procedures are performed with local anesthesia, and post-operative discomfort is generally controlled with medication. For surgical interventions, conscious sedation can be used to keep the patient relaxed.
How long does a complete periodontal treatment last?
Treatment can last from a few weeks to several months, depending on the severity of the condition. It typically begins with a non-surgical phase of 4 to 6 weeks, followed by reassessment and possible additional procedures. Surgical treatments can extend for 3 to 6 months, with periodic maintenance during the first year.
Do dental insurance plans cover periodontal treatments?
Coverage for periodontal treatments varies. Basic plans often cover preventive and non-surgical procedures, such as scaling, but may offer limited coverage for more complex treatments, such as regenerative surgeries and implants. Check your plan's specific coverage before starting treatment.
Is there a relationship between periodontitis and aging?
Although periodontitis is more common in older adults, it is not inevitable with aging. Factors such as inadequate oral hygiene and medical conditions are more influential. Studies show that older adults with good hygiene habits maintain healthy gums, highlighting the importance of prevention.
How does diet affect periodontal health?
Foods rich in antioxidants and vitamins C and D help control inflammation and strengthen the immune system, benefiting gum health. Diets high in sugars and refined carbohydrates, however, feed harmful bacteria, accelerating the formation of bacterial plaque.
What are the latest innovations in periodontal treatments?
Recent advances include personalized biological therapies that stimulate tissue regeneration, the use of artificial intelligence for more accurate diagnoses, and 3D printing for bone reconstruction in cases of severe loss. These methods are bringing more effective and less invasive results.
What is the role of the periodontist in sleep medicine?
Periodontists now also play an important role in the diagnosis and treatment of sleep apnea. With their knowledge of maxillofacial anatomy, they can identify risk factors and create oral devices to improve breathing during sleep, often being an effective alternative to CPAP.
Is it possible to completely reverse advanced periodontal disease?
Although advanced periodontitis causes irreversible damage to supporting tissues, modern treatments can stabilize the disease and, in many cases, partially regenerate lost tissues. The goal is to prevent disease progression and preserve affected teeth for long periods, up to 20 years or more, with proper care.
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