Periodontal Treatment in the Centre of Hamburg

Periodontitis is one of the most common diseases of the mouth. In Germany alone, 80 per cent of all over forty-year-olds will get it sooner or later. Commonly, periodontitis is referred to as parodontitis.

The correct medicinal term for this bacterial inflammation is periodontitis and it can be treated relatively easily. Regular check-ups are essential, because the initially pain-free inflammation can have long-lasting consequences if it is not diagnosed and treated. In our practice, we can quickly determine periodontitis and immediately start with the treatment.

When do I need a periodontitis treatment?

Only at an advanced stage of the disease a comprehensive treatment of the periodontitis is necessary. The treatment prevents the bacteria from spreading in the mouth and helps to secure the long-term health of the tissue.

The most important information at a glance

Periodontitis Treatment

Suitable for:Patients with Periodontitis
Necessary if:Periodontitis
Anaesthesia:Local anaesthesia
Examination:Pa Status (TST Measurement)
Advantages:Prevention of loss of teeth
Duration:Usually, two sessions necessary
Frequency:Depending on severity

Advantages of the Zahnklinik ABC Bogen

In our dental clinic, modern treatments and surgery conditions are available to treat even aggressive forms of periodontitis and remove all malignant bacteria. This includes the so-called full mouth disinfection, which eliminates bacteria under general anaesthesia (pain-free sleep) by cleaning all gum pockets and combining that with the application of antibiotics.

By aligning these measures, we can achieve a quick healing process of the periodontitis. Often, the accompanying bad breath vanishes as well.
As always, the earlier the disease is diagnosed the better it can be treated.

As a result, you are spared many uncomfortable appointments.

Procedure of the Periodontitis Treatment

Given an early identification of the periodontitis by a dentist, a conventional treatment can be sufficient. However, is the periodontitis advanced or did the basic treatment didn’t show the desired results, a surgical treatment is necessary. The number of the bacteria in the mouth and the extent of the loosening of the teeth as well as the depth of the gum pockets are the factors, according to which the dentist decides between the a conventional and a surgical treatment.

The aftertreatment and the dental care at home are also essential for the long-term health and the healing of your gums. This holds true all the more when it comes to the treatment of a periodontitis.

This is what a common treatment looks like

The classic periodontitis treatment starts with the cleaning of the teeth by removing bacterial plaque. Stopping malignant bacteria from spreading in the mouth is a precondition for the long-term success of a periodontitis treatment. Next to the professional treatment of the inflammation by a specialist, thorough oral hygiene at home is just as important for getting well soon.

The first step of the basic treatment is the manual cleaning of the gingival crevices and the removal of all soft and solid plaque. In a second step, in order to avoid aggressive plaque (microbial plaque) from building up on the root, we smoothen all accessible parts of the root.

Often, the classic periodontitis therapy is enough to successfully treat the inflammation. In more severe cases, a treatment with medication has to complement the therapy. We determine if this is necessary by looking at laboratory findings that show the location and kind of inflammatory bacteria. The antibiotics are prescribed as pills or in form of a gel with which the gum pocket is treated directly.

Costs of a Periodontitis Treatment

Statutory health insurances often cover for the costs of a periodontitis treatment. A precondition for that is that there is no tartar on your teeth and that your dentitst has informed you about or trained you in dental hygiene.

Please note: For the costs to be covered by your health insurance the periodontitis treatment has to be applied for prior to your first appointment.

However, some of the costs have to be covered by yourself like the laboratory tests to determine the bacteria that causes the periodontitis. This step usually precedes the treatment with antibiotics. Periodontal-surgical treatments to graft or reconstruct tissue and bones have to be covered by yourself as well.

You can ask us for detailed information on costs and prices at any time—please don’t hesitate to reach out with your questions.

Frequently Asked Questions

As an experienced specialist for periodontology and periodontal surgery, Dr. Stefan Triebswetter is happy to assist you.

Periodontitis is a term for the inflammation of the so-called periodontium which connects the jaw bone with your teeth. It consists of bone, gum and connective tissue.

Bacteria that proliferate in your mouth are the cause of periodontitis. If the conditions are right, these bacteria can build and proliferate on plaque, which consists of a mix of saliva and food residues. After a while, this process leads to the formation of aggressive acids which eventually can cause an inflammation of the gums.

Periodontitis is the result of such an inflammation of the gums (medicinal: gingivitis), and means the advancement of this inflammation to the periodontium. Gingivitis can be diagnosed by the discoloration of gums or bleeding gums, even if it usually remains pain-free.

An inflammation of your periodontal apparatus (periodontium) can have severe consequences, if not treated in time. If the inflammation reaches the jaw bone it can cause this bone to regress. During this process, the gums degenerate and the neck of the tooth is laid bare. If not treated and stopped, a periodontitis can lead to symptoms like the loosening of teeth which can allude to the regression of the jaw bone and the loss of the teeth at a later stage.

Beyond the mouth, bacteria can enter your blood circulation and affect the whole organism. In severe cases, this increases the risk of secondary diseases like diabetes, stroke and heart attack.

The treatment method is determined individually and performed under the local anaesthetisation of the affected area of the mouth. The local anaesthesia usually renders the treatment completely painless.

If gingivitis is not treated in time, the inflammation goes beyond the gums and attacks the periodontal apparatus (periodontium) and leads to a so-called periodontitis. When the periodontium is damaged, the gum is retreating from the tooth which causes a gum pocket to build.

Often, bad breath can be avoided by an individual oral hygiene programme. The regular removal of the coating of the tongue is part of that. However, bad breath is often caused by inflammations of the gums and an advanced periodontitis. A periodontitis treatment and periodic professional teeth cleanings can solve this problem.

Parodontosis or periodontitis is caused by an inflammation of the periodontium. “Parodont“ means “around the tooth“ and “itis” stands for an inflammation. Commonly, this disease is chronic and proceeds painless. The inflammation is located in the depth of a gum pocket that has developed over years. That is why the gum doesn’t necessarily bleed when brushing your teeth. Inflammations usually start in the spaces between your teeth that are hard to reach and therefore don’t get cleaned as well. Regular check-ups of your periodontium are necessary in order to diagnose and treat a periodontitis in time.

Rare forms of periodontitis occur at a young age and cause a rapid loss of the tissue that carries the bones. This is called an aggressive periodontitis. It is possible to inherit a periodontitis, but this alone doesn’t cause the disease. An inflammation is always caused by bacteria that are coating the tooth like a thin layer. Risk factors like smoking, diabetes or a familiar predisposition can accelerate the course of the disease.

Without treatment, severe periodontitis leads to the loss of teeth. That is why, loose teeth are a very serious symptom of an advanced gum inflammation. Immediately after the treatment, the teeth and dental implants can loosen even further—in some cases a splint has to be applied to stabilise them. However, if they are anchored deep enough in the bone, they will become much firmer over time.

In most cases, during minor surgical procedures gum tissue is taken from the roof of the mouth and transplanted onto the neck of the tooth. That process results in smooth and even gums.