Principles of treatment
The objective of periodontitis treatment is to disinfect the space between the gum and the tooth by removing bacterial plaque and tartar. This disinfection is based on :
learning an adapted brushing method. Without this, the periodontitis recurs very quickly after the end of the treatment;
A cleaning of the surface of the dental roots, under the gum, in order to eliminate the tartar and the dental plaque which are present there;
the possible prescription of an anti-infectious treatment based on mouthwash and sometimes antibiotics.
1. Non-surgical treatment
This is the first-line treatment proposed. It consists of sanitation under the gum, by passing fine instruments between the gum and the tooth, in the periodontal pockets. It is often compared to deep scaling.
2. Surgical treatment
These treatments consist of cleaning and disinfecting very deeply around the teeth by surgically lifting the gums. These treatments are usually done in the dental practice under local anesthesia.
2’. Regeneration of lesions
Les tissus détruits par les parodontites (os, ligament, cément et gencive) ne peuvent en général pas être réparés. In some special cases, these tissues can be partially or totally reconstructed.
3. Periodontal maintenance
Once the treatment has been carried out, and in order to maintain the results for as long as possible, it is essential to set up a very rigorous follow-up that will last a lifetime. This is called periodontal maintenance. These are very meticulous gingival sanitation sessions that help avoid reinfection of the gums.