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The treatment of periodontitis / periodontosis  


Due to the very frequent occurrence of periodontitis (periodontosis) in the population, periodontal health is assessed at every routine examination in our practice. With the help of the Periodontal Screening Index (PSI), the findings are collected and the patient is informed about a possible need for treatment.A possible periodontitis treatment can be divided into three phases.

The initial phase

Periodontal therapy always begins with a hygiene phase that optimises oral hygiene at home. This phase is decisive for the further course and success of the treatment. The aim is to eliminate plaque build-up, i.e. to remove all soft and hard plaque that can serve as a breeding ground and thus for the spread of bacteria.

Anti-infective therapy

The next step is anti-infective therapy. The aim of this treatment step is to remove the bacterial deposits on the root surface. This is done painlessly (under anaesthesia) and using hand instruments as well as ultrasound-operated inserts.

The interim control (re-evaluation)

After 8 to 12 weeks, the intermediate control is carried out. If the previous therapy was successful and the pocket depth was sufficiently reduced, no further treatment is necessary. The patient is transferred to regular follow-up care. If, on the other hand, the desired success was not achieved after anti-infective therapy, treatment is continued with the corrective (surgical) phase.

The corrective (surgical) phase

The goals of the surgical phase are to eliminate slippage, niches and inflammatory tissue and to promote soft tissue and bone regeneration. To make the treatment gentler for our patients, we use minimally invasive procedures. This results in less post-operative discomfort and swelling. In addition, faster wound healing can be expected.

The maintenance phase (aftercare)

Monitored aftercare is of great importance for the long-term success of periodontitis therapy. The periodontal status is always reassessed. If necessary, the patient is instructed again regarding oral hygiene and an individual prophylaxis programme is carried out. The intervals between follow-up appointments are determined individually for each patient. The preservation of the patient's own teeth and implants is our top priority. For support we can fall back on our own prophylaxis centre. Due to the coordinated and proven cooperation between our dentists and the prophylaxis staff, even difficult cases are always competently taken care of.