Treatment of Pyorrhoea



Pyorrhoea or periodontitis is the disease that affects of support tissues of the teeth (periodontal ligament – gum and bone): if it is not treated properly, it can cause the loss of teeth, even if in perfect conditions, due to the progressive re-absorption of the bone and gingival tissue that supports them.

Pyorrhoea is linked to various causes, among which the most important are dental plaque, malocclusions, both of congenital and acquired type, smoke and genetic inclination. In most cases, this disease has a shifty, asymptomatic course, therefore diagnosis must be done through radiological examination, associated to probing (the examination of the bone and gingival clinical state of the patient).

Pyorrhoea: the therapies

Pyorrhoea or periodontitis is a serious and sometime aggressive pathology in terms of evolution and consequences: the loss of teeth. Currently, it can be diagnosed properly and be treated successfully even in the most advanced stages.

Vesalio Medical Centre has been specializing in the treatment of patients affected by pyorrhoea, for many years.

Thanks to the advanced techniques and proper monitoring of the patients in time, even serious periodontal damages, with bone re-absorptions of 60-70%, allow to hold the dental implant in position.

The periodontal therapy becomes compulsorily with one or more professional cleaning-hygiene at the centre, followed by scaling sessions to remove the plaque and tartar under the gums, which are determining causes in the development of pyorrhoea. 

In the less chronic forms of pyorrhoea, these treatments are sufficient to ensure healing; surgeries are needed instead, in the most advanced stages. Surgeries can be resective (with bone re-shaping and gingival plastics) or regenerative: in this case, it is possible to achieve the regeneration of the periodontal tissues (gum and bone) thanks to the aid of biomaterials and/or membranes. The choice of the proper surgical technique depends on different factors, among which the seriousness (evolution and state) of the disease, the type of bone re-absorption, the area affected by the disease, the patient’s collaboration.

Some patients of our Centre, who are properly treated and monitored regularly, are able to obtain an excellent mastication quality with just a few millimetres of bone, and they maintain the dental implants in position for many years.

Obviously, when the disease is chronic and the dental implants can no longer be held in position (because too compromised in their stability), it is possible to replace them, with suitable implant surgeries.

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