Contacts

Kęstučio Street 79-7,
LT - 44299 Kaunas, Lithuania
Tel.:    +370 37 797668
Mob.:  +370 682 10405
E- mail.:  info@gerasodontologas.lt

Working hours

I - V 08:00-19:00

Periodontology

 

 The periodontologist (in our clinic, Irena Zykuvienė) treats periodontal, gum, and dental cavity diseases, which are quite common among the Lithuanian population (as in the other countries of the world).

 

Gingivitis, an inflammation of the gums characterised by damage to soft tissues, is suffered by half the population (at least once) in some countries, according to various scientists. Gingivitis is a disease of bacterial origin, i.e. it is caused by micro-organisms present in dental plague. The main symptom of gingivitis is bleeding gums; in the beginning gums bleed during brushing, later while eating, and when gingivitis spreads they bleed for no reason. Patients with gingivitis may also suffer toothache, halitosis, and swelling of the gums.

 

Gingivitis is treated by removing the cause, i.e. tartar and soft plague, during oral hygiene procedures, and developing good personal oral hygiene habits: cleaning the areas between teeth with special brushes, rinsing, etc. Gingivitis of non-bacterial origin may be caused by such diseases as sugar diabetes, some medicines, or hormone changes (for example, pregnancy). Non-bacterial gingivitis is treated case by case.

 

Sometimes gingivitis may be a local phenomenon, i.e. of one, two, or three teeth. It manifests as painful and bleeding gums in a certain place. Often, local gingivitis in conditioned by the pendent edges of fillings, wrong position of a tooth, etc. This type of gingivitis is also treated by removing the causes: polishing, or replacing, if necessary, old fillings, and developing good, personal, oral hygiene habits.

 

Periodontitis (paradonthosis) is the inflammation of the periodontal tissues (i.e. dental cementus, periodontal cavity, and alveolar bone) that damages periodontal structures, dissolves alveolar bone and forms gum pockets. Gingivitis is the first of stage of periodontitis. Untreated gingivitis develops into chronic periodontitis. Most often, periodontitis is caused by bacteria. First of all, hard tartar presses the gums and forms gum sores. Soft plague accumulates above solid residues and becomes the residence of abundant micro-organisms. When the blood circulation dysfunctions, micro-organisms penetrate into the gum fissures and cause inflammatory processes that result in a dissolving of dental bone. When the bone dissolves, even the best cleaning of teeth cannot remove the remnants of food and plague from a gum pocket; thus the inflammatory process develops further. If it is not stopped, the bone dissolves to such an extent that the tooth starts to move and must be removed.

 

Periodontitis may be symptom free, but in most cases patients complain about bleeding gums; halitosis; movement of the teeth; and elongated and sensitive teeth.

 

Teeth elongate and become sensitive as a result of the changing position of mucus between the root and crown of the tooth, i.e. the periodontal joint retracts from the dental crown and moves in the direction of the root. This process exposes the dental cementus, therefore crowns look longer and cementus becomes sensitive to thermal and chemical factors.

 

Periodontitis is treated in a complex way starting from professional oral hygiene and then developed individually for each patient. Often, if periodontitis still develops, specialists recommend periodontal surgery that consists of removing concretions present under the gums or on the root of teeth, and correcting the edges of the gums.

 

The success of periodontal treatment depends mostly on the patient, since the dynamics of the disease are mainly affected by the post-surgery regimen. Before and after the surgery (even in cases when surgery is not performed), patients should keep extremely good oral hygiene, consisting of cleaning teeth with a toothbrush, and using interdental brushes and a water irrigator.

 

Finally, periodontisis may be inherited. Thus, if your parents or grandparents had periodontitis, you should take particular care about your oral hygiene, see the oral hygienist twice a year, or, if you have noticed symptoms of disease, please immediately contact the periodontologist.