// Periodontology

Periodontology General

1992Since

1-2 sessionsDuration

2Sessions

· Warranty

Comprehensive assessment and treatment of gum health.

Comprehensive examination
Professional cleaning
Preventive protocol

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The first stop for any periodontal concern. Comprehensive gum-health examination, professional cleaning, preventive care plan. Regular follow-up halts the progression of gum disease.

Mosdent since 1992Specialist dental teamDigital dentistryIstanbul, BahçelievlerFree first consultationSame-day reply

// Quick answer

A general periodontal appointment is where gum treatment starts: pocket depths are charted, bleeding on probing is recorded, and the maintenance interval is set from those two measurements rather than from a calendar. In 41 patients followed for two and a half years after active therapy, sites that consistently did not bleed on probing predicted the absence of attachment loss with a negative predictive value of 98%, while bleeding itself predicted progression in only 6% of cases (PubMed 2262585). In adults without severe periodontitis, scheduled scaling produced no measurable difference in gingivitis over 24 to 36 months against no scheduled treatment (PubMed 30590875).

// Key takeaways

01Recall frequency is a risk decision, not a fixed number. In a Cochrane review of two trials with 1,736 participants, adults on risk-based recall and adults on six-month recall showed no difference over four years in decayed surfaces, percentage of bleeding sites or oral-health-related quality of life (1,478 participants, high-certainty evidence; PubMed 33053198).
02What routine scaling reliably changes is calculus. Pooling two trials with 1,711 participants, the standardised mean difference for gingivitis between six-monthly scaling and no scheduled scaling was -0.01 (95% CI -0.13 to 0.11), against -0.32 (95% CI -0.44 to -0.20) for calculus, and the review states the clinical importance of that small reduction is unclear (PubMed 30590875).
03A treated periodontitis patient moves onto supportive care every three to four months, built on mechanical plaque removal. Adding an Er:YAG laser, a low-dose doxycycline or photodynamic therapy produced an overall attachment level change of -0.233 mm (95% CI -1.065 to 0.598, p = 0.351) on weak evidence (PubMed 32060940). If a plan sold to you lists such adjuncts as the reason for its scope, ask what they add.
04This entry covers examination and preventive maintenance. Staging and grading of the disease belongs to the gum disease entry and surgery to the periodontal flap entry; the general appointment produces the pocket chart that decides which of the two applies, which is why it is booked before any restorative work is scheduled.

Periodontology is the area of the specialized system of hard and soft tissues that support your teeth and keep them in their place in the jaw. This apparatus, known as the periodontium, has some very important functions: It securely attaches the teeth to the jaws.

At a glance
Duration	1-2 sessions
Sessions	2
Warranty	·
Materials Used	Ultrasonic instruments · Manual periodontal instruments

Dental mirror held beside a row of white teeth

/ Disease of the Gingiva

It is the situation where the gum is pulled under the enamel layer, which is the protective layer of the tooth, and the root surfaces are exposed.

The surfaces of the teeth are not resistant to external factors. When gingival recession occurs, its roots are exposed. When gingival recession is not treated, sensitivity (leakage) and root caries may occur on the root surfaces over time and tooth can be lost.

Today, there are many treatments, both surgically and non-surgically, for gum recession. Surgically exposed root surfaces can be closed with microsurgical techniques and restored to their pre-extraction state or further recession of the gum can be prevented. Sutures are removed 10-14 days after the microsurgical procedure and the tissue is left to heal.

/ Gingivitis

It is the case of bacterial plaque and tartar formed by the accumulation of food residues on the tooth and root surfaces, causing inflammation in the gums and causing bleeding and redness. Most of the time, these bacterial plaque and tartar are firmly adhered to the root surfaces of the teeth and cause the bone under the gum to dissolve due to inflammation. Swaying and abscess can occur in the teeth due to this bone resorption and teeth can be lost. When gum treatment is done, inflammation disappears and bone resorption stops.

Sometimes, gum surgery can be performed with microsurgical techniques and bone dust (graft) can be used to replace the lost bone.

In order to prevent the recurrence of gingivitis, teeth should be brushed as and often as recommended by the dentist and oral hygiene should be paid attention to.

Before all dental treatments such as implant treatment, crown, bridge, zirconium, filling and prosthesis, braces, gums should be checked, inflammation should be removed and then these procedures should be performed. Otherwise, severe gingivitis may occur in the future and the treatments performed fail.

/ Treatment Process

01Consultation: Initial examination and needs assessment; imaging where required.
02Treatment: Pocket measurement, cleaning, home-care guidance.
03Follow-up: Outcome review and aftercare guidance.

/ Laser Gingival Treatment

Today, lasers are used in many areas in gum treatment. It is especially used to ensure the harmony of the gums called 'pink aesthetics' with the teeth, to eliminate gum growth and to increase the visibility of the teeth.

In addition, lasers can be used to eliminate gingivitis, accelerate wound healing and eliminate bacteria.